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MedicaidAdministrativeMedium impact

Coordination of Benefit Claims

Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Jul 24, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

BCBS North Dakota has implemented a new manual review process for Medicaid Expansion coordination of benefits claims when members have another BCBS plan as primary. Providers must wait 60 days after claim finalization before contacting BCBS about crossover issues, as the review process runs one month behind.

Action Required

Action needed
Immediately: Billing team must update workflow to wait 60 days after claim finalization before contacting BCBS North Dakota Medicaid Expansion Provider Service (833-777-5779) about coordination of benefits crossover issues. Monitor remittances for updated processing information and use standard claim correction process if amendments are needed.