NextBlue of North Dakota Eligibility and Benefits Verification through Availity

NextBlue of North Dakota, the Medicare Advantage (MA) plan, has seen an increase in questions regarding verifying eligibility and benefits through Availity. The NextBlue Payer ID option needs to be selected in the dropdown menu for all NextBlue transactions. If the NextBlue option is not visible in the payer ID dropdown menu, as shown below, clear your cache and cookies, log out, then log back into the Availity portal. If the NextBlue option fails to appear, contact Availity client services at 1-800-282-4548, Monday through Friday, 8 a.m. - 7:30 p.m. EST or visit their website at www.availity.com.

We also want to remind providers that claims should be filed to the NextBlue Payer ID 55892 for any NextBlue plans and all Out of State MA plans for any services provided after January 1, 2021. Claims not submitted with the correct payer ID will be rejected and will need to be resubmitted.

Note: Below is an example of the NextBlue of North Dakota card with the enrollee ID alpha prefix beginning with M4V.

For additional NextBlue information, call the NextBlue Provider Service Center at 1-844-753-8039,  Monday through Friday, 8 a.m. - 5 p.m. CT or visit our provider website at www.nextbluend.com/pages/providers.