Frequently Asked Questions
- Provider Enrollment and Change Self-Service for professional groups and allied providers
Find out about provider enrollment, self-service, training tools and more.
- What do I need to know about credentialing?
Find out what's involved in credentialing when you want to join our network as a provider.
- How to get access to Provider Secured Services
Get the information you need to log in to Provider Secured Services.
- web-DENIS Overview
Learn about our online system that helps providers get patient and claims info.
- How to exchange information with us electronically
Doctors, hospitals, agents and suppliers who do business with us will find help and guidelines needed to use EDI, or electronic data interchange.
- Medicare Advantage
Find out about BCN Advantage HMO-POS, Medicare Plus Blue PPO, Medicare Private Fee for Service and Prescription Blue PDP.
- How to participate in PGIP as an individual physician
This article explains how individual physicians can join a physician's organization to participate in PGIP.
- National Provider Identifier FAQ
Get answers to frequently asked questions about National Provider Identifier.
- Glossary FAQs
Learn about frequently used terms including copayment, deductible and noncovered services.
- Blue Cross Complete
Find information about benefits, authorization, required forms and other resources for our Medicaid product, Blue Cross Complete.
- Blue Physician Recognition for providers
Learn what the Blue Physician Recognition designation means for providers.
- Healthy Blue Achieve: What providers need to know
Find out what providers need to know about Healthy Blue Achieve.
- How can I request prior authorization for a medical drug?
If a medical drug requires authorization, this explains how to ask for that through Provider Secured Services.
- How can I get patient information over the phone?
You can use the automated response system that replaced CAREN to get patient information.
- MQIC Evidence-Based Clinical Practice Guidelines
These guidelines are endorsed by Blue Cross Blue Shield of Michigan to help improve health for patients in Michigan.
- How do I recredential?
Get the information and forms providers need for recredentialing.
- For dental providers: How can I get patient info and submit claims?
SecureTrack allows dental providers to get Blue Dental patient data, benefits, eligibility and submit claims.