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Healthy Blue North Carolina

Part of Blue Cross Blue Shield of NC

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Healthy Blue North Carolina 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 00602, with 7 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, and electronic remittance (ERA); ERA enrollment is required but activates instantly.

At a glance

Payer ID
00602Also seen as 00602MA, 14422, 5022, 5086, 602, 9133 and 1 more
Also known as
Blue Cross NC, Blue Cross and Blue Shield of North Carolina, Healthy Blue Care Together, Healthy Blue of North Carolina, HealthyBlue Care Together
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.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredInstant

Common questions

What is the payer ID for Healthy Blue North Carolina?
The payer ID for Healthy Blue North Carolina is 00602. Alternate IDs seen across clearinghouses include 00602MA, 14422, 5022, 5086.
How long does Healthy Blue North Carolina provider enrollment take?
Healthy Blue North Carolina provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Healthy Blue North Carolina require CAQH?
Yes. Healthy Blue North Carolina uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Healthy Blue North Carolina require ERA enrollment?
Yes. Healthy Blue North Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup activates instantly.
What states does Healthy Blue North Carolina cover?
Healthy Blue North Carolina 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.