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Services Requiring Precertification

FirstCarolinaCare requires precertification for certain services and/or procedures.
Precertification List >>

Assistance for Members When Provider is Unavailable

Covered Services received from Non-Participating Providers may be paid as In-Network Benefits if a Participating Provider is not able to meet the health needs of a Member without unreasonable delay as determined by FCC's Availability and Accessibility Standards.
Read more about Assistance for Members When Provider is Unavailable >>

Compliance Help Line

Do you have a compliance concern?  Please call the confidential Compliance Help Line at (855) 367-8184.

Coordination of Benefits

If you are enrolled in another group health plan, FirstCarolinaCare may coordinate benefits with the other plan.

In order for FCC to ensure accurate payment of benefits, it is important that our coordination of benefits records stay up to date.
Read more about Coordination of Benefits >>

Nurse Helpline

It’s the middle of the night and a new mother wakes to a crying baby with a fever. A quick call and tips from the Nurse Helpline may save her a trip to the Emergency Department as well as the expense of the visit.
Read more about the nurse helpline >>

Understanding Your Explanation of Benefits

Read more >> adobe pdf

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