CORONAVIRUS (COVID-19)

Resources on COVID-19 and how BCBSND is responding to help protect all North Dakotans

Access to BCBSND policies and precertification

BCBSND policy information and precertification tools are available here to help you understand the claims edit logic used to determine when and how benefits are extended. 

View Genomic Testing Policy

BCBSND contracts with eviCore for its Laboratory Management Program. Services apply to all members in accordance with their benefit plan policy. Effective 1-1-2020 Lab Management (molecular and genomic testing) is delegated to eviCore. 

eviCore is an independent company providing benefits management on behalf of Blue Cross Blue Shield of North Dakota.

Additional Policies

View Retail Pharmacy Medical Policies

Retail pharmacy medical policy provided by Prime Therapeutics. Prime Therapeutics is an independent company that assists in the administration of BCBSND's pharmacy benefits management on behalf of Blue Cross Blue Shield of North Dakota.

Precertification

Some medical procedures and services require precertification to qualify for benefits. Providing thorough information will help BCBSND establish the medical appropriateness of specified services and extend benefits.