|
||
|---|---|---|
|
In brief: Annual reports; pain management procedures; billing for noncovered services; upfront payment from members Annual reports illustrate how Blue Cross, BCN dealt with tough economic conditions in 2024 Moving fast to advance innovation and change were a hallmark of 2024 for Blue Cross Blue Shield of Michigan and Blue Care Network. Blue Cross and BCN persevered through national economic headwinds to continue to serve members, customers, provider partners and communities. This is highlighted in our 2024 annual reports. To read the reports, click on the links below:
Answers to questions about changes to requirements for pain management procedures for our Medicare Advantage members Pain management services no longer require prior authorization for Medicare Plus Blue℠ and BCN Advantage℠ members for dates of service on or after May 1, 2025. We’ve received some questions about this change, so we answered them in an August 2025 Record article. Reminder: Follow these requirements when billing for noncovered services Blue Cross Blue Shield of Michigan has been informed that some health care providers have been billing our members for services that have been deemed “provider liable” on their remittance advice or payment vouchers. This action doesn’t align with the terms outlined in our provider agreements. As a result, we’re reminding our participating health care providers that they’re required to comply with the terms of their contracts. To find out more, check out the article in the August 2025 Record. Reminder: Participating providers may only collect applicable deductibles, copayments from members upfront Participating providers must bill Blue Cross Blue Shield of Michigan and Blue Care Network for all covered services and may only bill members for their applicable deductibles and copayments. In keeping with provider contracts, you may not collect deposits or bill members upfront for unpaid balances of covered services. For more information, see the August 2025 Record article. |
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |