CommercialPrior AuthMedium impact
March 2024 Quarterly Provider Insights
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Jan 16, 2024
We identified it
Jun 19, 2026
Summary
BCBSND launched a PA Checkpoint tool in January 2024 to help providers verify prior authorization requirements before submitting requests. The tool has successfully reduced unnecessary PA submissions by 25% and will integrate with Availity Essentials in May 2024 for streamlined processing.
Action Required
Immediately: All providers should begin using the PA Checkpoint tool on the BCBSND Prior Authorizations webpage before submitting any prior authorization requests to verify if authorization is actually required. This will prevent delays in patient scheduling and reduce unnecessary administrative work. By May 2024: Prepare for phase two integration with Availity Essentials portal.