Blue Cross Blue Shield of North Dakota (BCBSND) is providing monthly tips reminding providers of functionality in our Availity Provider Portal. This month’s Availity tip is verifying eligibility and benefits.
Did you know that you can verify the following eligibility and benefits for the following members?
- BCBSND Members
- BCBSND Dental Members
- NextBlue of North Dakota Medicare Advantage Members
- Select the NextBlue option in the drop-down menu prior to running verification
- Out-of-state BlueCard Members
- Amount of detail in the response varies by plan
- If additional information is needed, call the number on the back of the member’s insurance card
- International Blue Plan Members
- Verify eligibility and benefits using one of three methods:
- Send an electronic inquiry through the Availity Provider Portal
- Submit a HIPAA 270 transaction (eligibility) to BCBSND
- Call the BlueCard Eligibility® line at 800-676-BLUE (2573) and provide the prefix
- Verify eligibility and benefits using one of three methods:
Eligibility and benefit tips:
- Out-of-state BlueCard plans and out-of-state Medicare Advantage plan verification
- Call the number on the back of the member’s insurance card
- Search previous dates of service
- The system “as of date” defaults to the current date of service
- Providers can search previous dates of service
- The system “as of date” defaults to the current date of service