Medicare AdvantageAdministrativeLow impact
Reminder: Provider Engagement Exchange (PEX) Program for Out-of-State Medicare Advantage PPO Members
Blue Cross Blue Shield of North Dakota·ND·Provider News
We identified it
Jun 19, 2026
Summary
BCBS North Dakota reminds providers about the Provider Engagement Exchange (PEX) program for out-of-state Medicare Advantage PPO members. Providers must respond within 30 days to requests for medical records or engagement activities to support care coordination for these members.
Action Required
When receiving PEX program letters or emails from BCBS North Dakota: Respond within 30 days to all medical record requests and engagement activity requests for out-of-state Medicare Advantage PPO members. Designate staff to monitor for these communications and establish a tracking system to ensure timely responses.