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
The following forms are located in Availity Payer Spaces under the Resources tab:
Electronic Remit and EFT requests can be submitted through Availity under My Providers, then Enrollment Center.
The following applications are located in Availity Payer Spaces under the Resources tab:
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.