Quarterly Provider Insights, March 2025

Quarterly Provider Insights shares information to our provider community in the third month of each quarter.

Quarterly Provider Insights will provide information regarding a company message, news and announcements, educational topics and miscellaneous updates.

Top Articles this Quarter 

A Provider talking on the phone

Notification of Provider Service Wait Times

Blue Cross Blue Shield of North Dakota (BCBSND) would like to inform the provider community that providers and members may be experiencing a higher-than-normal wait time and response times due to a system application change.

A Provider using a tablet

Healthcare Effectiveness Data and Information Set Medical Record Requests

Blue Cross Blue Shield of North Dakota (BCBSND) is responsible for the accuracy and integrity of the Healthcare Effectiveness Data and Information Set (HEDIS) measure documentation. As part of our commitment to ensuring the accuracy and reliability of HEDIS measure data, we are conducting a primary source verification (PSV) audit of the supplemental data that has been submitted.

A provider explaining a document to a patient

Appeals Documentation Tips

Blue Cross Blue Shield of North Dakota (BCBSND) is currently seeing an increased number of appeals with little or no documentation for both our Commercial and Medicaid Expansion lines of business. We would like to remind our provider community of some important tips that were published in a previous HealthCare News article.

HealthCare News Weekly

Provider HealthCare News (HCN) Weekly articles are used to communicate timely provider information including policy, benefits, coding or billing updates, education, and more to our provider community through email/eBlasts for providers who have registered to receive HCN articles weekly. Sign up to receive HCN weekly.