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Credentialing Applications — Fillable PDF's
Are you new to the North Dakota area or have you recently graduated? If so, please complete the appropriate professional application below.
Ambulance Credentialing Application
Behavioral Health – Institutional Provider Credentialing Application
Durable Medical Equipment Credentialing Application
Healthcare Organization Credentialing Application
Home Infusion Credentialing Application
Medication-Assisted Treatment Facility Credentialing
Optical Supplier Credentialing Application
Practitioner Credentialing Application
Public Health Unit Credentialing Appilcation
Dental Provider Applications
Apply to become a BCBSND network dental provider.
BCBSND's partners with United Concordia Dental for network management (provider contracting), claims administration and member/provider customer service.
Our products continue to be Blue branded and we partner with United Concordia to develop and market dental products.
Vision Provider Applications
Apply to become a vision provider.
BCBSND partners with Vision Service Plan (VSP) for network management (provider contracting), claims administration and member/provider customer service.
Our products continue to be Blue branded and we partner with VSP to develop and market dental products.
Recredentialing Applications — Fillable PDF's
Ambulance Recredentialing Application
Behavioral Health – Institutional Provider Recredentialing Application
Durable Medical Equipment Recredentialing Application
Healthcare Organization Recredentialing
Home Infusion Recredentialing Application
Medication-Assisted Treatment Facility Recredentialing Application
Optical Supplier Recredentialing Application
Practitioner Recredentialing Application
Public Health Unit Recredentialing Application
Accepting New Patients Verification
In order to help our members find BCBSND participating providers that are accepting new patients, we are asking you to assist us with keeping our provider directory up to date. If you have had a recent change in whether or not you are accepting new patients at any location, please complete the form below and we will update your file.
The National Provider Identifier, or NPI, is a 10-digit intelligence free number that will be required of all covered entities as of May 23, 2007. A covered entity is a provider who submits claims electronically in a HIPAA compliant format. The NPI is intended to improve efficiency and effectiveness of the health care system by reducing the number of identifiers associated with providers and facilities.
This tutorial provided by the Centers for Medicare & Medicaid Services (CMS) will walk you through the steps of completing an NPI application.
National Plan and Provider Enumeration System
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