Provider Website and Manual Update Notification

Blue Cross Blue Shield of North Dakota (BCBSND) would like to inform providers of the following updates made to the BCBSND Provider webpage, and the Commercial and Medicaid Expansion provider manuals.

We always encourage our providers to review our website and provider manuals to answer questions or when looking for guidance.

Commercial and Medicaid Expansion provider manuals updates.

Updated sections apply for both manuals, unless noted otherwise:

• New section added to outline Member Rights and Responsibilities
• Clarification added to Documentation Section
  • Updates to clarify requirements for the name of patient and date of birth is needed on each page of documentation.
• Provider access and availability standards
  • Updates to access and availability standards
• Home Infusion Therapy
  • Specification made for Specialty Pharmacy Claim Submissions.
• Updated grammar and language within manual- Medicaid Expansion
• Credentialing and Provider Data Management
  • Removal of the phone number - Medicaid Expansion

Please Note: due to a short delay, the Commercial manual will be published by June 1, 2025.

BCBSND Provider webpage update:

• New Clinical Practice Guidelines | BCBSND

Questions?

Contact the appropriate Provider Service Center at:

• Commercial
  • 800-368-2312
• Medicaid Expansion
  • 833-777-5779