Recent updates have been made to the Blue Cross Blue Shield of North Dakota (BCBSND) Credentialing & Recredentialing Policy. Providers can view the policy and its changes by visiting the following link https://www.bcbsnd.com/providers/credentialing/credentialing-applications.
The below pages, have had changes made:
- Page 6
- Added Medicare participation is required for Medicare Advantage network
- Page 9
- Update made to describe changes made to the quality review process for credentialing applications
- Page 10
- Update made to call out that work history for the past five years is reviewed during initial credentialing
- Added information regarding Medicare participation, in addition to a signed agreement for Medicare Advantage
- Page 15
- Removed the Director Quality Management title, due to no longer being valid
- Page 17
- Updated to explain what happens if a provider misses their three-year recredentialing date
- Page 20
- Updated to include the monthly review of Medicare opt outs in our ongoing monitoring process
- Page 21
- Updated to include mention of directory information shared on the marketplace
- Page 22
- Updated to include Medicare Advantage reference
- Added information regarding continuity of care on Member notifications
Questions?
If you have any additional questions regarding these changes, please email prov.net@bcbsnd.com.
