Ambulatory Surgery Centers

The system update requiring Ambulatory Surgery Centers (ASCs) to bill facility-related services on a UB-04 was made effective March 21, 2020. Claims submitted to Blue Cross Blue Shield of North Dakota (BCBSND) by ASCs on the CMS-1500 claim form will be rejected requesting the claim be submitted on the correct claim form. This requirement applies to all ASC claims (including Colorectal and Women’s Way programs); the only exceptions to this requirement will be when BCBSND is the secondary or tertiary payer on the claim and the primary payer(s) require submission on the CMS-1500 claim form.

If a claim was billed on the CMS-1500 claim form after March 21, 2020, please resubmit the claim on the UB-04 claim form.