Reminder: Be sure to update Provider Authorization form when changes occur

Blue Cross Blue Shield of Michigan is dedicated to safeguarding the protected health information of our members. These safeguards include completion of a Trading Partner Agreement and Provider Authorization form as part of the electronic data interchange setup process. All EDI trading partners must complete a TPA and Provider Authorization form before they can exchange PHI with Blue Cross.

Terms of the TPA require you to notify Blue Cross of any changes in your trading partner information. If you switch service bureaus or clearinghouses, software vendors, billing services or the recipient of your 835 files, you must update your Provider Authorization form. Updating the form ensures that information goes to the correct destination. You don’t need to update the provider authorization if your submitter and trading partner IDs don’t change.

Keep in mind that you should review your provider authorization information when you’ve:

• Joined a new group practice
• Left a group practice and now bill using your own NPI
• Hired a new billing service
• Started submitting claims through a clearinghouse or you’ve changed clearinghouses
• Decided you no longer want to receive 835 remittance files
• Selected a new destination for your 835s

You must update your provider authorization if you’ll be sending claims using a different submitter ID or routing your 835s to a different, unique receiver or trading partner ID.

To make changes to your EDI setup, follow these steps:

• Visit bcbsm.com/providers.
• Click on Quick Links.
• Click on Electronic Connectivity EDI.
• Click on How to use EDI to exchange information with us electronically.
• Under EDI agreements, click on Update your Provider Authorization Form.

If you have questions about EDI enrollment, call the EDI Help Desk at 1-800-542-0945. For assistance with the Trading Partner Agreement and Provider Authorization forms, select the “TPA” option.