High call volumes
Our member and provider services may be experiencing higher than normal call volumes from 12/22/25-1/9/26 due to a large number of staff being out of office. We encourage you to utilize alternative forms of communication including secured messaging through online Member Services and Availity Essentials Provider Portal.
Member and Provider Services Representatives will be unavailable Thursday, Jan. 1, due to the holiday. We are unable to accept walk-ins on Friday, Jan. 2., due to short staffing.
NextBlue is informing our provider community that we are aligning with the new Centers for Medicare and Medicaid Services (CMS) appeals timeline change. As of Jan. 1, 2025, the CMS updated the appeals submission timeline from 60 to 65 days.
The NextBlue Provider Manual appeals section has been updated, and we are currently working to update our appeals form. Please read the full article at Provider News | NextBlue of North Dakota.
Questions?
Contact our NextBlue Provider Service Center at 844-753-8039.
