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Medicaid Expansion Provider Manual Updates

Blue Cross Blue Shield of North Dakota (BCBSND) Medicaid Expansion is informing Medicaid Expansion providers of the updates made to the Medicaid Expansion provider manual over the past thirty days.

Updates

  • All Patient Refined-Diagnosis Related Group (APR-DRG)
    • SOI indicators
  • Availity Essentials Provider Portal
  • Emergency Room (ER) Admission Notification
  • Medical Records Requests
  • National Correct Coding Initiative (NCCI) Edits
  • Not Otherwise Specified (NOS) and Not Otherwise Classified (NOC)
    • Accident-related dental claim to be processed under medical coverage

New Section

  • BlueCard® Program for Out of Area Services

Provider should always visit our website for the most current version of our Medicaid Expansion provider manual.