CommercialAdministrativeMedium impact
New Healthcare Effectiveness Data and Information Set (HEDIS) Tip Sheets
Blue Cross Blue Shield of North Dakota·ND·Provider News
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of North Dakota has released new HEDIS Tip Sheets to help providers understand quality measure specifications for both Commercial and Medicaid Expansion plans. These tip sheets provide guidance on seven key quality measures including preventive visits, diabetes eye exams, and appropriate use of imaging for low back pain.
Action Required
Immediately: Billing team and providers should review the new HEDIS Tip Sheets available at bcbsnd.com to understand quality measure requirements for Commercial and Medicaid Expansion patients. Focus on documentation and coding practices that support the seven measures: Adult Preventative Visits, Asthma Medication Ratio, Chlamydia Screening, Emergency Department Visits, Eye Exams for Diabetes patients, Proportion of Days Covered for medications, and appropriate Use of Imaging for Low Back Pain. Contact bluealliance@bcbsnd.com with questions.