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Providers

Networks & programs

Networks and programs

Blue Cross NC is made up of multiple networks, including FEP, Medicare and Medicaid. Providers looking to join can find out more about these networks.

Networks

Commercial and Dental Networks

Sometimes referred to as healthcare or medical networks, commercial networks contain several specialty networks such as dental (Dental Blue), InterPlan Program (IPP) and Blue High Performance Network (BlueHPN).

Medicare (Blue Medicare)

The Medicare network is made up of Blue Medicare HMO, Blue Medicare PPO and Healthy Blue + Medicare (D-SNP).

Pharmacy Network

The pharmacy network is made up of Specialty Pharmacy Network, Prime Therapeutics and Hemophilia Network.

Medicaid (Healthy Blue)

Healthy Blue is made up of a diverse network of health care professionals ensuring Medicaid members have uninterrupted access to the health care they need.

Experience Health

Experience Health is owned by Blue Cross NC and offers a Medicare Advantage HMO plan.

Quality-Based Programs

Quality-based programs recognize providers offering outstanding quality care to members. These programs also help direct members to participating providers who embrace quality improvement. Learn how to qualify for these programs, the benefits of participating plus how to use quality reports to identify care gaps.

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Behavioral Health Program

Blue Cross NC is working with providers to improve how and when behavioral health concerns are identified and treated. Take a look at some of our programs you can participate in, and learn about new tools and resources you can use in your practice. 

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