Priority Diagnosis that will drive Severity of Illness (SOI)

The migrated Blue Cross Blue Shield of North Dakota (BCBSND) processing system requires providers to list any diagnosis code(s) necessary to drive the SOI on a DRG claim to be listed within the first 25 diagnosis code fields on the UB-04 Claim Form. Diagnosis codes needed for correct DRG SOI not included in the first 25 diagnosis fields will result in the claim processing at a lesser DRG SOI.