Corrective Action Policy (CAP) Updated

Blue Cross Blue Shield of North Dakota (BCBSND) has made updates to the Corrective Action Policy (CAP). This policy ensures BCBSND implements timely, effective actions when indicators reveal a need for improved performance by a Health Care Provider.

This policy outlines how BCBSND may initiate corrective action if a Health Care Provider does not comply with BCBSND's performance standards. As a member owned organization, BCBSND has a responsibility to ensure payments are not made for unnecessary, inappropriate, or harmful services.

To learn more visit: Medical Management Corrective Action Plan.