CommercialAdministrativeMedium impact
December 2023 Quarterly Provider Insights
Blue Cross Blue Shield of North Dakota·ND·Provider News
Effective date
Nov 11, 2023
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of North Dakota implemented a new precertification tool called Predictal on November 11, 2023, integrated with Availity Essentials. They will launch a new self-service authorization tool called PA Checkpoint in early 2024 to help providers determine if precertification is required before submitting requests.
Action Required
Immediately: Billing team and providers must transition to using Predictal through Availity Essentials for all precertification requests instead of faxing. Verify Availity Essentials access and ensure staff can access Patient Registration, Authorization & Referrals tab. Use Predictal Resource Guide on BCBSND website for training. Prepare for PA Checkpoint tool launch in early 2024 to verify authorization requirements before submitting requests to avoid delays and potential claim denials.