View our reimbursement policies to see our coding guidelines.
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View our reimbursement policies to see our coding guidelines.
Please note: Coding, administrative requirements, reimbursement and medical policies are subject to change. We will provide notice of changes when required by law, regulation, contractual obligations or internal policy. BCBSND reserves the right to update policies, processes and other content as needed.
Access provider fee schedules and important provider updates through the secure online portal using your BCBSND credentials.
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If your account is disabled due to inactivity, contact us at 1-800-544-8467 between 8 a.m. – 4:30 p.m. CT or at portals@bcbsnd.com.
BCBSND will continue to apply an enhanced claims review process within our core claims processing platform.
Before submitting claims for migrated members on or after Jan. 1, 2027, review the Coding Toolkit to determine whether any coding, billing or editing requirements apply to the services being billed.
Enhanced Ambulatory Patient Grouping (EAPG) is an outpatient reimbursement methodology that pays providers based on the resources used in an ambulatory visit.