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Blue Cross Blue Shield of North Dakota (BCBSND) would like to remind providers of the functionality our Availity Provider Portal has to offer. Direct messaging is used in the Availity Provider Portal. Providers are allowed to send a direct message through Availity to BCBSND regarding eligibility & benefits and basic claim questions for BCBSND members. Once the message is received, a response will be sent to the providers message queue within two (2) business days.
Direct Messaging through Eligibility and Benefits:
1. Begin your search for eligibility and benefits through the “Patient Registration” tab located on the top navigation bar on the Availity Provider Portal homepage.
2. Select “Eligibility and Benefits Inquiry.”
3. Select the “Payer.”
4. Complete the member information for the request.
5. Click “Send.”
6. Navigate the results.
– If additional questions are needed select “Message this payer” located in the upper righthand corner of your result.
7. Select the “Reason for message.”
8. Click “Send.”
Direct Messaging Tips
Tips for direct messaging when choosing “other”. The option “other” allows a provider to ask questions related to general eligibility & benefits or basic claim questions. When using other be as detailed as if you were making a call to Blue Cross Blue Shield of North Dakota (BCBSND) Provider Contact Center. An example of incomplete information would be: Claim denied? This is not enough information to answer your question and you may be asked to contact the Provider Contact Center.
Prior to asking claim questions, review the online resources first through claim status. Often basic questions can be answered.
The claim status tool allows the provider to review:
**Note: When performing a claim status search, always use the same Billing NPI used on the claim or you will not find the matching claim in the system. If you want multiple claims to return a status for a specific member, use a date span.
Accessing the remittance review from the claim status tool allows the provider to review the payment information on their own, saving the provider time from having to make a phone call to our Provider Contact Center. With this tool, providers can search by the following options:
Reviewing your Direct Messaging
To review your message returned from Blue Cross Blue Shield of North Dakota (BCBSND), access the Availity home page. In the upper right-hand corner under Messaging, you will see your unread, pending and recently resolved messaging. Click the hyperlink to review the message(s).
As a BCBSND Provider, you may be already registered with the Availity Provider Portal. If not, we encourage you to register at the Portal Registration. Whether you are a current user or new to Availity, we encourage providers to take advantage of on-demand Availity Portal Training.
To access the Availity Training center, follow the steps shown below:
For more information on how to register and the variety of tools that are available to you, contact Availity.