NextBlue of North Dakota Medicare Advantage Important Message Regarding Payment Integrity Plan

Blue Cross Blue Shield of North Dakota (BCBSND) is enhancing our core claims processing with the Payment Integrity Program (PIP) within our NextBlue of North Dakota Medicare Advantage plan. We aim for the go live date of Sunday, Oct. 1, 2023. The program will enhance current capabilities to ensure payments are correct, assigned to the right payer and consistent with national standards and guidelines. We are expecting to see minimal impact for providers.

While the edits will not be the same, establishing the NextBlue Payment Integrity Program will align us with our Commercial and Medicaid Expansion lines of business.

Contact our NextBlue Provider Call Center at 1-844-753-8039.