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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.
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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