Nc State Health Plan Procedures

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Policies and Procedures NC State Health Plan

(5 days ago) WebState Health Plan rules, policies, procedures and notices help protect the rights of members and outline member responsibilities. North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. …

https://www.shpnc.org/policies-and-procedures

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Your NORTH CAROLINA STATE HEALTH PLAN

(7 days ago) Web2021 HIGH DEDUCTIBLE HEALTH PLAN ENROLLMENT GUIDE JAN. 1 - DEC. 31, 2021 Your Our mission is to improve the health and health care of North Carolina teachers, …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/SHP-HDHP-Enrollment-Guide-2021.pdf

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NC OSHR: State Health Plan

(1 days ago) WebThe Plan provides health care coverage to more than 700,000 teachers, state employees, retirees and their dependents. The Plan contracts with a Third Party Administrator, …

https://oshr.nc.gov/state-employee-resources/benefits/state-health-plan

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Summary of Benefits and Coverage: What this Plan …

(1 days ago) Web1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 North Carolina State …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2020/SBC-2020-80_20FINAL.pdf

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Your NORTH CAROLINA STATE HEALTH PLAN

(1 days ago) WebNC is the Plan’s third-party administrator for the North Carolina State Health Plan Network. They process medical claims and o‹er a provider network, but taxpayers like you pay for …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/decision-guides/SHP206-Active.pdf

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STATE HEALTH PLAN RULES - NC

(2 days ago) WebFederal reporting: The North Carolina State Health Plan for Teachers and State Employees(“Plan”) is required to provide periodic Member specific reports, known as …

https://files.nc.gov/ncshp/documents/shp-rules/SHPRULE3009.pdf

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State Health Plan for Teachers and State Employees …

(3 days ago) WebState Health Plan c/o Blue Cross NC PO Box 30087 Durham, NC 27702 State Health Plan Eligibility and Enrollment Center 855-859-0966 8 a.m. - 5 p.m., Monday-Friday, except …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2019_80-20_benefit_booklet.pdf

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NC State Health Plan Network Pricing Policy

(3 days ago) Web1. The pricing for All Other Services under Section 13 of the North Carolina State Health Plan Network Master Reimbursement Exhibit (“AOS Pricing”) may be reviewed and/or …

https://files.nc.gov/ncshp/documents/provider-resources/NC-State-Health-Plan-Network-Pricing-Policy.pdf

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Medical policies and guidelines Providers Blue Cross NC

(Just Now) WebMedicare calendar year 2024 policy and technical changes. Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and …

https://www.bluecrossnc.com/providers/policies-guidelines-codes/medical-policies

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Policies, guidelines and codes Providers Blue Cross NC

(3 days ago) WebPhysicians may want to share documentation with the Plan about recent medical advances and guidelines that could enhance our medical policies. Blue Cross NC. PO Box 2291. …

https://www.bluecrossnc.com/providers/policies-guidelines-codes

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School Mental Health Policy NC DPI

(1 days ago) WebSchool Mental Health Policy. In June of 2020, Session Law 2020-7 was approved by the North Carolina General Assembly. It is an act to require the state board of education to …

https://www.dpi.nc.gov/districts-schools/classroom-resources/academic-standards/programs-and-initiatives/nc-healthy-schools/school-mental-health-policy

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Appropriate Care Decision Guide NC State Health Plan

(5 days ago) WebNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/appropriate-care-decision-guide-1

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Guidelines and Procedures - Blue Cross NC

(9 days ago) WebGuidelines and Procedures *The medical policy details outlined in the following slides are for BCBSNC local lines of business and the State Health Plan; please see the next …

https://www.bluecrossnc.com/content/dam/bcbsnc/pdf/providers/network-participation/education-learning-center/medical-policy-guidelines-procedures.pdf

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Your NORTH CAROLINA STATE HEALTH PLAN - NC

(9 days ago) WebAs a State Health Plan member, you have access to the North Carolina State Health Plan Network, which is made up of providers who signed up for the Plan’s Clear Pricing …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/2021/decision-guides/SHP212-HDHP.pdf

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State Treasurer Folwell Finds North Carolina 340B Hospitals …

(8 days ago) WebHospitals generated thousands of dollars in profits per claim on cancer drugs paid for by the North Carolina State Health Plan for Teachers and State Employees. The 340B …

https://www.shpnc.org/what-the-health/north-carolina-340b-hospitals-overcharged-state-employees-cancer-drugs

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Duke Raleigh Surgery Center Raleigh, NC Duke Health

(4 days ago) WebClosed. 3300 Executive Dr. Suite 2100. Raleigh, NC 27609-7492. Get Directions. Surgery Questions 919-997-2000. Office 919-997-2000. Fax 919-997-2002.

https://www.dukehealth.org/locations/duke-raleigh-surgery-center

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Request prior review and authorization - Blue Cross NC

(5 days ago) WebContact Blue Cross NC Utilization Management to request prior review and authorization by calling 800-672-7897, Monday through Friday, 8 a.m. to 5 p.m. ET. We require prior …

https://www.bluecrossnc.com/members/health-plans/forms-resources/request-prior-review

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Duke Raleigh Hospital Interventional Radiology Clinic - Duke Health

(4 days ago) WebDuke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly …

https://www.dukehealth.org/locations/duke-raleigh-interventional-radiology

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Duke Raleigh Pre-Admission Testing Raleigh, NC Duke Health

(1 days ago) WebDuke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly …

https://www.dukehealth.org/locations/duke-raleigh-pre-admission-testing

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People Statewide Will Soon Have Access to Contraceptive - NC …

(6 days ago) WebMEDIA ADVISORY — In honor of Women’s Health Week, the North Carolina Department of Health and Human Services is celebrating the expansion of contraceptive …

https://www.ncdhhs.gov/news/press-releases/2024/05/13/people-statewide-will-soon-have-access-contraceptive-services-pharmacies

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Study: Novant and other NC hospitals overcharged cancer drugs …

(3 days ago) WebState treasurer Dale Folwell released the report last week, carried out in coordination with the State Health Plan, which provides healthcare to 750,000 active …

https://portcitydaily.com/latest-news/2024/05/14/study-novant-and-other-nc-hospitals-overcharged-cancer-drugs-amid-lobbying-battle-over-discount-program/

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North Carolina lawmakers push bill to ban most public mask …

(Just Now) WebUpdated 5:00 PM PDT, May 15, 2024. RALEIGH, N.C. (AP) — Republican lawmakers in North Carolina are pushing forward with their plan to repeal a pandemic …

https://apnews.com/article/north-carolina-masks-covid-protests-gaza-7da0c5dd3ee1a59f9482e709bf4b3300

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NC Affirms Major Commitment to Health Equity in New State Plan

(2 days ago) WebThe North Carolina Department of Health and Human Services (NCDHHS) has buckled down on its pledge to advance health equity in its recently released 2022 …

https://www.techtarget.com/patientengagement/news/366584647/NC-Affirms-Major-Commitment-to-Health-Equity-in-New-State-Plan

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North Carolina lawmakers push bill to ban most public mask …

(9 days ago) WebRALEIGH, N.C. May 15, 2024 5:16 p.m. Republican lawmakers in North Carolina are pushing forward with their plan to repeal a pandemic-era law that allowed …

https://www.opb.org/article/2024/05/15/north-carolina-lawmakers-push-bill-to-ban-most-public-mask-wearing-citing-crime/

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Wawa opens 1st North Carolina store on the Outer Banks this week

(6 days ago) WebNorth Carolina’s first Wawa opens in Kill Devil Hills on May 16, 2024, the first in a 10-year expansion to bring 90 stores to the state. (Kari Pugh/The Virginian-Pilot) …

https://www.pilotonline.com/2024/05/15/wawa-opens-first-north-carolina-store-on-the-outer-banks-this-week/

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Step by Step Enrollment Instructions New Employee NC State …

(1 days ago) WebNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/open-enrollment-documents/step-by-step-enrollment-instructions-new-employee.pdf

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