Blue Medicare PPO/HMO of North Carolina

Summary

Blue Medicare PPO/HMO of North Carolina is a dental and medical payer. Claims route under payer ID 56152. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

56152

Also known as

Medicare Blue HMO PPO

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Blue Medicare PPO/HMO of North Carolina?

The payer ID for Blue Medicare PPO/HMO of North Carolina is 56152.

Does Blue Medicare PPO/HMO of North Carolina require ERA enrollment?

Yes. Blue Medicare PPO/HMO of North Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What types of coverage does Blue Medicare PPO/HMO of North Carolina offer?

Blue Medicare PPO/HMO of North Carolina covers dental and medical.

Can I submit claims to Blue Medicare PPO/HMO of North Carolina electronically?

Yes. Blue Medicare PPO/HMO of North Carolina is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).