Blue Cross Blue Shield of North Dakota
Also covers / subsidiaries: BCBSND, BCBS of North Dakota
Core Payer & Clearinghouse Profile
Electronic Payer ID
CX004
Claims route electronically through Availity. Payer ID 55891 appears in BCBSND materials but is for the Medicaid Expansion program, not general commercial. Verify the commercial payer ID via Availity.
Timely Filing Limit (TFL)
180 days from date of service
Appeal Window
Provider appeals within 180 days of the Adverse Benefit Determination; submit by fax 701-277-2209 or PO Box 1570, Fargo, ND 58107-1570
Clearinghouse Gateway
Availity (designated EDI gateway)
Provider Services
800-368-2312
Claims Fax
701-277-2209
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.bcbsnd.com/providers/news-resources/availity-essentials
Claims submit electronically via Availity. The 55891 ID found is Medicaid-Expansion-specific — verify the commercial ID with BCBSND.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Blue Cross Blue Shield of North Dakota.
Resolution Tools for Blue Cross Blue Shield of North Dakota Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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