High call volumes

Our provider services may be experiencing higher than normal call volumes this week. We encourage you to utilize alternative forms of communication, such as the Availity Essentials Provider Portal

Show More

New Medical Pharmacy Prior Authorizations Process Provider Webpage

Impacting our Commercial line of business only.  


As indicated in the HealthCare News article Coming Soon: Medical Pharmacy Prior Authorization Process Changes, Blue Cross Blue Shield of North Dakota (BCBSND) has issued letters to numerous practice managers to help navigate the upcoming new changes.

If you did not receive a letter and would like to learn more about the changes, we ask that you review the Medical Pharmacy Solutions webpage.

As we move closer to our go live date, we will add more resources and information to the new webpage. Provider virtual training sessions will be provided prior to this transition. Continue to watch the HealthCare News section of our website for upcoming news and learning opportunities.

NOTE: This new process will not change the retail pharmacy prior authorization process through the pharmacy benefit (PBM).