Your IP: 1-866-346-7299 Precertification Call us if you have questions about getting approval for treatment or a procedure. Network 1 Providers No annual deductible No out-of-pocket cost to you for preventive care $25 copay for office visit for injury or illness $30 copay for specialist visit $25 copay for urgent care $100 copay for emergency care (waived if admitted) $25 copay for mental health, behavioral health or substance abuse services Credentialing is a verification process you'll need to pass before you can join our provider network. The practitioner's primary taxonomy code is 122300000X with license number 18754 (MA). Click to reveal BCN Behavioral Health uses modified InterQual criteria for decisions about the following services: Blue Care Network Contacts | Email Us | bcbsm.com Modifications of InterQual criteria starting Aug. 1, 2022. Anthem Blue Cross (BC) of California (CA) XDV. Find a Medicare Doctor in Your Network - Humana Service Mail Code: 0450. Contact Us | Blue Cross Blue Shield (Managed Care Plans) 800-234-6008 (Federal Employee Program) Northeastern New York: Blue shield : Michigan: 800-344-8525 (Providers) 800-249-5103 (Facilities - Michigan) 800-676-2583 (Facilities - Outside of Michigan) . To become a provider for Blue Cross Blue Shield of Michigan, you need to be credentialed. Blue Care Network . ^.8PA7L3PCAoHv|5*c:E7KT\&e; Please review the terms of use and privacy policies of the new site you will be visiting. Save my name, email, and website in this browser for the next time I comment. For Providers: Authorization and step therapy | BCBSM Please contact our membership team at 616-771-0300. You'll have access to reward programs that seek to transform health care. Carelon-Managed Procedures (formerly AIM), Behavioral Health Continuing Outpatient Treatment Request Form, Entering behavioral health provider names and NPIs, Mental health disorders: partial hospital program, Residential mental health treatment (adult/geriatric and child/adolescent), Mental health disorders: partial hospital program and intensive outpatient program, Substance use disorders: partial hospital program and intensive outpatient program, Neurofeedback for attention deficit disorder / attention deficit hyperactivity disorder, Documentation requirements for applied behavior analysis services, Documentation requirements and privacy regulations for services other than ABA, Behavioral health resources to discuss with your patients, Submitting authorization requests through e-referral - FAQ, Holiday closures: How to submit authorization requests for inpatient admissions, Instructions for filling out CMS-1500 form (02/12), Requirements for providing behavioral health services to BCN members, LLPs and LMFTs Frequently asked questions, HEDIS tip sheet for antidepressant medical management, Administering long-acting injectable medications at home (behavioral health), Requirements for drugs covered under the medical benefit - BCN HMO and Blue Cross PPO, Outpatient detoxification and follow-up care protocols for treating substance use disorders, Behavioral health: For mental health and substance use disorders, general assistance with behavioral health services, For local rules on autism spectrum disorder / applied behavior analysis, see the, Discuss or receive information on criteria used to render an authorization decision. BCN AdvantageSM. | Insurance Guide, What Is The Prefix For BCBS Of Louisiana? These forms are also available, along with others, on our Provider Resources site. The NPI number of this provider is 1831382407 and was assigned on August 2007. If you don't have your card, check your explanation of benefits statement for the customer service number. You may have rights during the credentialing process (PDF). Check out the changes and updates to our plan in 2023. :*gy87Hpg[&P'%AZgEF/M0y)t18.`"yt5LIl/C_|^PwGGiv!qfep "2W5dj$b(;$]-xHkk_~cg&Z`ZY7K #U=]h!$=S`Ke(T*NUrStE{$%)fyG-H~qlS >kbkg>t!m3['S Provider Affairs provideraffairs@northwoodinc.com: Northwood Plus Program plusprogram@northwoodinc.com: Member Complaints qualityassurancegroup@northwoodinc.com: Provider Complaints qualityassurancegroup@northwoodinc.com: Provider Appeals providerappeals@northwoodinc.com: Web Site Questions/Feedback mis@northwoodinc.com: Report Suspected Fraud . Important information for those living in Ohio: Before selecting this plan, please know thatU-M Premier Care is a Michigan-based health plan. There, you'll receive your NPI number, which you'll need to complete enrollment with us. However, out-of-pocket costs may be less if you receive services from a provider in the Value Network for hearing services. By continuing to use this website, you consent to these cookies. Our automated response system is for registered, nonregistered and out-of-state providers. Individuals attempting unauthorized access will be prosecuted. Use the navigation bar at the left to go directly to the information for specific topics. While we recommend this site, were not responsible for its content. U-M Premier Care is a managed care plan. You will not be able to change plans due to a physicians orhospitals disaffiliation with your health plan. Login | Register | My online account | bcbsm.com We accept faxes between 8 a.m. and 4:30 p.m. Monday through Friday. We use cookies on this website to give you the best experience and measure website usage. Coverage for hearing services has not changed. Independence Blue Cross(BC) of Philadelphia(Phi) and the Southeastern Pennsylvania(PA), Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA). Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Below are links to various utilization-management-related forms, some of which are used to request authorization for various services. Provider Portal Access . Learn more in ourself-service FAQ. You'll receive a letter to let you know that you have successfully enrolled. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend, or terminate them. You can also visit other Michigan BCN providers in Network 2, with an annual deductible and referral from your Network 1 primary care physician. In order to complete the process, visitCAQH.org. To help make sure Blue Cross Blue Shield of Michigan and Blue Care Network members receive the most appropriate and cost-effective therapy, we require providers to take additional steps before certain drugs are eligible for reimbursement. All providers, facilitiesand services are rendered in Michigan. Premera Blue Card Provider Phone Number: 888-261-9562 (Claims) 800-676-2583 (Benefits/Eligibility) Arizona: Phoenix: . Field Service. BCN Customer Service 1-800-662-6667 (TTY users: 711) Or call the number on the back of your ID card. Contact Michigan Medicine Audiology Services at (734) 936-8051 for more information or to locate a Michigan Medicine audiology provider, or view information online at Hearing Loss and Hearing Testing. Call the SSC Contact Center at 5-2000 from the Ann Arbor campus, (734) 615-2000 locally, or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m. The . If your enrollment application is incomplete, you may receive a letter to let you know why your application has been delayed. Enroll now PROVIDERS *Clicking this link means that youre leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. | Insurance Guide, What Is The Prefix For BCBS Of California? 20500 Civic Center Dr. You can also contact us using the information here. Your member ID card is your key to using your medical plan benefits. does united health care cover dental implants? Home [m.bcbsm.com] Blue Care Network of Michigan www.bcbsm.com Customer service 800-662-6667 2019 A Health Maintenance Organization (High Option) IMPORTANT Rates: Back Cover Changes for 2019: Page 16 Summary of benefits: Page 75 Get access to your employer portal. fZ0]3Jn7G$"l&y3;yx,I:Os"5WI_*U8eG`I This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. More detailed searches are possible by clicking on More Search Options. BCN: Health care coverage that travels - that's peace of mind We want to make this process as easy as possible. Thank you to those who completed the Behavioral Health Quality Improvement Program Survey. 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. The plan provides coverage for dependents who reside outside the network service area and meet eligibility guidelines. The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Have Questions? ':(d>w $ZZB-moc1* bDOyS,([+N6?'("Eu(83@) Customer service may be reached at 800-662-6667 or through our website: www.bcbsm. Michigan - Blue Cross and Blue Shield's Federal Employee Program YR>3yN"?96OhWNCOBs=xF.bJUHn[InB~c[Ql#I0*Xi0j@D]F~A[$z\ property of Blue Care Network and is for use solely in your capacity as a participating provider. {vq [E0|[S2DG4bv!vf$ There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Shop plans in your area The action you just performed triggered the security solution. Contact Us To reach a customer service representative, please call the number listed on the back of your enrollee ID card. Follow the steps and well let you know when your credentialing is complete. . When you enroll as a provider with Blue Cross Blue Shield of Michigan, you'll be part of the largest network in the state. While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. Use the link below to find your local BCBS company's website. The protection of your privacy will be governed by the privacy policy of that site. You can email the site owner to let them know you were blocked. Please watch for more information about BCN's new behavioral health quality improvement program in BCN Provider News. v5J~05H Detroit, MI 48243. For an urgent request, you must attest with a signature that the patient's condition is unstable and a delay more than 72 hours could jeopardize their life or limb, or subject them to adverse health consequences if they don't get the requested care. 1-313-225-9000. Click the Forms menu and make the appropriate selection. . Contact TruHearing at (844) 815-7195 to speak with a hearing consultant or to locate a TruHearing provider, or go to truhearing.com/choice. Skilled nursing facilities and home health . Register Now, Not registered? BCN Behavioral Health - Blue Cross Blue Shield of Michigan No out-of-pocket cost to you after meeting the deductible for: Mental health, behavioral health or substance abuse services. Cloudflare Ray ID: 7e1e9bd25bd6e746 2023 The Regents of the University of Michigan, download theMoving out a Managed Care Service Area form, update your home address with the university, Search here to locate a participating U-M Premier Care provider, 2023U-M Premier Care Certificate of Coverage, health care Flexible Spending Account (FSA), The Regents of the University of Michigan, $25 copay for office visit for injury or illness, $100 copay for emergency care (waived if admitted), $25 copay for mental health, behavioral health or substance abuse services, No out-of-pocket cost to you for inpatient services, No out-of-pocket cost to you for outpatient surgery, $3,000 individual/$6,000 family out-of-pocket maximum (Networks 1 and 2 combined), $2,000 individual/$4,000 family annual deductible, No out-of-pocket cost to you for preventive care. Does cigna health insurance cover birth control? | Insurance Guide, What Is The Alpha Prefix For Blue Shield Of California? State and Federal Privacy laws prohibit unauthorized access to Member's private information. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. How can I learn more about my patients' eligibility? The survey completion period has ended. Blue Care Network XDU. Show me where. tn)j}U"w=N*)c uN%K? In this guide you will find contact information for many of the services that BCN ofers and for the functions you most frequently perform in caring for BCN members. Mail Code 1112. There you'll receive the NPI number you need for enrollment. We handle the credentialing process for hospitals and facilities. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. Help For Providers: How Do I Submit Prior Authorization Requests for Drugs? Anthem Blue Cross (BC) of California (CA) XDX. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. com. Northwood Inc. | Contact BCN Behavioral Health uses Change Healthcare's InterQual Behavioral Health Criteria as utilization management guidelines subject to the modifications posted below. Click Secure Provider Resources (Blue Cross and BCN). This brochure describes the benefits of Blue Care Network of Michigan (BCN) under contract (CS 2011) between Blue Care Network of Michigan and the United States Office of Personnel Management, as authorized by the Federal Employees Health Benefits law. Locate aU-M Premier Care providerorfind out if your doctor accepts this plan. These forms and your required documents make up your enrollment application. Portal User Manual. This website is using a security service to protect itself from online attacks. BCBS Alpha Prefix List from XAA to XZZ Updated 2023 Blue Cross Blue Shield of Michigan. Your new coverage will become effective the first day of the month following the move or the receipt of this form, whichever is later. BCBS Alpha Prefix List from WAA to WZZ Updated 2023, BCBS Alpha Prefix List from YAA to YZZ Updated 2023, What Is The Prefix For BCBS Of Arizona? Northwood Inc. | Providers Get access to your online account. 500 Renaissance Center. Online tools provide you with information and support anytime. PDF BCN Provider Manual - Chapter 8: Utilization Management 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. | Insurance Guide, Hawaii (HI) Medical Service Association (HMSA) BCBS. Download them, fill out the PDFs electronically, then print them and fax them to us. Blue Cross Blue Shield of Michigan Contacts | bcbsm.com Blue Care Network Contacts The best way to reach us by phone is to call the Customer Service number on the back of your Blue Cross ID card or on your Explanation of Benefit statement. does united health care cover hearing aids? Blue Care Network Customer Service I have individual coverage I have coverage through my employer X\E8&D=WU9Hx~?jNr/"t-e>Zp])]{QVIa;K#r'QL>PeO%Wl2P3Gy/OyEo:.tL=:tp+~%/4(^@{.k{5>c yp!407 jH@2#X0%\bG-B5aG\: Heres everything you need to know about it. Click the Forms menu and make the appropriate selection. To request a copy of the specific InterQual criteria used to make a decision on a member's case, call BCN Behavioral Health at 1-877-293-2788. Register Now, Not registered? You'll do this in step three. You may have rights during the credentialing process (PDF) For professional providers Register Now, Learn more about registering for our web tools. General Inquiries. We respond to nonurgent preauthorizations 15 days after receiving them. Detroit, MI 48231-2227 23.231.2.6 Read aboutCAQH Supplemental Enrollmentfor our pilot members only who are practicing delegates. Blue Cross Blue Shield of Michigan Commercial PPO. x8gJ)d,_i 3Y ]Uv2p|uP]Qa v@ T %$. Northwood: 1-800-667-8496 - Provides non-diabetic durable medical equipment for BCN members. This helps us ensure you meet the state requirements for health care. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. BCN Care Management Forms - Blue Cross Blue Shield of Michigan We provide health insurance in Michigan. What do I need to know about credentialing? Carelon-Managed Procedures (formerly AIM), An Important Message from Medicare About Your Rights, Behavioral Health Continuing Outpatient Treatment Request Form, Entering behavioral health provider names and NPIs, Post-acute care services: Frequently asked questions by providers. BlueCard: 1-800-810-2583 (BLUE) - Provides assistance to members outside the state of Michigan that need to locate a BlueCard participating provider in the area where they are located. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? End of dialog window. Get access to your online account.Register Now, Not registered? In order to visit a specialist or a Network 2 provider, you will need a referral from your PCP. BCN Behavioral Health uses modified InterQual criteria for decisions about the following services: Modifications of InterQual criteria starting Aug. 2, 2021, through July 31, 2022. Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. During the credentialing or recredentialing process, you can ask questions about the status of your application, ask to review information submitted to support your application and correct anything in error by calling us at 1-800-822-2761. 1-800-572-3413 Attention: Preauthorization, Provider Inquiry Members may buy up to advanced or premium hearing aid options. Provider Application. Value Network providers include Michigan Medicine Audiology Services and TruHearing providers. Effective Jan. 1, 2021, U-Ms hearing services benefits include a Hearing Services Value Network for U-M Premier Care and GradCare health plan members. If you are a Michigan provider, you can access the Provider Resources site through the Resources tab of our payer space on our provider portal. BCBS Provider Phone Number - Anthem Blue Cross and Blue Shield List Call for general assistance with behavioral health services, including: Go to the Provider contact us section of bcbsm.com to locate contact information for assistance with the following: 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Blue Care Network of Michigan - Grand Rapids Chamber If you are enrolled in the plan and move out of the service area,you must change your health plan. BCN Provider Search - Blue Cross Blue Shield of Michigan For Providers: Enrollment | BCBSM When you enroll, you'll partner with us to care for a large and diverse membership. The provider is registered as an organization and their NPI record was last . For complete information on benefits and coverage, please refer to the plan documents. However, members should keep in mind that they may have additional, out-of-pocket costs for services from these providers, even for a standard hearing aid. Call 877-258-3932 | Privacy Policy 1996-Blue Cross Blue Shield of Michigan and Blue Care Network Nonprofit corporations and independent licensees . Detroit, MI 48226-9942. If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. Find My BCBS Company In addition to the information listed on this page, you can access the complete version of the BCN Provider Manual and other behavioral health resources including the BCN Behavioral Health Fee Schedule on the Behavioral Health page of the Member Care tab on the Provider Resources site. Prior authorization requirements Professional Enrollment Required Document Checklist (PDF), Facility Enrollment Required Document Checklist (PDF). Don't have your card? >#!~s_ Jv7Qll>=y ^Fr21ly+9r&>(3!& g`;HrsH,+L"&WY8Q8I]CfjLNsn7a EJk0e&2m-2TP|wnDf[5x-rQ&bPu [ #z>qx9t]iLEBSg(|Z[Ak"i#=is3Me*4Uk:B82uG;Q[uE.xu8xQR$X>Cw2 H9HO{6i d+b\$*Npv;uR |~G{cQD.RPNZxB$ ( 1(j# 'z6 hJ'X59--\moNJ& HK lP,5R#)ZY Se,C-L!j6IbuZZz#89ltKe~s>W_M^Ih>^!u~ 38UjnDpQMxb 'x`"*t5rvrMHX*vJfjcYy9\exU"#?eY,$_f/qGu.[R~.'8, lccF/}%RW=AO@ 5>yvh\[&TRnsDDQQ=LbU9Z4WM_,GP+N( Bsfn?C`Z+AS=|!!Y(Ih!1>dhBm#!_>L ;j6`jesayx &`3uXww'N{x_G 8j _P,fW9lz}t~uDx Z=G~U J5e70N.p w_/gFO{MNX3&F.%pFh89,x.&o1TFP9 seYO ?H -5L{aE(/hb( Portal Video Tutorial . BCBSM Provider Secured Services - Login To access the forms: Log in to our provider portal ( availity.com *). Anthem BCBS of Ohio (OH) XDW. PDF A Health Maintenance Organization (High Option) - U.S. Office of TruHearing has an extensive nationwide network of highly qualified hearing aid providers who offer affordable hearing aid options. %PDF-1.6 % Blue Cross Blue Shield of Michigan Behavioral health InterQual. We respond to urgent requests within 72 hours. To access the forms: Skilled nursing facilities and home health agencies. Modifications of InterQual criteria starting Aug. 1, 2022. Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. Get access to your agent portal.Register Now. Every effort has been made to ensure the accuracy of the benefits information in this site. This is the customer service number for questions about your health insurance coverage, benefits or treatment. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. | Insurance Guide, What Is The Alpha Prefix For Florida Blue? kSUSTqaiOR wsFv:C C Does USAA car insurance cover hail damage? Blue Cross Blue Shield of Michigan MAPPO . endstream endobj 2 0 obj <>stream Portal Help Center. PDF Blue Care Network Contact Numbers - SharpSchool Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. To enroll in a different health plan,download theMoving out a Managed Care Service Area formand submit your signed and completed within 30 days of the date of your move. Please remember to update your home address with the university. Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Register to access tools like e-referral and Electronic Funds Transfer (EFT). Contact Us - Blue Cross Blue Shield of Michigan For Providers: Contact us | BCBSM Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Alliance Health Plan. Not registered? To get credentialed, you'll need to visit CAQH.org. PDF A Health Maintenance Organization (High Option) - U.S. Office of Non-Michigan providers: Referral and authorization requirements for BCN members Provider Inquiry Contact Information Woman's Choice Referral and Authorization Guidelines Services received outside of Network 1 or Network 2 are not covered, except in the event of emergency (refer to plan documents for details). "N*3~p^Gss%vMqR9t5Fpj bh-%C;iC8pJ_6H#9Q Performance & security by Cloudflare. 600 Lafayette East. Members save money in Network 1, which includes Michigan Medicineproviders along with several other provider groups. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Members must choose a Primary Care Physician (PCP) from Network 1. BCN Behavioral Health uses its own utilization management criteria (local rules) for decisions about the following services: Medical record documentation requirements. Members will continue to have access to Blue Cross Network (BCN) hearing services providers who are not in the Value Network. It can take us up to 90 days to review your enrollment application. rights during the credentialing process (PDF), Important Information About MedicarePlans, Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. Box 2227 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Login | My online account | bcbsm.com Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio. Note: For BCN Advantage members admitted to post-acute care, see Post-acute care services: Frequently asked questions by providers (PDF). Does insurance cover breast pumps blue cross blue shield? F!'?yYR4VK_&qs4a6+60E\BF9sr7S9O7"G3=Gmdo},X^rLxI~_P?K+TjG>.7XFhGs9eArirS{UNGuYDn!2:6v3 k|d!G5#!cQmJX`B&n For more information, view our privacy policy. Learn more about a Healthier Michigan.org A Healthier Michigan Search 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. You may not be able to receive services, such as home health care, home infusion, home hospice and medical equipment deliveries, in your home if you live outside Michigan. We provide health insurance in Michigan. List of the top 20 insurance providers in the US 2023. BCN Behavioral Health uses modified InterQual criteria for decisions about the following services: Local criteria. To request a copy of the specific InterQual criteria used to make a decision on a member's case, call BCN Behavioral Health at 1-877-293-2788. 8 a.m. to 5:30 p.m. Monday through Friday bcbsm.com BlueCard 1-800-810-BLUE (2583) Confidence comes with every card You and your dependents can rely on having coverage when you're away from home in the United States. Blue Care Network provides materials and resources to assist you with your behavioral health referrals. Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio to be eligible for U-M Premier Care. If you're already a Humana member, select the "View all covered plans" link next to each provider's name for a full list of which plans they accept Shopping for a Medicare Advantage plan? &Q#p\:|dcPnRgV*:+PuWkL s/:U` \Bt8F U-M Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. TTY users: to reach any number listed here, start by dialing 711. Why join our provider network? For Providers | BCBSM

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