Coding and Reimbursement Policy

Blue Cross Blue Shield of North Dakota (BCBSND) has reviewed its Provider Manual and current policies to develop specific policies that are directly related to coding and reimbursement. The reimbursement policies are coverage decisions that are subject to all terms and conditions of the applicable benefit plan, including specific exclusions and limitations, and to applicable state and/or federal law. Any policies contained in the Coding and Reimbursement section do not constitute plan authorization, nor are they an explanation of benefits. Providers should contact BCBSND Provider Service for specific coverage or policy information.

These policies can be found by visiting https://www.bcbsnd.com/providers/policies-precertification/reimbursement-policy