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Reminder: Independent External Review
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Jan 15, 2026
We identified it
Jun 19, 2026
Summary
BCBS North Dakota reminds providers about the Independent External Review process for medical necessity disputes. Providers can request this independent review only after exhausting BCBSND's internal appeal process, with some exclusions for benefit plan exclusions and Federal Employee Program claims.
Action Required
Billing team should bookmark the BCBSND Forms and Documents section under Claims Processing to access the Request for Independent External Review form. Review the BCBSND Provider Manual for complete process details. Use this option only after completing all internal BCBSND appeals for medical necessity denials.