Coding & Reimbursement

View our reimbursement policies to see our coding guidlines.

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. BCBSND 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.

EPIG

Enhanced Payment Integrity Program

The enhanced BCBSND payment integrity program expands the current program capabilities and accuracy of claims processing payment.

Enhanced Ambulatory Patient Grouping (EAPG)

Enhanced Ambulatory Patient Grouping (EAPG) a new outpatient reimbursement methodology that pays providers based on the resources used in an ambulatory visit.