BCBS North Dakota provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.bcbsnd.com/providers/credentialing/new-provider-tools |
|---|---|
| Payer contact reference | 1-800-368-2312BCBSND Provider Service is 800-368-2312. The manual separately lists 800-548-4026 for FEP claims, and Medicaid Expansion uses 833-777-5779. Confirm the product and inquiry role before calling. |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for BCBS North Dakota. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| Timely filing | 12 calendar months from service or the member benefit-plan period |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- BCBSND Provider Service is 800-368-2312. The manual separately lists 800-548-4026 for FEP claims, and Medicaid Expansion uses 833-777-5779. Confirm the product and inquiry role before calling.
- The manual uses 12 calendar months from service or the member benefit-plan period, with self-insured/out-of-state exceptions. The numeric zero is a variable-window sentinel, not a deadline.
- This registry has not established a payer-specific appeal ladder for BCBS North Dakota. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- This registry has not established one national ERA payer ID for BCBS North Dakota. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
BCBS North Dakota at a glance
| Legal name | Blue Cross Blue Shield of North Dakota |
|---|---|
| Also known as | BCBSND, Noridian Mutual Insurance Co. |
| Category | BCBS affiliate |
| Parent organization | BCBSA Licensee (independent) |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for BCBS North Dakota. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | North Dakota |
| Provider resource entry point | https://www.bcbsnd.com/providers/credentialing/new-provider-tools |
| Provider phone | 1-800-368-2312BCBSND Provider Service is 800-368-2312. The manual separately lists 800-548-4026 for FEP claims, and Medicaid Expansion uses 833-777-5779. Confirm the product and inquiry role before calling. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for BCBS North Dakota
The August 2026 BCBSND provider manual states that initial claims must be filed within 12 months of the date of service or within the period in the member benefit plan. Self-insured and out-of-state plans may differ. Confirm the member product, applicable agreement and current instructions; this is not a universal 180-day limit or an appeal/corrected-claim clock.
| Submission type | Window |
|---|---|
| Initial claim reference | 12 calendar months from service or the member benefit-plan period |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for BCBS North Dakota. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: BCBS North Dakota provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with BCBS North Dakota
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify BCBS North Dakota electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for BCBS North Dakota. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
- → https://www.bcbsnd.com/providers/credentialing/new-provider-tools
- → https://www.bcbsnd.com/content/dam/bcbsnd/documents/manuals/provider-manual-full.pdf
- → https://www.bcbsnd.com/providers/eligibility-claims/electronic-filing
- → https://www.bcbsnd.com/providers/medicaid-expansion/resources/medicaid-expansion-1915-i-providers
Top denial reasons for BCBS North Dakota
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient BCBS North Dakota volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for BCBS North Dakota. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- The manual describes migration beginning January 1, 2027 and continuing in phases. Future migrated-member processes are not treated as already applicable to every September 2026 claim.
- For Medicaid Expansion 1915(i) dates of service on or after January 1, 2026, use the payer-described Therap claim/remittance process; Availity may still verify eligibility. The page places 55891-BCBSND under pre-2026 claim-submission instructions, not a universal current transaction ID.
- Dental and routine vision resources have separate administrators. Blank transaction IDs mean this packet has not established a universal routing scalar, not that claims, eligibility or ERA services are unavailable.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone, portal_url, field_status — BCBSND new provider tools
Source comparison: 2026-09-18
Source scope: Provider Service is 800-368-2312. Links the current provider manual and Availity resources; public access is not authenticated transaction testing. Locator: Provider Service navigation; provider manual and electronic transaction resources. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for provider_phone, portal_url, field_status — bcbsnd new provider toolsprovider_phone, portal_url, field_status, timely_filing_days, filing_rule, timely_filing_source_url — BCBSND provider manual
Source comparison: 2026-09-18
Source scope: Initial claims: 12 months from service or the member benefit-plan period; self-insured and out-of-state limits can differ. FEP inquiry phone is 800-548-4026. Footer identifies January 2027 migration timing, not already-completed migration. Locator: PDF 1 cover; PDF 31 / printed 30, Time frame for claims submission and migration footer. Version: Cover BND-22-0074565, 8-26; actual metadata August 2026. Current link includes future migration guidance.. Retrieval: content_read; public_web_pdf_plus_actual_download_and_scoped_visual_review. Only the documented PDF pages were inspected; not a whole-document review. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for provider_phone, portal_url, field_status, timely_filing_days, filing_rule, timely_filing_source_url — bcbsnd provider manualpayer_ids, electronic_claims_supported, supports_279_271, supports_278, era_payer_id — BCBSND electronic filing
Source comparison: 2026-09-18
Source scope: Availity-related medical claims resources are separate from United Concordia dental and VSP vision routes. No universal scalar for all claims, eligibility or ERA was established here. Locator: Electronic filing; dental and vision instructions; Provider Service navigation. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for payer_ids, electronic_claims_supported, supports_279_271, supports_278, era_payer_id — bcbsnd electronic filingprovider_phone, portal_url, field_status, payer_ids, electronic_claims_supported, supports_279_271, supports_278, era_payer_id — BCBSND Medicaid Expansion 1915(i) provider instructions
Source comparison: 2026-09-18
Source scope: For 1915(i) dates of service from January 1, 2026, claims/remittances move to Therap; Availity may still verify eligibility. 55891-BCBSND and six-month/365-day instructions appear under pre-2026 claim-submission scope. Medicaid Expansion contact 833-777-5779 is separate. Locator: Registering for portal accounts; Requirements to submit claims; Claim submissions prior to 1/1/2026; Questions. Version: HTML has explicit 2026 effective-date passages and separately labeled pre-2026 instructions; no whole-page publication date established.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for provider_phone, portal_url, field_status, payer_ids, electronic_claims_supported, supports_279_271, supports_278, era_payer_id — bcbsnd medicaid expansion 1915(i) provider instructions
Not checked in this pass: Unresolved fields from the immutable 43-field inventory: aka, appeal_levels, category, common_denial_risks, display_name, electronic_claims_supported, era_payer_id, legal_name, lives_covered_millions, naic, parent_org, payer_ids, payer_ids.claims, payer_ids.eligibility, payer_ids.era, prior_auth_required_codes_sample, quickintell_workflow_fit, record_scope, source_review, states_covered, supports_278, supports_279_271; Whole-record approval, current legal entity/ownership, enrollment and complete insured geography; Every provider agreement, product, claim type, filing/appeal exception and clinical authorization policy; Current transaction-specific enrollment/capabilities and authenticated portal behavior; unknown does not mean unavailable; QuickIntell integrations/outcomes and historical April 2026 DataForSEO demand; Accountable reviewer approval; last_reviewed and reviewed_by remain unchanged.
Sources used for this guide
State coverage
BCBS North Dakota operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for BCBS North Dakota
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for BCBS North Dakota; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for BCBS North Dakota; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for BCBS North Dakota before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about BCBS North Dakota
Where is the BCBS North Dakota provider portal?
Use https://www.bcbsnd.com/providers/credentialing/new-provider-tools as a starting point for BCBS North Dakota provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for BCBS North Dakota?
The August 2026 BCBSND provider manual states that initial claims must be filed within 12 months of the date of service or within the period in the member benefit plan. Self-insured and out-of-state plans may differ. Confirm the member product, applicable agreement and current instructions; this is not a universal 180-day limit or an appeal/corrected-claim clock.
Does BCBS North Dakota publish a single claims payer ID?
This registry has not established one all-product claims payer ID for BCBS North Dakota. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does BCBS North Dakota accept electronic claims?
Verify BCBS North Dakota electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a BCBS North Dakota denial?
This registry has not established a payer-specific appeal ladder for BCBS North Dakota. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do BCBS North Dakota prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the BCBS North Dakota provider phone number?
This registry lists 1-800-368-2312 as a contact reference for BCBS North Dakota. BCBSND Provider Service is 800-368-2312. The manual separately lists 800-548-4026 for FEP claims, and Medicaid Expansion uses 833-777-5779. Confirm the product and inquiry role before calling.
Automate workflows around BCBS North Dakota requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against BCBS North Dakota's current published documents before submission. CPT® is a registered trademark of the American Medical Association.