Medicare Advantage (MA) Claim Submission Notice

Blue Cross Blue Shield of North Dakota (BCBSND) has seen an increase of incorrect claim submission for Medicare Advantage (MA) plans and NextBlue of North Dakota MA plans. Effective January 1, 2021, all out-of-state MA plan claims need to be filed to the local MA plan, NextBlue of North Dakota.

Claim submission for out-of-state MA plans with the date of service after December 31, 2020, must be submitted to the following:

  • Electronic Data Interchange (EDI)
    • Availity portal or clearinghouse Payer ID 55892
  • Paper claims submission
    • Address:
      NextBlue of North Dakota
      PO Box 260915
      Plano, TX 75026
    • Fax: 1-800-480-2976.

Note: MA plans for dates of services prior to January 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 members insurance card. The key words are Medicare Advantage (MA).

For additional information, contact NextBlue of North Dakota Provider Call Center at 1-844-753-8039 or visit the Provider website at www.nextbluend.com/pages/providers.