Start here for BCBSND contacts, plan information, answers to common questions and more.
Member Services 844-363-8457 TTY: 800-366-6888 or 711
Monday-Friday:8:00 a.m. to 4:30 p.m.
MessagingLog in and send us a message. We’ll respond in 24-48 hours.
Have questions about your EOB?We'll help you take a closer look at your Explanation of Benefits, or EOB
Sales 800-280-2583 Monday-Friday8 a.m.-4:30 p.m.
Schedule a virtual appointment with BCBSND Sales.
Find an Agent ›
Additional ContactsMedia Inquiries ›Careers ›Office Locations ›
Log in or register for online Member Services for 24/7 secure access to:
How do I submit a medical claim form?
BCBSND providers will file claims on your behalf. If you receive care outside of the BCBSND doctor network and need to file your own claim, use the Member Submitted Claim form.
What options do I have to pay my bill?
Online: Pay your bill on the online Member Services portal. Choose the Pay Premium link.
By phone: Follow the payment and billing prompts on the automated phone system at 844-363-8457.
How do I read my EOB?
Read the "Making Sense of Your EOB" article ›
Is my EOB a bill?
No. It details how your claim was processed—the portion of the charge paid by BCBSND on your behalf and the portion that is your responsibility. The bill for your portion comes from your provider.
How do I change my password?
Once logged in to online Member Services, go to Account Settings and follow the prompts to change your password.
I forgot my username. How can I retrieve it?
Access the forgot password page and follow the prompts for information. Be sure to have your member identification information available.
I forgot my password. How can I reset it?
How can I change the security questions tied to my online Member Services account?
Once logged in to online Member Services, go to Account Settings and follow the prompts to change your security questions.
Can I access online Member Services after my plan is cancelled?
No. Access to online Member Services is available only while your BCBSND health insurance plan is active. You can call us to help you with any questions.
What is a deductible?
Your deductible is the amount you owe for health care services before your insurance begins to contribute. After you have met your deductible, you and your insurance company will share the cost of covered services. Check out this article to learn more about health insurance terminology.
What is a copay?
It’s a specified amount you pay for each covered health care service—things like prescription refills, physical therapy appointments or a visit to the emergency room. Providers may request payment of the copayment amount at the time of service. Check out this article to learn more about health insurance terminology.
What is coinsurance?
Some of the services covered by your plan may require that you pay a percentage of the cost (coinsurance) instead of a set fee (copay). In most situations, your deductible must be met before coinsurance will apply. Check out this article to learn more about health insurance terminology.
What is an out-of-pocket maximum?
There’s an upper limit to what you’ll contribute each year known as your out-of-pocket-maximum. After you’ve met that amount, your health insurance policy will pay 100% of the allowed amounts on your behalf.
Check out this article to learn more about health insurance terminology.
How do I get an approved referral?
A BCBSND provider requests authorization for you to receive care from a provider who is not part of your chosen network. You will need to work with your provider to initiate the referral process.
What services require prior authorization?
Use the Prior Authorization Search tool to check the listing of services that require prior authorization.
Where do I find BCBSND medical policies?
Find medical policies here ›
Where do I find forms?
Find common forms here ›
What is an appeal, and how can an appeal be submitted?
When you disagree with the claim determination you can submit an official inquiry.
There are two major types of appeals—preservice or post service. An appeal can be verbal or written.
Verbal appeals: call 844-363-8457 Written appeal: Submit the online appeal form ›
What is the difference between formulary and nonformulary drugs?
The formulary is a list of drugs proven to be safe, therapeutically effective, high quality and cost effective, as determined by a committee of physicians and pharmacists. Formulary drugs are covered at the highest benefit level.
A non-formulary drug is a drug that is not included on the formulary listing.
What is the difference between brand name and generic drugs?
A brand name drug is the registered trademark name given to a prescription medication by its manufacturer. Generics are lower-cost alternatives developed after the original drug’s patent has ended. Brand name and generics are the same in dosage, safety, effectiveness, strength, stability, quality and delivery system.
How do I submit a pharmacy claim?
BCBSND participating pharmacies will submit medication claims on your behalf. For medications purchased outside the network, complete a Pharmacy Member Submitted Claim form.
When is open enrollment?
Open enrollment for the upcoming year is typically from early November through mid-December. Outside of the open enrollment period, enrollment is limited to those with special life circumstances.
What is the Advanced Premium Tax Credit?
Some households qualify for Advanced Premium Tax Credits to help pay the monthly insurance premium. Get a quote and calcuate your savings.
What is a high deductible health plan?
With a high deductible health plan, also known as a consumer directed plan, you pay a lower monthly premium cost, but more for your medical costs, at least until you’ve met your deductible.
With a high deductible plan, you pay for your care until you meet your deductible. Most often, people pay those expenses from a special tax-free savings account called an HSA. Once you meet your deductible, the insurance plan kicks in and shares the cost.
The exception is preventive services and wellness benefits, which are covered from the start, with no copays.
Request a Quote ›
800-544-8467Monday - Friday8:00 a.m.-4:30 p.m.
BCBSND Corporate Office4510 13th Avenue South Fargo, ND 58121
Log in for 24/7 secure access to:
You can find answers to common questions, contact information, support tools and resources.
What plans are available?
There are many options. Please consult with a BCBSND agent on what is available for your business. Plans will differ based on size of employer and what risk the employer is willing to take.
How much of the premium do I, the employer, need to pay?
Employers must pay at least 50% of the employee only premium.
Can I offer this plan to only some of my employees?
Employers must offer the same benefits to employees within the same class.
How quickly can I set up a plan for my employees?
We can set up coverage on the first of any month. In order to provide the best customer experience, we advise a 30 day window for implementation of employer group coverage.
Mon — Fri, 8 a.m. to 4:30 p.m. (CST)
Log in to the producer portal for 24/7 secure access to:
Self Service available 24/7 through this phone number
Mon, Tues, Thurs, Fri 8 a.m. — 4:30 p.m. (CST)
Wed 8:30 a.m. — 4:30 p.m. (CST)
"R" prefix
Postal Service Health Benefits (PSHB)
Mon — Fri 8 a.m. - 5 p.m. (CST)
Used for Out of State Members
Mon — Fri 8 a.m. to 5 p.m. (CST)
For new providers that would like to contract with BCBSND or who have questions on an existing participation agreement with BCBSND.
Email: Providercontracting@bcbsnd.com
Providers who have questions regarding BCBSND credentialing/recredentialing applications.
Email: prov.net@bcbsnd.com
Blue Cross Blue Shield of North Dakota 4510 13th Avenue South Fargo, ND 58121
BCBSND Provider Portal in Availity Essentials
Log in to Availity Essentials to:
How do I submit an appeal?
For more information on Medicaid Expansion go to this Appeals page.
For BCBSND Commercial plans go to this Appeals page.
Where do I locate Medical, Coding and/or Reimbursement Policies?
You can easily search by code or keyword by visiting the Policies & Precertification page.
I need to find a specific HealthCare News article?
Visit the HealthCare News page to easily search by article name or keyword.
Where do I find the Provider Manual?
View and download the Provider Manual or the Medicaid Expansion Provider Manual.
What can I do in Availity Essentials and where do I access/login?
Availity Essentials offers secure online access to multiple payers and the ability to check eligibility and benefits, manage claims and remittances, request authorizations and referrals, and complete other secure administrative tasks online. You can use the BCBSND Availity Essentials tip page to learn more. You can also login to Availity Essentials.
Not registered? Register with Availity.
How do I get credentialed with BCBSND?
Learn more about contracting and credentialing by viewing the applicable page.
For Medicaid Expansion, visit the Medicaid Expansion Credentialing page.
For BCBSND Commercial plans, visit the New Provider Tools page.
Where can I find information for NextBlue of North Dakota Medicare Advantage plans?
Visit https://www.nextbluend.com/providers for more information.
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