Accepting New Patients Verification
In order to help our members find BCBSND participating providers that are accepting new patients, we are asking you to assist us with keeping our provider directory up to date. If you have had a recent change in whether or not you are accepting new patients at any location, please complete the form below and we will update your file.
Participation and credentialing
EFT Payment Information
To receive EFT transfers, you must be set up for electronic remits
Already receiving electronic remits? Continue to EFT Payment Information Form
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Recredentialing Applications — Fillable PDF's
Ambulance Recredentialing Application
Behavioral Health – Institutional Provider Recredentialing Application
Durable Medical Equipment Recredentialing Application
Healthcare Organization Recredentialing
Home Infusion Recredentialing Application
Medication-Assisted Treatment Facility Recredentialing Application
Optical Supplier Recredentialing Application
Practitioner Recredentialing Application
Public Health Unit Recredentialing Application
Retail Pharmacy Forms
If your benefit plan is subject to PPACA preventive services, you may request a Copay Waiver for a product within a preventive service class that is not a designated preventive service product.