Provider Support Hub

As Blue Cross Blue Shield of North Dakota (BCBSND) prepares to migrate members to new systems, processes and policies beginning Jan. 1, 2027, this page will serve as your central source for information, resources and updates to help you prepare.

  • Commercial members will migrate in phases on their plan's anniversary in 2027. The Federal Employee Program (FEP) is expected to transition on April 1, 2027. Beginning Jan. 1, 2027, providers could care for both migrated and non-migrated members through the end of 2027. Note: Medicaid Expansion members will not migrate in 2027. 

  • Understanding a member's migration status is key to determining which systems, processes and policies apply.

  • Always check the member's current ID card and verify eligibility before providing services.

Use this page to understand what is changing, what is staying the same and where to find the information you need to support your patients.

Understanding member migration

Throughout the transition, BCBSND will use the following terms:

Migrated members

Members who have received a new member ID card and member ID number whose coverage and claims processing have moved to the new systems, processes and policies. A sample migrated member ID card is included in the member ID tab below.

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Non-migrated members

Members whose coverage remains on current systems. Continue to follow existing processes for these members until their future migration date.

As updates are introduced, BCBSND will clearly communicate whether they apply to migrated members, non-migrated members or all members.

What’s changing

  • Commercial members will migrate in phases based on their plan’s anniversary beginning on Jan. 1, 2027. Approximately 65% of BCBSND commercial members will migrate on Jan. 1, 2027.

  • Migrated members will receive new member ID cards with new member ID numbers. 

  • Depending on a member's migration status, the systems, policies and processes related to their claims, medical and pharmacy policy, and other administrative requirements may be different.

  • Training, tools and resources will be available to help you support migrated members.

What’s staying the same

Many important aspects of working with BCBSND will remain the same.

BCBSND remains your local health plan.

  • BCBSND will continue to serve North Dakota members and providers.
  • You will continue to submit claims through Availity Essentials and receive payment from BCBSND whether you care for a migrated or non-migrated member.

We’re here for you.

  • We remain committed to helping you deliver high-quality care to our members. 
  • Your Provider Relations and Customer Service teams will continue to support your practice. 
  • BCBSND.com/providers will remain the provider resource website for information, instructions, forms, manuals and other materials. 
  • HealthCare News and Quarterly Provider Insights will remain the centralized communication tool for communicating updates to providers.
  • If you have questions, continue to use your existing provider support channels.

Current processes remain in place for non-migrated members.

  • Members who have not yet migrated will continue to be served under current systems and processes. 
  • Continue following current BCBSND requirements, policies and workflows for non-migrated members unless otherwise noted.

Your provider agreement and network participation are not changing.

  • The member transition does not change your current participating provider agreement or network participation status. 
  • Continue to follow the terms and requirements of your existing agreement.

Stay up to date

We will share migration updates in HealthCare News and Quarterly Provider Insights. If you do not subscribe to our publications, subscribe now. Visit this page often for the latest updates and resources to support your practice.