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Provider Manual Updates

The Provider Manual updates include changes in the following chapters for May/June 2021: 

Provider Participation

  • Ancillary Claims Filing Instructions for BlueCard Claims
  • Medicare Advantage Members

Reimbursement & Billing Guidelines

The following chapters have been updated or relocated due to changes in reimbursement policies or notice

  • All Patient Refined-Diagnosis Related Group (APR-DRG
    • Transfer Cases
  • Diabetes Prevention Program (DPP) – Relocated to Provider Programs webpage

To view the updated Provider Manual, go to:

https://www.bcbsnd.com/content/dam/bcbsnd/documents/manuals/provider-manual-full.pdf 

For reimbursement policies, go to: https://www.bcbsnd.com/providers/policies-precertification/reimbursement-policy