Friday Health Plans of North Carolina has been placed in insolvency proceedings by the North Carolina Department of Insurance and will be subject to liquidation as of September 1. The North Carolina Life & Health Insurance Guaranty Association will cover claims up to its statutory limit ($500,000 per life).

The Guaranty Association has prepared a brief summary to help clinicians navigate the claims administration process. Here’s what to know:

  1. Valid Coverage:  Friday Health coverage is valid until midnight, August 31, 2023, and you must continue to provide care to Friday policyholders. Beginning September 1, 2023, Friday Health policies are no longer valid.
  2. Special Enrollment Period:  A Special Enrollment Period has begun to allow Friday Health insureds to find new health insurance coverage.
  3. Claims Payment:  The Special Deputy Receiver for Friday Health will be paying claims until September 1.  The Association will begin paying claims after that.  All submitted claims will be transferred automatically to the Association for payment. Please DO NOT resubmit claims. This will slow the payment process.
  4. New Claim Submission:  Please submit NEW bills/claims in the same manner as you sent them to Friday Health.  Please DO NOT resubmit claims. This will slow the payment process.
  5. Calls:  The Friday Health call center will be open for medical and management and authorization until close of business on August 31, 2023. Calling the call center about the status of your claims will not expedite payment of your claims. If you have questions about the status of your claims, please use the provider portal. The Association will pay all valid claims up to its statutory limit.