New Provider Tools

Are you a new provider wanting to work with us? If so, find helpful tools and links below.

Becoming a Participating Provider with BCBSND

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:

  1. Contracting
  2. Credentialing
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Contracting with BCBSND

To request a Group Participation Agreement (contract) with BCBSND, please send the following information to

  • Copy of business W-9
  • List of practitioners and NPIs, if applicable
  • Organization NPI
  • Services you provide
  • Preferred business name to be listed in the Provider Directory
  • Member Accessible phone number
    •  The phone number members will utilize to contact your office to set up appointments
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Credentialing with BCBSND

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

Applying as a practitioner

  • Find the Credentialing Application (Practitioner)
  • Some areas may not apply to all providers, such as Drug Enforcement Administration
  • Disclosure Questions and Certification/Attestation apply to all and should be completed carefully
  • Certificate of Malpractice Insurance (Face-sheet) should be included with all applications and should include name of insurance company, coverage dates and amounts, and the name of covered practitioners or roster of covered employees
  • Medicare Certification Numbers and Medicaid Numbers (if applicable)

Applying as a facility or organization

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.

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Completing the process

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 800‑756‑2749, or email

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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.

  • Type 1 NPI - Physicians and non-physician practitioners
  • Type 2 NPI(s) - Physician groups, hospitals, nursing homes, group practices, pharmacies, suppliers and others

Get help with NPI application
Use the helpful tips below to complete your NPI application either online or via paper.

Completing an NPI application online

Completing the NPI application via paper

Register for Tools

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.

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Availity Essentials

  • Submit eligibility and benefits inquiries
  • Submit claims and review status
  • Request referrals
  • Claim submission (837P/I/D)
  • Electronic remittance advice (ERA) (835)
  • Eligibility and benefits inquiry and response (270/271)

Availity Essentials for Electronic Data Interchange (EDI)

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Electronic Funds Transfer EFT / Direct Deposit 

Sign up to receive 835 payment listings and EFT payments through Availity Essentials.

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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

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.

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Coding and Reimbursement

Reimbursement Policies