Forms

A library of the forms most frequently used by health care professionals. Looking for a form but don’t see it here? Please contact your Healthy Blue provider representative for assistance.

PCP Change Form

• PCP Change Form - English Version
• PCP Change Form - Spanish Version

Quality of Care Incident Form

Reproductive Health Forms

Provider tools & resources

• Log in to Availity
• Launch Provider Learning Hub Now
• Learn about Availity
• Prior authorization lookup tool
• Prior authorization requirements
• Claims overview
• Member eligibility and pharmacy overview

• Policies, Manuals and Guides
• Referrals
• Forms
• Training Academy
• Pharmacy information
• Electronic Data Interchange (EDI)

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.

Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. ® Marks of the Blue Cross and Blue Shield Association. All other marks are the property of their respective owners.

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