NC BCBS Form BE236 2014 free printable template
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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
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How to fill out NC BCBS Form BE236
How to fill out NC BCBS Form BE236
01
Obtain the NC BCBS Form BE236 from the official website or your BCBS representative.
02
Fill in your personal details such as name, address, and contact information in the designated fields.
03
Provide your BCBS member ID number and any other required identification numbers.
04
Indicate the type of service or claim related to the form in the appropriate section.
05
Attach any necessary documentation that supports your claim, such as receipts or medical records.
06
Review the form for completeness and accuracy.
07
Sign and date the form at the bottom to confirm the information provided.
Who needs NC BCBS Form BE236?
01
Individuals who are insured under NC Blue Cross Blue Shield plans and need to submit a claim for benefits.
02
Healthcare providers submitting claims on behalf of their patients under NC BCBS plans.
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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.
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.
What is the timely filing limit for BCBS NC?
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.
What is the phone number for BCBS of North Carolina member services?
How and when can I contact my health plan? Blue Cross NC's Customer Service representatives are available to answer calls at 1-877-258-3334, Monday through Friday from 8:00 a.m. to 7:00 p.m.
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What is NC BCBS Form BE236?
NC BCBS Form BE236 is a form used by health insurance companies in North Carolina to report specific financial and operational data to the North Carolina Department of Insurance.
Who is required to file NC BCBS Form BE236?
Insurance companies operating in North Carolina, particularly those that provide Blue Cross Blue Shield plans, are required to file NC BCBS Form BE236.
How to fill out NC BCBS Form BE236?
To fill out NC BCBS Form BE236, gather the necessary financial and operational data, complete each section of the form accurately, and ensure all required documentation is attached before submitting it to the Department of Insurance.
What is the purpose of NC BCBS Form BE236?
The purpose of NC BCBS Form BE236 is to ensure transparency and compliance among insurance companies, allowing the state to monitor the financial health and operational integrity of these companies.
What information must be reported on NC BCBS Form BE236?
The information that must be reported on NC BCBS Form BE236 includes financial statements, enrollment figures, claims data, and other relevant operational metrics that reflect the company's performance.
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