Submit completed claims for medical or other non-facility services on the CMS 1500 claim form. Standard CMS 1500 completion guidelines should be used in completing all applicable fields.
Participating Hospitals or Ancillary Providers are required to submit a completed UB-04 or successor claim form in order to receive payment for Covered Services rendered.
Submit pretreatment estimates and claims for dental services using the ADA Claim form.
Questions concerning the status of a claim should be directed to Member Services at (800) 811-3298.
Claims should be mailed to:
FirstCarolinaCare Insurance Company
P.O. Box 381686
Birmingham, Alabama 35238
If you are interested in transmitting claims electronically, please contact Provider Relations at (910) 715-8100 or toll-free at 1-800-574-8556.
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