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July 2018

Reminder: Update Provider Authorization Form when changes occur with your 835 ERA routing destination

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 these forms to exchange PHI with Blue Cross.

Terms of the TPA require you to notify Blue Cross of any changes in your trading partner information. You must update your provider authorization information if you send claims using a different submitter ID or route your 835 electronic remittance advice to a different unique receiver or trading partner ID. Updating the form ensures information is routed to the appropriate destination.

Whenever you switch vendors, billing services or clearinghouses, you need to update your provider authorization. To make changes to your EDI setup, visit bcbsm.com/providers and follow these steps:

  • Click on Quick Links.
  • Click on Electronic Connectivity EDI.
  • Click on How to use EDI to exchange information with us electronically.
  • Click on Update your Provider Authorization Form.

Review your provider authorization information if 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 files
  • Selected a new destination for your 835 files

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

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.