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.