Blue Cross Blue Shield of North Dakota

Summary

Blue Cross Blue Shield of North Dakota is a regional health plan, part of Blue Cross Blue Shield of ND, offering dental, medical, and vision coverage operating in North Dakota. Claims route under payer ID 55891, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS ND Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

55891Also seen as 00820, 10478, 2411, 5593, CX004, NDBCBP and 2 more

Also known as

BCBSND, Blue Cross Blue Shield North Dakota, Blue Cross Blue Shield of North Dakota - Medicare Advantage, Blue Cross ND (North Dakota Dental Service)

Uses CAQH

YesApplication route: CAQH application only

Service area

ND

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Blue Cross Blue Shield of North Dakota?

The payer ID for Blue Cross Blue Shield of North Dakota is 55891. Alternate IDs seen across clearinghouses include 00820, 10478, 2411, 5593.

How long does Blue Cross Blue Shield of North Dakota provider enrollment take?

Blue Cross Blue Shield of North Dakota provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Blue Cross Blue Shield of North Dakota require CAQH?

Yes. Blue Cross Blue Shield of North Dakota uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Blue Cross Blue Shield of North Dakota require ERA enrollment?

Yes. Blue Cross Blue Shield of North Dakota requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does Blue Cross Blue Shield of North Dakota cover?

Blue Cross Blue Shield of North Dakota operates in ND. Coverage can differ by plan and product line, so confirm the specific plan before you file.