How do I add or remove providers from my existing Provider Secured Services ID?

To add or remove provider codes from your existing Provider Secured Services ID, please complete the Authorization to Modify Provider Codes (PDF).

To add or remove providers from your practice or facility's existing e-referral access, please complete the e-referral Request for Group ID Changes (PDF).

©1996-2016 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

State and Federal Privacy laws prohibit unauthorized access to Member's private information. Individuals attempting unauthorized access will be prosecuted.

Site Map  |  Feedback  |  Important Legal and Privacy Information

Explanation of Level A Conformance
Better Business Bureau Online Seal of Reliability