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