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Register for the upcoming 2027 Change Provider Trainings
Join our Provider Relations team members for the virtual provider collaboration session(s). Register Now
File medical claims (EDI)
Fast, efficient and secure electronic claims filing through Availity Essentials. Learn more about electronic filing.
Dental and vision claims
Get information to file claims with our dental and vision partners in the Provider Manual.
Electronic Filing ›
For information on how to file medical dental or vision claims, view the applicable provider manual.
Claim processing edits for non-migrated members
BCBSND has enhanced our core claims processing with a new claims review process. This process expands current capabilities to help ensure payments are accurate, assigned to the right payer for coordination of benefits and consistent with national standards and guidelines.
Coding Toolkit for Migrated Members
Before submitting claims for migrated members on or after Jan. 1, 2027, review the Coding Toolkit to determine whether any coding, billing or editing requirements apply to the services being billed.
Claims processing forms
Claims taxonomy information for Medicaid Expansion
Include taxonomy codes, the 10-character codes that designate provider classification and specialization, when submitting claims for North Dakota Medicaid Expansion.
Learn more from the State of North Dakota and the US Centers for Medicare & Medicaid Services.
Reconsiderations and appeals
Get requirements for appealing and Adverse Benefit Determination.
Network referrals
See which plans require referrals for seeing providers outside the network and view the process guidelines.
No Surprises Act (NSA) payment & dispute process
If you are reviewing a claim with Remark Code N859, N442, N830, N869 or N877, learn how to request review of a payment amount through the NSA open negotiation and independent dispute resolution (IDR) process.