Possible Member Services delays

Our member call center is coming back online after experiencing technical difficulties, which may cause delays. Thank you for your patience.

Show More

Clinical risk group (CRG)

CRG is a classification system developed by 3M to predict future health care utilization. It assigns BCBSND members to a risk group based on historical clinical claims data and demographic characteristics. Using the CRG risk adjustment classification system enables a fair comparison among providers and their populations.

3M CRGs are a clinically based model, creating a language that links the clinical and financial aspects of care.