Rural Health Clinics/Federally Qualified Health Centers/Community Health Centers

Providers who render services in one of the federally designated clinic settings noted must submit their claims for services rendered to Blue Cross Blue Shield of North Dakota (BCBSND) members on a CMS 1500 form. BCBSND does not accept the UB04 form for professional services rendered in a clinic setting when BCBSND is the primary payer.