> ## Documentation Index
> Fetch the complete documentation index at: https://docs.thrizer.com/llms.txt
> Use this file to discover all available pages before exploring further.

# BCBS of North Dakota: out-of-network registration

> Find the next step for nonparticipating practice registration with BCBS of North Dakota and confirm when your record is active.

## Start here

For clinicians and practice administrators in **North Dakota**. First [confirm the Blue Plan for your practice or claim-service location](/help/claims/blue-plan-registration-guides). Use the location used for billing, not your client’s home plan.

**If you need a new practice record, confirm the first-time registration process with the payer.** The public resources below do not establish a complete application for every out-of-network practice.

## Where are you in the process?

* **Starting for the first time or unsure?** Check with the payer whether your practice already has a record under the same tax ID and service location, then follow the steps below for the record you need.
* **Adding a clinician to an existing practice?** Ask the payer how to add the clinician, complete any required individual enrollment, and link them to the existing practice. Do not create a new practice just to add a clinician.
* **Already submitted, waiting for approval?** [Check your pending registration](/help/claims/provider-registration#registration-pending) using the submission reference. Do not send a duplicate application unless the payer asks you to.
* **Practice and required clinician affiliations confirmed active?** [Notify Thrizer Support](/help/claims/provider-registration#registration-confirmed-next-steps).

## Before you start

Have your practice’s legal name, tax ID (EIN/TIN), service address, and each clinician’s rendering NPI and license information ready. Use details that match Thrizer. The practice coordinates registration; group clinicians do not need to create separate practices. The payer may require individual enrollment and group affiliations.

<Steps>
  <Step title="Contact the payer">
    Start at [BCBS North Dakota’s provider site](https://www.bcbsnd.com/providers) and use its provider contact options to ask for first-time nonparticipating professional-provider registration.
  </Step>

  <Step title="Confirm the route for your practice">
    Ask which team creates an out-of-network practice record, how it links rendering clinicians to the practice’s tax ID, and whether any portal transition changes where you should submit or check an application.

    Availity transaction access does not establish an active payer record. A new-provider network application or a member’s out-of-network waiver is not a substitute for confirming the nonparticipating registration process.
  </Step>

  <Step title="Complete and submit the confirmed request">
    Once the payer confirms the right new-record, addition, or update process, complete and submit the application or request through that channel with the documents it requires for your practice. Ask the payer about unclear fields or attestations before submitting; do not guess.

    Keep a copy, the submission confirmation, and any case number. Then [follow the pending-registration guidance](/help/claims/provider-registration#registration-pending) until the payer confirms activation. A receipt does not mean your record is active.
  </Step>

  <Step title="Confirm activation, then notify Thrizer">
    Ask the payer to confirm that the practice record and all required clinician affiliations are active. Keep the approval confirmation and related documents; a submission receipt or portal login does not establish activation.

    [Send the confirmation to Thrizer Support and review the next steps](/help/claims/provider-registration#registration-confirmed-next-steps). Support identifies affected claims and reviews which are eligible for resubmission. Do not duplicate pending claims solely because registration became active.
  </Step>
</Steps>

<Warning>
  For BCBS claims through Thrizer, any reimbursement goes to the client. If an application appears to require payment to your practice or assignment of the client’s reimbursement, ask the payer how to register for **member reimbursement** before continuing. Registration does not guarantee claim approval or reimbursement.
</Warning>

## Need help with the next step?

If the payer has not confirmed activation, follow its status-check instructions. [See what to do while registration is pending](/help/claims/provider-registration#registration-pending). Thrizer does not complete or track registration for your practice.


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