Our member and provider services may be experiencing higher than normal call volumes this week. We encourage you to utilize alternative forms of communication, including contacting a Care Guide through bcbsnd.me and Availity Essentials Provider Portal.
High call volumes
Once the initial shock wears off, the challenges of a being diagnosed with a critical medical condition can be overwhelming. What are your choices? What's covered? What's next?
That's where our member advocates come in.
Extra care for extraordinary cases
Member Advocates can help walk some members through especially difficult times by:
- Obtaining pre-authorizations and prior approvals
- Understanding medical jargon
- Navigating health care networks and managing physician referrals
- Walking through medical bills and Explanations of Benefits (EOBs)
- Speaking to medical staff with you, or on your behalf
- Suggesting community resources for services not covered by insurance
- And more
Who participates in Member Advocacy?
Currently, candidates for Member Advocacy are determined on a case-by-case basis, and include those who:
- Are born severely premature
- Have congenital defects
- Have pediatric cancer
- Experience a traumatic injury
- Undergo a transplant
Celebrating Member Advocacy
The member advocacy group was born from one compassionate heart and a can-do attitude. Since then, our advocates have worked with some pretty incredible people. Meet a few of them here.
