Prior Authorization Transparency

Blue Cross Blue Shield of North Dakota (BCBSND) works to make health care decisions clear and easy to understand.

To follow federal rules from the Centers for Medicare & Medicaid Services (CMS), BCBSND shares yearly information about prior authorization requests for certain medical items and services. Prescription drugs are not included. This information helps members, health care providers, and the public better understand how prior authorization works and how decisions are made.

To learn more about prior authorization and which services need approval, visit our Prior Authorization web page.

What information is included

Reporting Period: 2025

The information below shows prior authorization activity from the year listed above. We update this information once each year.

The information is shown by the type of health plan. It includes:

  • Approval and denial rates
  • Information about appeals
  • How long decisions usually took
  • Differences between standard (non-urgent) and expedited (urgent) requests

Frequently Asked Questions