HealthCare News

Ambulance Claims

Issue: #404 NOV2018

Topic: Reimbursement


Blue Cross Blue Shield of North Dakota (BCBSND) wants to remind providers of our mileage guidelines for ambulance services. Ambulance services are still required to bill to the nearest tenth of a mile for all claims under 100 miles.

The allowed reimbursement for ambulance claims, when the total mileage is under 100 miles, will be based on the mileage submitted. The claims system is set up to calculate payment to the nearest tenth of a mile and will not round to the nearest mile.

Example:

Ambulance A submits a claim with total mileage of 98.5 miles. The claims system will calculate the allowed amount based on the 98.5 miles, not on rounding the mileage to either 98 or 99 miles.

For more detail on ambulance guidelines, please reference the BCBSND Provider Manual located at https://www.bcbsnd.com/web/providers/provider-manual.