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

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Update Claims Pricing Processing Errors

On Nov. 7, 2024, Blue Cross Blue Shield of North Dakota (BCBSND) informed our provider community that we are working to resolve an issue which was outlined in the HealthCare News article Claims Pricing Processing Errors.

Our claims' processing vendor is still working to identify all impacted claims. Once complete, BCBSND will begin the adjustment process. Claims impacted were processed between the dates of Oct. 18, 2024 and Nov. 2, 2024.

As a reminder, listed below are the following provider and claim types (this is not an all-inclusive list as we are continuing to research the impact):

  • Anesthesia Claims
  • Chiropractors: chiropractic services, radiology, therapies, Durable Medical Equipment (DME) and Lab
  • Clinical Nurse Specialist, Nurse Midwife, Nurse Practitioners, Physician Assistant, Public Health Units: Lab, DME, Medical Drugs, Vaccines, Radiology
  • Licensed Addiction Counselor: Labs
  • Pharmacist: Vaccines
  • Psychologist: Psychiatry Codes, Health Behavior Assessment and Intervention, Development/Behavioral Screening and Testing, Psychological/Neuropsychological Testing, Adaptive Behavior Assessments/Treatments, Psychiatric Collaboration Care Management, Alcohol and Drug Abuse Treatment Services


We will continue to inform our provider community of updates through HealthCare News and apologize for the inconvenience.

Questions?
Contact the appropriate Provider Contact Center.