Transcription of BCBSND Provider Manual
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BCBSND Provider Manual
Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association BND-22-0074565 8-22 Provider Manual i TABLE OF CONTENTS INTRODUCTION .. 1 Disclaimer .. 1 Confidentiality of Member Information .. 2 Compliance with the Confidentiality of Substance Use Disorder Patient Records Rule (42 Part 2) .. 2 ACCREDITATION .. 3 COMMUNICATING WITH BCBSND .. 3 Electronic Benefit Verification Availity Essentials .. 3 BlueCard Eligibility Line .. 4 Electronic Claims Filing with Availity Essentials Intelligent Gateway .. 4 Member Services .. 4 BCBSND Provider 4 Use NPI When Calling BCBSND Provider Service .. 4 FEP .. 5 Member Precertifications .. 5 Medical Surgical .. 5 Case Management .. 6 Behavioral Health .. 6 Managed Benefits & Medical Management .. 6 Provider Networks .. 6 Credentialing/Recredentialing/ Provider Directory Changes.
BCBSND further reserves the right to change any contract, policy, benefit plan or process referenced in this publication without updating this publication. Updates to any part of this manual or to any policy or procedure referenced in this manual may be made by BCBSND at any time. BCBSND may give notice of such updates in a variety of
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