Are you a new provider wanting to work with us? If so, find helpful tools and links below.
Thank you for your interest in becoming a participating provider with Blue Cross Blue Shield of North Dakota.
There are two components to becoming a participating provider with BCBSND:
To request a Group Participation Agreement (contract) with BCBSND, please send the following information to providercontracting@bcbsnd.com:
After requesting to contract with BCBSND, you will need to submit a completed credentialing application found on our Credentialing Application page.
Applications should be done as soon as possible because BCBSND will not be able to execute the Group Participation Agreement to add your organization to our network(s) until the credentialing process has been completed. Ensure you use the proper application for your entity type and fill it out completely.
If you have questions on the applications, please contact prov.net@bcbsnd.com.
A facility or organization is any entity billing for services that is not a person. Please use the most appropriate application, for example:
Facility applications must also include malpractice/liability insurance information and Medicare/Medicaid numbers if applicable.
When you return your Group Participation Agreement, please also include the required credentialing documents. Both sets of documents will be forwarded to a Credentialing Specialist on the Credentialing and Data Management Team, who will establish your record in our system.
Once the Credentialing Specialist receives the completed application, the credentialing process can take up to 90 days. Applications must have all requested information, so it is very important that you respond timely to requests for clarification from the Credentialing Specialist.
After the application has been processed and completed, you will receive an approval notification letter via mail from BCBSND. Please do not submit any claims until you have received this notification. Our system will deny your claims until that notification has been shared.
Questions on credentialing process?
If you have additional questions, please review our Credentialing and Recredentialing Policy, contact us at prov.net@bcbsnd.com.
The National Provider Identifier, or NPI, is a 10-digit number unique to each provider that is issued by the Centers of Medicare and Medicaid Services (CMS). The NPI is required for providers to submit transactions to federal and state agencies, as well as file claims with private health plans.
Individual providers must obtain a Type 1 (Individual) NPI. Organizations must obtain at least one Type 2 (Organization) NPI. The number of Type 2 NPIs an organization obtains is an individual business decision.
Get help with NPI application
Use the helpful tips below to complete your NPI application either online or via paper.
As a BCBSND participating provider there are a few tools you will use on a regular basis in your partnership with us. Each of the tools below requires a one-time setup.
Availity Essentials
Electronic Funds Transfer EFT / Direct Deposit
Sign up to receive 835 payment listings and EFT payments through Availity Essentials.
Policy and News Updates
Get timely provider information including policy, benefits, coding or billing updates, education, and more - delivered directly to your email.
Understanding the claims process will help you get paid faster and allow you to represent your patients well. This section will provide all the information you need to get started.
Understand about our claims submission process
Coding and Reimbursement
Adjustment, appeals and grievances
Policies and Precertification
