Verified October 10, 2026 against the statutes, regulations and sources cited below. General information, not legal advice. All states
What providers miss in North Dakota
- The 50-mile rule lets a member use a nonparticipating provider at in-network benefits only when that provider charges no more than a preferred provider would.
- Preferred provider arrangements may not bar a provider from contracting with other insurers.
Does North Dakota have an any willing provider law?
No any willing provider law for medical providers was confirmed. Insurers may place reasonable limits on the number of preferred providers, chosen on least cost and highest quality.
Citation: N.D. Cent. Code 26.1-47-04
How long can a plan take to credential a provider in North Dakota?
No North Dakota credentialing deadline law was found; UnitedHealthcare's state compliance list shows no additional North Dakota credentialing requirements.
What network adequacy rules apply in North Dakota?
Preferred provider policies must cover care at the preferred level when a covered service is not available from a preferred provider, and must cover a nonparticipating provider within 50 miles if no preferred provider is that close and the cost is no higher.
Citation: N.D. Cent. Code 26.1-47-03
Will the North Dakota insurance department take a provider complaint?
- North Dakota Insurance Department
Who oversees Medicaid managed care plans in North Dakota?
- North Dakota Health and Human Services (North Dakota Medicaid)
Turned down by a plan in North Dakota?
We read the denial, check which of these rules reach that plan, and prepare the reconsideration request, the access-gap evidence and any regulator complaint the law supports; you sign and send them, and we track every deadline. Self-funded employer plans follow federal law, not North Dakota's. A rejection review is $249, credited toward a dispute.