Αποτελέσματα Αναζήτησης
For Providers: Forms and Documents. Looking for the right form or document to help care for your patients? Find what you need to get your work done quickly. Find out more about registering for Availity ® Essentials. Assessment forms. PDF. Acute inpatient hospital assessment form – Blue Cross and BCN commercial.
- Drug Lists
For Providers: Drug Lists. Use these documents to find drug...
- Enrollment
These forms and your required documents make up your...
- Enroll in Our Network
Save time on future group updates by registering for the new...
- Drug Lists
These forms and your required documents make up your enrollment application. Download them, fill out the PDFs electronically, then print them and fax them to us. It can take us up to 90 days to review your enrollment application.
Save time on future group updates by registering for the new Provider Enrollment and Change Self-Service application. Practitioner forms and documents
Resources for Health Care Providers. If you are a provider office looking for information on Blue Cross Blue Shield of Michigan and Blue Care Network, please follow the steps below to log in to our provider portal and access our Provider Resources site: Log in to our provider portal at availity.com *. Click Payer Spaces on the Availity menu bar.
Provider enrollment and change requests • Access forms: Join Our Provider Network page at bcbsm.com • All providers: Call 1-800-822-2761 / Fax 1-866-900-0250 / CAQH Help Desk: Call 1-888-599-1771. Provider Inquiry Use Provider Inquiry to receive claims, benefits and eligibility information, 24 hours a day, seven days a week.
To apply for access to our provider portal, go to bcbsm.com/providers, click on Enrollment and scroll down to click on Register for Web Tools. Once you have your login and password, you can access the following features: Broadcast alerts about important operational updates.
Use these forms to ask us to pay you back for medical expenses, like prescriptions or out-of-network doctors costs. Enrollment Forms Find enrollment forms for our Medicare Advantage, Medicare Supplement and PDP plans here.
