Our Member Services Representatives are unavailable Thursday, November 26, and Friday, November 27, due to the holiday. (Medium)

Reimbursement

Learn about our reimbursement policies and provider fee schedules.

Please note: Coding and reimbursement policies can be changed at any time without notification. BCBSND further reserves the right to change any contract, policy, benefit plan or process referenced in this publication without updating these publications.

 

Provider Fee Schedules

Access provider fee schedules through this online portal using your BCBSND credentials.

In addition to fee schedules, this online portal is a source for provider updates. BSBSND notifies providers at least 30 days before the effective date of any material modification of BCBSND’s participation agreements, at least 60 days before the effective date of the annual fee schedule changes for Health Care Institutions, and 30 days before the effective date of the annual changes for Health Care Professionals.

Not Registered? Register Now

If your account is disabled due to inactivity, contact us at 1-800-544-8467 between 8 a.m. – 4:30 p.m. CST or at portals@bcbsnd.com.

 

Enhanced Ambulatory Patient Grouping (EAPG)

Enhanced Ambulatory Patient Grouping (EAPG) A new outpatient reimbursement methodology is effective January 1, 2021. The new system, 3M™ Enhanced Ambulatory Patient Grouping (EAPG), pays providers based on the resources used in an ambulatory visit.

A list of EAPG frequently asked questions (FAQs) is provided below.

Download FAQs