smartncNext time your staff is struggling to help a patient with their insurance coverage, they can offer the services of Health Insurance Smart NC (Smart NC), a division of the North Carolina Department of Insurance (DOI). Smart NC assists consumers whose health plan has denied coverage for medical services, by filing insurer appeals and arranging for external review by medical professionals as provided by state statute to consumers.
Smart NC also files consumer complaints with the NC State Health Plan and other self-funded employers and pursues resolution in compliance with applicable plan benefits, State law and NCDOI regulatory authority. Services are provided at no cost.
To learn more about how Smart NC can help North Carolinians better understand their options and rights related to health insurance, contact Smart NC at 855-408-1212 toll-free or visit DOI’s website.