Payment Integrity Clinical Chart Validation (CCV) Implementation

Blue Cross Blue Shield of North Dakota (BCBSND) is implementing the first phase of our enhanced payment integrity program, Clinical Chart Validation (CCV), in mid-July. This means providers will start receiving requests for medical records in early August. Below are some key reminders for providers.

Medical record requests come directly from Cotiviti; but are co-branded with the BCBSND and Cotiviti logos Notify third-party vendors used to fulfill medical record requests

  • Do not invoice for any fulfillment costs; it is the provider’s responsibility to provide these at no cost to BCBSND.
  • Any charges passed to Cotiviti for medical record requests are billed to you, the provider.
  • Submit records within 45 days of the letter date. Failure to submit medical records results in a technical denial.

If you have any specific questions to the program, please contact BCBSND Provider services at 800-363-2312. If you have questions on medical records, please contact Cotiviti at 833-931-1789.