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July 2018

Comply with semiannual request to update or confirm demographic data

Blue Cross Blue Shield of Michigan and Blue Care Network members rely on our online provider directory for correct, up-to-date information. Twice each year, the Provider Enrollment and Data Management team sends you the demographic information we have on file for you with a request to update or confirm it.

Facilities that don’t respond to this mailing won’t appear in our online directory.

Make it a priority to:

  • Respond to each request to update or confirm your demographic data.
  • Update your demographic data throughout the year as needed.

If you need to make changes to your data, send them Provider Enrollment and Data Management by mail, fax or email:

  • Mail: Provider Enrollment – Attestation
    20500 Civic Center Dr.
    Southfield, MI 48076-4115
    H200-PDA
  • Fax: 1-844-216-4941
    Email: providerdataintegrity@bcbsm.com

Need help making changes or have questions? You’ve got options:

  • Visit the Contact Us page of bcbsm.com/providers. (Scroll down to Update your information with us and select your provider type.)
  • Call Provider Enrollment at 1-800-822 2761.

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.