Blue Cross and Blue Shield of North Carolina

Source: https://www.bcbsnc.com/content/dam/bcbsnc/pdf/members/health-plans/claim-information/member-claim-form-requirements.pdf

Read date: 10-09-2026

Research steps

1. Confirm that the plan covers the out-of-network service. Most members can file online, but the benefit booklet controls the benefit, deadline, and any behavioral prior-review requirement. Blue Cross NC claim submission Blue Cross NC transparency in coverage
2. Sign in to the Blue Cross NC member portal and choose the online medical-claim route. Enter the requested claim information, upload a copy of the receipt, and select Submit. Portal upload YES. UNREADABLE: the exact signed-in menu label. Blue Cross NC claim submission
3. Make sure the itemized receipt includes provider name and address, provider Tax ID, a procedure code for each service, a diagnosis code, and the individual cost or separate charge for each service. Blue Cross NC Member Claim Form Blue Cross NC claim submission
4. The portal uses an on-screen workflow. NOT PUBLISHED: whether it accepts completed Member Claim Form BE236 as an attachment, file types, size, maximum file count, grouping, confirmation, or electronic-signature controls. For the PDF route, complete a separate form for each provider and covered member, attach provider receipts, and sign and date section 5. Blue Cross NC Member Claim Form
5. For individual on-exchange coverage, Blue Cross NC must receive the claim within 18 months after the service date. Other members must use the deadline in the benefit booklet. Blue Cross NC transparency in coverage
6. Check status in the Documents section of the member portal or through the published Claims status link. NOT PUBLISHED: processing time. Blue Cross NC claim submission Blue Cross NC contact page

Filing facts

• Portal upload: YES
• Portal: Blue Cross NC member portal
• Portal path: Log in to the member portal > submit a medical claim online > enter claim information > upload a copy of the receipt > Submit; exact post-login menu label is UNREADABLE
• Mail address: Blue Cross and Blue Shield of North Carolina, P.O. Box 35, Durham, NC 27702
• Fax: 866-990-1385
• Attach: Provider name; provider address; provider Tax ID; procedure code for each service; diagnosis code; individual cost or separate charge for each service
• File types: NOT PUBLISHED
• File size limit: NOT PUBLISHED
• Maximum files: NOT PUBLISHED
• One file or separate files: NOT PUBLISHED: one receipt copy is described but multiple-file behavior is not published
• Confirmation: NOT PUBLISHED
• Status check: Member portal > Documents for claim status; direct Claims status link is also published
• Processing time: NOT PUBLISHED
• Member deadline: Within 18 months of the date of service for individual on-exchange coverage
• Deadline basis: The 18-month rule is limited to individual on-exchange plans; the claim form directs other members to the benefit booklet
• Mental health route: The general medical member claim route applies; the benefit booklet and ID card identify any mental-health or substance-use prior-review designee

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.