New Provider Tools

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

Get Started

Contracting with BCBSND

Credentialing and Recredentialing Policy

To request a contract, email providercontracting@bcbsnd.com with the following:

  • Business name (DBA)
  • List of practitioners, if applicable
  • Services you provide
  • Copy of your W-9

Once received, BCBSND's provider contracting team will send you an agreement, an application and all necessary documentation to get started.

NPI

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.

Completing an NPI application

This tutorial provided by the Centers for Medicare & Medicaid Services (CMS) will walk you through the steps of completing an NPI application.

NPPES

National Plan and Provider Enumeration System

Credentialing Applications

View all Credentialing Applications

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.

Availity Essentials

  • Submit eligibility and benefits inquiries
  • Submit claims and review status
  • Request referrals

Availity Essentials for Electronic Data Interchange (EDI)

  • Claim submission (837P/I/D)
  • Electronic remittance advice (ERA) (835)
  • Eligibility and benefits inquiry and response (270/271)

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.

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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.

Coding and Reimbursement

Reimbursement Policies