Quarterly Provider Insights, September 2024

Quarterly Provider Insights shares information to our provider community in the third month of each quarter.

Quarterly Provider Insights will provide information regarding a company message, news and announcements, educational topics and miscellaneous updates.

Top Articles this Quarter 

Senior caucasian doctor using stethoscope to measure patients blood pressure

Reminder: Sports Physicals

Since it is sports physical time again, Blue Cross Blue Shield of North Dakota (BCBSND) can help assist in differentiating between a sports physical and well child checkup/preventive medical exam. These details ensure all members receive the appropriate coding and billing for services provided. In turn, this ensures member benefits are applied correctly. We understand and respect efforts to perform full well child checks when appropriate. BCBSND prefers this as well.

fax machine

Reminder: Faxed Precertification Requests

Blue Cross Blue Shield of North Dakota (BCBSND) reminds providers that effective Sept. 1, 2024, precertification/prior authorization fax requests will be limited. BCBSND requests that authorizations are entered through Availity Essentials.

medical professional at office looking through papers

Claim Correction Change

Blue Cross Blue Shield of North Dakota (BCBSND) wants to inform providers of the new claim correction process change to become effective Nov. 1, 2024. This change will apply to both professional and institutional corrected claims.

HealthCare News Weekly

Provider HealthCare News (HCN) Weekly articles are used to communicate timely provider information including policy, benefits, coding or billing updates, education, and more to our provider community through email/eBlasts for providers who have registered to receive HCN articles weekly. Sign up to receive HCN weekly.