For information on COVID-19 and the novel coronavirus, click here About Us Our Mission, Our Story How We Are Different FirstCarolinaCare Insurance Company gives the member the freedom to choose their physician/provider each time they need care for a covered service. The FirstCarolinaCare Insurance Company member can see a network primary care provider, or they can see an out-of-network provider and pay out-of-pocket with the amount applied toward the deductible. Our Purpose To fulfill a community's need for affordable, quality coverage options. To assure effective local medical management of clinical decisions that maintains local physician/provider control over medical decisions. To improve the level of member, physician/provider and employer understanding of medical management through educational programs and communications. To manage administrative costs efficiently. To meet member service standards that place FirstCarolinaCare Insurance Company in the top quarter of managed-care organizations in the state. To develop user-friendly internet technology applications to improve services to members, employers and physicians/providers. What is Medical Management? FirstCarolinaCare Insurance Company’s medical management is driven by primary care providers with local physician/provider oversight. FirstCarolinaCare Insurance Company focuses on wellness and prevention. How Quickly are Claims Processed? Our goal is to pay 70% of claims in 14 or fewer days and 100% of claims within 30 days. On average, 85% of our claims are processed in 14 or fewer days. 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. All contents copyright © FirstCarolinaCare Insurance Company. Last Updated: 10/1/2021; Y0094_22_102705_M Privacy Policy Privacy Practices Non-Discrimination Notice Compliance Line Interoperability Where do you live? FirstCarolinaCare brings you plans with quality doctors and hospitals, unbelievably helpful customer service, and ways to save in North Carolina. ?