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Medicaid Expansion Availity Essentials Eligibility & Benefits Error

Blue Cross Blue Shield of North Dakota (BCBSND) is informing Medicaid Expansion Providers that we have been informed and are working with our Vendor to resolve the eligibility & benefits error through Availity Essentials. This issue is identified as “Inappropriate Product/Service ID - Please Correct and Resubmit.” Currently, you are not able to correct and resubmit. We ask that you call our Customer Service Center at 1-833-777-5779 to verify eligibility and benefits.

This issue is also effecting the submission of Medicaid Expansion authorizations and referrals, we ask that you complete the following Inpatient Authorization Request or Outpatient Authorization Request form and fax your requests to 701-277-2971.

Currently, this issue is only impacting our Medicaid Expansion line of business. We apologize for the inconvenience and are working to resolve the situation.