Billing & Reimbursement
This information is subject to change at any given time without notice. It should be used as a tool in conjunction with HealthCare News, Provider News, Provider Agreements and other publications.
Additional Billing & Reimbursement information can be found in the Provider Manual.
Guidelines & Policies
Coverage decisions are subject to all terms and conditions of the applicable benefit plan, including specific exclusions and limitations, and to applicable state and/or federal law. Any policies contained in the Coding, Billing & Reimbursement section do not constitute plan authorization, nor are these an explanation of benefits. Providers should contact BCBSND Provider Service for specific coverage or policy information.
Understanding Your Physician Payment Listing
DRG Validation Program
DRG (Diagnosis Related Groupings) Validation Program
DVAC Application Form