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3 lis 2022 · Effective today, Thursday, Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.
24 kwi 2024 · The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system. For billing information specific to a program or service, refer to the Clinical Coverage Policies.
The following policies, manuals, guidelines, and forms are intended to assist providers in billing for services covered under one or more of the NC DHHS divisions supported by NCTracks. Refer to the following links for coverage information and policy guidance.
Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Certain administrative services for Healthy Blue are provided by Amerigroup Partnership Plan, LLC pursuant to an administrative services agreement. References to Blue
3) “Beneficiary Eligibility” Section 2 of the Basic Medicaid Billing Guide includes information on the Medicaid ID card, a chart of Medicaid Eligibility program category codes, information on copayments and copayment exemptions, and a summary of all Medicaid coverage programs. See: http://www.ncdhhs.gov/dma/basicmed/index.htm
Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. NC Medicaid may help pay for certain medical expenses including: Doctor Bills; Hospital Bills; Prescriptions (Excluding prescriptions for Medicare beneficiaries) Vision Care; Dental Care; Medicare Premiums; Nursing Home Care
Submit Electronic Claims for Free to WellCare of North Carolina (for faster and the most accurate adjudication). Call our preferred EDI partner, RelayHealth (McKesson), at 1-877-411-7271 . EDI Payor ID: 14163 Fee for Service (chargeable submissions).
