DialClerk Directory

Blue Cross and Blue Shield of North Carolina

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

Commercial appeals

Official page read
Phone800-571-7942Fax

866-987-4161

Published hours

Not published in this record

Product, plan and location

commercial
North Carolina

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-20

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax appeals

Blue Medicare appeals fax

Official page read
Phone

No phone listed for this route

Fax

336-794-1557

Published hours

Not published in this record

Product, plan and location

medicare advantage
North Carolina

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-20

Report an update

appeals grievances

Healthy Blue (NC Medicaid) provider medical necessity appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address
Blue Cross NC | Healthy Blue Appeals P.O. Box 62429 Virginia Beach, VA 23466-2429

Provider medical necessity appeals

Provider medical necessity appeals by mail.

View source ↗ · Source checked 2026-10-25

Report an update

appeals grievances

Healthy Blue (NC Medicaid) payment dispute unit

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
North Carolina

Mailing address
Blue Cross NC | Healthy Blue Payment Dispute Unit P.O. Box 61599 Virginia Beach, VA 23466-1599

Payment disputes and claim payment appeals

Payment dispute reconsiderations (60 days from EOP) and claim payment appeals (30 days from first-level decision); Availity Payment Appeal Tool also available. Vision and NEMT appeals go to the vendors.

View source ↗ · Source checked 2026-10-25

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice