Medicare AdvantageAdministrativeMedium impact
June 2024 Quarterly Provider Insights
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Jun 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSND's June 2024 quarterly update includes a mandatory RADV audit requiring providers to submit medical records at no charge when requested by Cognisight (in-state) or ComplexCare Solutions (out-of-state). The policy also emphasizes provider directory validation every 90 days and provides updates on service center improvements.
Action Required
Immediately: When contacted by Cognisight (1-877-271-1657) or ComplexCare Solutions (1-800-390-3180), provide requested medical records at no charge for RADV audit. Ensure all records are fully legible, signed with credentials, and dated. Do NOT send invoices for chart fees. Additionally, validate provider directory information every 90 days through Availity Essentials and submit directory changes via the Provider Directory Maintenance Form to providerforms@bcbsnd.com.