"State Health Plan Resource",Description,"Customer Service","Mailing Address
(if applicable)",Audience
"Eligibility & Enrollment Support Center","For questions regarding enrollment, eligibility or for assistance regarding the enrollment system."," 855-859-0966
M-F 8AM to 5PM "," 3200 Atlantic Avenue
Raleigh, NC 27604","All Members"
"Third-Party Administrator
(Blue Cross & Blue Shield of NC) ","For questions regarding benefits or any claim inquiries.","888-234-2416
TTY: 800-442-7028
M-F 8AM to 6PM ","State Health Plan c/o BCBSNC
PO Box 30085
Durham, NC 27702","70/30 & 80/20 Members"
"Appeals & Grievances (Blue Cross & Blue Shield of NC) ","To appeal a claim decision or to file a grievance.","888-234-2416
Fax: 919-765-2322
M-F 8AM to 6PM ","State Health Plan c/o BCBSNC Appeals Department
PO Box 30055
Durham, NC 27702","70/30 & 80/20 Members"
"Smart NC is a program provided by the NC Department of Insurance.","For information on requesting an external review of claims decisions (after all internal grievance procedures have been exhausted)."," 855-408-1212
M-F 8AM to 5PM","325 N. Salisbury St.
Raleigh, NC 27603","All Members"
"CVS Caremark
(Pharmacy Benefit Manager)","To file a claim for prescription drugs, locate pharmacies within the network, or learn more about your Pharmacy Benefits.","888-321-3124
7 days a week, 7AM to 11PM","CVS Caremark
P.O. Box 52136
Phoenix, Arizona 85072","70/30, 80/20 & HDHP Members"
"Prescription Drugs Prior Authorization","To initiate a prior authorization request of your prescription drugs."," 800-294-5979
7 days a week, 7AM to 11PM","CVS Caremark
P.O. Box 52136
Phoenix, Arizona 85072","70/30, 80/20 & HDHP Members"
"Behavioral Health and Chemical Dependency/Substance Use Services","For questions regarding precertification for behavioral health services and chemical dependency.","800-367-6143
M-F 8AM to 6PM","State Health Plan c/o Beacon Health Options PO Box 12438 RTP, NC 27709","70/30, 80/20 & HDHP Members"
"Hospital Pre-admission Certification/Prior Approval (Blue Cross & Blue Shield of NC) ","To request prior authorization (certification) for certain out-of-network or out-of-state services.","800-672-7897
M-F 8AM to 6PM ","State Health Plan c/o BCBSNC
PO Box 30085
Durham, NC 27702","70/30 & 80/20 Members"
"Humana (Medicare Advantage Carrier)","For questions regarding Humana Medicare Advantage Plans.","888-700-2263
M-F 8AM to 9PM","P.O. Box 14162 Lexington, KY 46512-4162","Humana Medicare Advantage Members"
"NC Retirement Systems","For questions regarding retirement, pension information and supplemental retirement plans. ","877-NCSECURE (877-627-3287)
M-F 8AM-5:30 PM"," 3200 Atlantic Avenue
Raleigh, NC 27604","All Members"
"Seniors Health Insurance Information Program (SHIIP).
SHIIP is a division of the N.C. Department of Insurance.","For information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance.","855-408-1212 or 919-807-6900
M-F 8AM to 5PM","325 N. Salisbury St.
Raleigh, NC 27603","Retirees "
"Social Security Administration","For specific questions about Medicare premiums and claims."," 800-772-1213
TTY : 800-325-0778
M-F 7AM to 7PM","7500 Security Blvd.
Baltimore, MD 21244",Retirees
"iTEDIUM
(Direct Bill & COBRA Adminstrator)","For questions regarding your bill for premiums. ","877-679-6272
M-F 8AM to 5PM","State Health Plan c/o iTedium
P.O. Box 505211
(Direct Bill) P.O. Box 505200
(COBRA) St. Louis, MO 63150","Retirees/Surviving Spouses/COBRA Participants"
"The Rawlings Company (Third Party Liability Recovery Services)","For questions regarding subrogation","877-229-0872
NCStatemanualreferrals@rawlingscompany.com
M-F 8AM-8PM","PO Box 2000 La Grange, Kentucky 40031-2000","70/30, 80/20 & HDHP members"
"Report Fraud and Abuse ","To report suspected fraud and abuse.","800-324-4963
M-F 8AM to 6PM ","State Health Plan c/o BCBSNC PO Box 30085
Durham, NC 27702","70/30 & 80/20 Members"
"State Health Plan Board of Trustees","To share concerns or feedback to the Board of Trustees.","SHPBoard@nctreasurer.com"," 3200 Atlantic Avenue
Raleigh, NC 27604","All Members"
"State Health Plan Member Inquiries","To share comments, concerns or general feedback on specific medical or pharmacy issues. ","919-814-4400
ppo.inquiries@nctreasurer.com
M-F 8AM to 5PM"," 3200 Atlantic Avenue
Raleigh, NC 27604","All Members"
"Media Inquiries","For public records or other media inquiries.","919-814-3820
press@nctreasurer.com
M-F 8AM to 5PM"," 3200 Atlantic Avenue
Raleigh, NC 27604",Media
"BEACON (BEST Shared Services)","For questions on how to navigate BEACON or other BEACON system assistance."," 919-707-0707
(Raleigh area)
866-622-3784
(statewide)
M-F 8AM to 5PM","3512 Bush St.
Raleigh, NC 27609","Active Members "