Our provider services may be experiencing higher than normal call volumes this week. We encourage you to utilize alternative forms of communication, such as the Availity Essentials Provider Portal
High call volumes
Our provider services may be experiencing higher than normal call volumes this week. We encourage you to utilize alternative forms of communication, such as the Availity Essentials Provider Portal
Since it is sports physical time again, Blue Cross Blue Shield of North Dakota (BCBSND) would like to highlight some details to assist in differentiating between a sports physical and well child checkup/preventive medical exam. These details ensure all members receive the appropriate coding and billing for services provided. In turn, this ensures member benefits are applied correctly. We understand and respect efforts to perform full well child checks when appropriate. BCBSND prefers this as well.
However, we do understand that this cannot always be accommodated and therefore would support different coding. Below we summarized scenarios and highlighted coding and billing guidelines to ensure benefits are applied correctly.
Referenced below are some key factors as well as our current policy to consider when billing for these services.
Please review the Sports Physical policy and references below:
Questions?
Contact the appropriate providers service center number listed on the back of the members' insurance card.