Healthy Blue NC

Overview

North Carolina Medicaid managed-care plan.

Active Work / Processes

  • Group + provider enrollments submitted by Theoria (Svetlana, directly) on 2026-04-16 after this payer was missed in Medallion’s bulk group-enrollment exercise.

Pain Points / Open Issues

  • Missed in bulk enrollment — Medallion’s group-enrollment batch did not include Healthy Blue NC for Theoria; Svetlana had to submit herself.
  • Portal UX friction — one group + 20 providers took 30 minutes to submit (one bundled facility was termed and had to be manually X’d off every provider).

Decisions & Commitments

  • 2026-04-16 — Svetlana submitted Theoria group + provider enrollments directly. Source: Svetlana in 17 weekly sync.

Key Facts

  • Type: NC Medicaid managed-care plan
  • Submission channel: portal
  • UX note: bundled-facility termination requires manual X-off per provider

Source History