NC BCBS Form BE236 2018 free printable template

Member Claim Form Do not file prescription drugs on this form. Type or use blue or black ink to complete. Visit bcbsnc.com for prescription drug, dental and international claim forms, or call the

How to fill out NC BCBS Form BE236

How to fill out NC BCBS Form BE236

1. Begin by downloading the NC BCBS Form BE236 from the official website.
2. Fill in your personal information at the top of the form, including your name, address, and policy number.
3. Provide details about the services or treatments received, including dates and descriptions.
4. Complete any additional sections that require specific information about your claim.
5. Attach any necessary supporting documents, such as invoices or receipts.
6. Review the form for accuracy and completeness.
7. Sign and date the form at the designated section.
8. Submit the form through the specified submission method (mail, fax, or online portal) as instructed.

Who needs NC BCBS Form BE236?

1. Individuals who are policyholders of NC Blue Cross Blue Shield.
2. Patients who have received covered medical services and need to file a claim for reimbursement.
3. Providers seeking payment for services rendered to patients under a BCBS policy.

People Also Ask about

Can you use Blue Cross Blue Shield NC in another state?

Your ID card gives you access to participating providers outside the state of North Carolina through the Blue Card® Program, and benefits are provided at the in-network benefit level.

Can I use my NC health insurance in another state?

When you move to a new state, you can't keep a health insurance plan from your old state. To make sure you stay covered, report your move to the Marketplace as soon as possible. This way you can enroll in a new plan and avoid paying for coverage you won't be able to use in your new state.

Can I use Blue Cross Blue Shield Illinois out of state?

If you or a covered family member will be temporarily living outside Illinois for 90 days or more, you may be eligible for guest membership in a Blue Cross and Blue Shield-affiliated HMO. Your current BCBSIL member ID card contains helpful information for accessing health care at home or away.

What is Healthy Blue NC claims number?

844-594-5070 (TTY 711) Monday through Saturday, 7 a.m. to 6 p.m. Eastern time.

What is the timely filing limit for BCBS NC claims?

Claims not received within 18 months from the date the service was provided will not be covered, except in the absence of legal capacity of the member.

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What is NC BCBS Form BE236?

NC BCBS Form BE236 is a form used by Blue Cross Blue Shield (BCBS) of North Carolina for reporting certain health insurance data, specifically related to benefits offered and claims processed.

Who is required to file NC BCBS Form BE236?

Entities including health insurance providers, employers providing health benefits, and any organizations that offer BCBS plans in North Carolina are required to file NC BCBS Form BE236.

How to fill out NC BCBS Form BE236?

To fill out NC BCBS Form BE236, you must provide accurate information regarding your organization, the health plans offered, claims data, and any other required financial information as outlined in the form's instructions.

What is the purpose of NC BCBS Form BE236?

The purpose of NC BCBS Form BE236 is to collect and report data that helps in monitoring health insurance trends, evaluating the benefits provided, and ensuring compliance with state regulations.

What information must be reported on NC BCBS Form BE236?

The information that must be reported on NC BCBS Form BE236 includes organizational details, types of health plans offered, claims data, premium information, and any relevant financial metrics associated with the plans.