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Provider Resources

Find forms and resources to better work with us as you care for your patients.

Provider Engagement

PA Overview for Providers

Provider Portal Overview for Providers and Office Personnel

Change Healthcare ePayment Flier

ePayment Enrollment and Authorization Form

Provider Resource Guide

FCC Claim Reprocessing Inquiry Flier

Pharmacy

FCC Self-Funded, Large Group and Transitional Small Group Formulary

FCC Small Group ACA Formulary

FMD Sandhills

FMD Western NC

FMD New Hanover

FMD Alignment

FCC Morphine Equivalent Dose Form

Utilization Management

FirstCarolinaCare Precertification Form

Pharmacy and Medical Medical Drug Preauthorization Form

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Every effort has been made to ensure that this information is accurate. It is not intended to replace the legal source. In case of any discrepancy between this information and the legal source, the legal source will govern in all cases. Report a compliance concern or potential fraud, waste or abuse to compliance@firstcarolinacare.com.

All contents copyright © FirstCarolinaCare Insurance Company. All rights reserved. This site is operated by FirstCarolinaCare Insurance Company and is not the Health Insurance Marketplace site. By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information. We do not display all the qualified health plans being offered in your state through the Health Insurance Marketplace. For these plans, visit the Health Insurance Marketplace at HealthCare.gov.


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