Contact
Select a subject area to view contact information for that subject:
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Subject Area
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Contact Information
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| PPO Questions For questions regarding your benefits, claim inquiries, new ID cards and your comments, e-mail: ppo.inquiries@shpnc.org |
Customer Services PO Box 30085 Durham, NC 27702 Phone: 1-888-234-2416 |
| Benefits Information -- PPO Plan For questions relating to your State Health Plan benefits, to request a new ID card or change your address |
Customer Services PO Box 30085 Durham, NC 27702 Phone: 1-888-234-2416 |
| Medical Claim Filing and Inquiries --
PPO Plan To file a medical claim or inquire about the status of a medical claim you have already filed: |
State Health Plan c/o BCBSNC PO Box 30087 Durham, NC 27702 Phone: 1-888-234-2416 |
Hospital Preadmission Certification/Prior Approval --
PPO Plan |
Claims Processing Contractor Phone: 1-800-672-7897 |
| Prescription Drugs To file a claim for prescription drugs, locate pharmacies within the State Health Plan network, or learn about the Plan's preferred prescription drugs: |
Medco Health Solutions, Inc. PO Box 14711 Lexington, KY 40512 Web: Medco Phone: 1-800-336-5933 |
| Prescription Drugs Prior Authorization To initiate a prior authorization request of your prescription drugs: |
Medco Health Prior Authorization Phone: 1-800-753-2851 Fax: 1-800-837-0959 |
| Mental Health and Chemical Dependency -- PPO Plan For precertification for mental health services and chemical dependency: |
ValueOptions Post Office Box 12438 RTP, NC 27709 Web: ValueOptions Phone: 1-800-367-6143 |
| Media Inquiries To answer questions from the media: |
Linda McCrudden Director of Communications Phone: 919-881-2300 |
| Intensive Case Management For information about the Intensive Case Management Program: |
NC HealthSmart Intensive Case Management (for eligible members) Phone: 1-888-607-9594 E-mail: NCSHP.CaseMGMT@SHPS.com |
| High Risk Maternity Case Management For information about the High Risk Maternity Case Management Program: |
NC HealthSmart High Risk Maternity Case Management (for eligible members) Phone: 1-888-607-9594 E-mail referral: ncshp.maternity@shps.com |
| North Carolina HealthSmart Kidney Disease Program For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program: |
For more information: 1-866-577-3625 |
| North Carolina HealthSmart Health Coach Learn how to better manage your health and much more: |
Phone: 1-800-817-7044 |
| Patient Protection Act For information on requesting an External Review of claims decisions (after all internal grievance procedures have been exhausted): |
North Carolina Department of Insurance Phone: 1-800-546-5664 |
| Retirement System For information concerning medical benefits for retired teachers and state employees: |
NC Department of State Treasurer Retirement System Division Web: NC Department of State Treasurer Phone: 1-877-733-4191 or 919-733-4191 |
| Seniors Health Insurance Information Program For Medicare Beneficiaries: SHIIP, a division of the N.C. Department of Insurance, offers free, objective information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance: |
Seniors Health Insurance Information Program Phone: 1-800-443-9354 or (919) 807-6900 |
| Appeals and Grievances -- PPO Plan To appeal a claim decision or to file a grievance with the State Health Plan: |
State Health Plan c/o BCBSNC Appeals Department P O Box 30055 Durham NC 27702-3055 Phone: 1-888-234-2416 Fax: 1-919-765-4409 |
| Job Opportunities To find job openings at the State Health Plan: |
Office of State Personnel Web: Job Openings |
| Long Term Care To learn more about the long term care plan: |
Prudential Phone: 1-800-284-9648 |
| Report Suspected Fraud and Abuse To find out how to report suspected fraud and abuse to the State Health Plan: 
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Fraud Section Blue Cross and Blue Shield of North Carolina Phone: 1-800-324-4963 |
