Reminder: Update your 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 the Trading Partner Agreement and Provider Authorization forms (as part of the electronic data interchange setup process). All EDI trading partners must complete these forms before they can exchange PHI with Blue Cross.

Terms of the Trading Partner Agreement require you to notify Blue Cross of any changes in your trading partner information. You must update your Provider Authorization form if you change:

• Service bureaus or clearinghouses
• Software vendors
• Billing services
• The recipient for your 835 files
  

Updating the form ensures that information routes to the proper destination.

You don’t need to update the Provider Authorization form if your submitter and Trading Partner IDs don’t change.

When to review your information
You should review your Provider Authorization information if you:

• Join a new group practice
• Left a group practice and now bill using your own NPI
• Hire a new billing service
• Start submitting claims through a clearinghouse or change clearinghouses
• Decide you no longer want to receive 835 remittance files
• Select a new destination for your 835s

You must update your Provider Authorization information if you’ll send claims using a different submitter ID or route your 835s to a different unique receiver or Trading Partner ID.

To make changes to your EDI setup:

• Log in at bcbsm.com/providers.
• Click Quick Links.
• Click Electronic Connectivity (EDI), then click on How to use EDI to exchange information with us electronically.
• Click Update your Provider Authorization Form under EDI Agreements.

If you have questions about EDI enrollment, contact our Help Desk at 1-800-542-0945. For assistance with TPA and Provider Authorization forms, select the TPA option.