Blue Cross NC
Part of Blue Cross Blue Shield of NC
Summary
Blue Cross NC is a regional health plan, part of Blue Cross Blue Shield of NC, offering dental, medical, and vision coverage operating in North Carolina. Claims route under payer ID BCSNC, with 14 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Blue Cross NC Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
BCSNCAlso seen as 10383, 12B23, 1411, 560894904, 61472, 61473 and 8 more- Also known as
- Blue Cross Blue Shield North Carolina, Blue Cross Blue Shield of North Carolina, Blue Cross NC - Medicare Advantage, Blue Cross NC – Dental Blue, Partners National Health Plans of North Carolina Inc
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- NC
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Blue Cross NC?
- The payer ID for Blue Cross NC is BCSNC. Alternate IDs seen across clearinghouses include 10383, 12B23, 1411, 560894904.
- How long does Blue Cross NC provider enrollment take?
- Blue Cross NC provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Blue Cross NC require CAQH?
- Yes. Blue Cross NC uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Blue Cross NC require ERA enrollment?
- Yes. Blue Cross NC requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Blue Cross NC cover?
- Blue Cross NC operates in NC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.