Please Review Your Medicare Advantage Demographic Information

If you are a health care organization participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Medicare Advantage (Blue Medicare^SM) provider network, and if you have Blue Medicare^SM participating providers included under your organization’s terms of participation with Blue Cross NC, it’s important to keep the information we have on file current. 

Keeping your information current:

• Helps us to provide our members with accurate information through our online provider directories
• Allows our members to locate and access the care and services they need, when they need, and from in-network providers
• Helps other providers to make referrals and accurately direct their patients’ care toward in-network practitioners and suppliers
• Ensures that your health care organization receives payment and other vital notices timely, and reduces the potential for delayed or denied payments resulting from inconsistent demographic information 

Please take a minute to verify the information published in Blue Cross NC’s online provider directories about your health care organization and its affiliated providers for the second quarter of 2017. Review your listing(s) located within the Find a Doctor tool on the bcbsnc.com website and select from the following options for Medicare:

• Find a Doctor or Facility
• Find a Dentist
• Find an Urgent Care Center 

When you review your listing(s), please ensure the following information is accurate:

• The demographic information
• Whether or not your practice is accepting new patients
• Your physical addresses
• The specialties of the providers affiliated within your health care organization. 

If you discover an inaccuracy please complete Blue Cross NC’s online demographic form located in the forms section at bcbsnc.com as soon as possible, so we can make appropriate corrections. 

If your health care organization or a provider within your organization has changed names, been part of a merger or consolidation, moved, added or changed a National Provider Identifier or Federal Tax Identification Number, please email us at NMSpecialist@bcbsnc.com if you haven’t already.

If you’re unsure or have questions about how your health care organization is setup for its Blue Medicare participation with Blue Cross NC, please contact us at 1-800-777-1643 for assistance.