As a reminder, effective Jan. 1, 2021, all out-of-state MA plan claims need to be filed to the local MA plan, NextBlue of North Dakota. Blue Cross Blue Shield of North Dakota (BCBSND) is receiving an increase in incorrect claim submissions for Medicare Advantage (MA) plans.
Claim submission for any out-of-state MA plans with the date of service after Dec. 31, 2020, must be submitted to the following:
Electronic Data Interchange (EDI)
- Availity portal or clearinghouse Payer ID 55892
Paper claims submission
NextBlue of North Dakota
PO Box 260915
Plano, TX 75026
Note: MA plans for dates of services prior to Jan. 1, 2021, would still be sent to BCBSND for claims processing, for both electronic and paper claims. MA plans can be identified by the following information provided on the member’s insurance card. The key words are Medicare Advantage (MA).