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This newsletter includes short summaries, reminders and updates for Blue Cross and BCN providers. Please visit The Record or BCN Provider News for complete newsletter editions.
Reminder: No referrals required with BCN Blue Elect Plus℠ POS With the Blue Elect Plus point of service health care plan, members receive covered health care services from in- or out-of-network providers without a referral. The back of their ID cards specify that no referrals are required in or out of network in case providers have questions. Read more on Page 5 of the November–December 2020 BCN Provider News. We’re migrating to a new platform for electronic transmissions Blue Cross Blue Shield of Michigan is moving to a new SFTP file transfer platform, Edifecs, for your electronic transmissions. Questions can be sent to: EDIMigration@bcbsm.com. This information can be found on Page 8 of the March–April 2021 BCN Provider News or the March 2021 issue of The Record. New members to be issued alphanumeric subscriber IDs starting Feb. 27 Starting Feb. 27, 2021, we’ll issue alphanumeric subscriber IDs to all new Blue Cross and BCN members using the letter M after the prefix to begin the alphanumeric ID, followed by eight numbers. For example, a new subscriber ID could look like this: XYZM91234567. For more information, see Page 8 of the March–April 2021 BCN Provider News or the March 2021 issue of The Record. Reminder: Northwood DMEPOS Management Program began Jan. 1 For more information, see the January 2021 issue of The Record, as well as the following documents at bcbsm.com/providers: Sign up for additional training webinars Provider Experience is continuing its series of training webinars for health care providers and staff. Our next webinar, Blue Cross 201 – Claims Basics, starts March 2. To see all available dates or register, see Page 6 of the March–April 2021 BCN Provider News or the March 2021 issue of The Record. Virtual provider symposiums to focus on patient experience, HEDIS®, documentation and coding We’ve tentatively scheduled this year’s provider symposiums virtually throughout May and June for physicians, office staff and coders. For additional information, including proposed topics, dates and times, see the March 2021 issue of The Record. HEDIS is a registered trademark of the National Committee for Quality Assurance. Lunch and learn webinars for physicians and coders focus on risk adjustment, coding Sign up now for live, monthly, lunchtime webinars focusing on risk adjustment and coding. Starting in April, these educational sessions will update you on documentation and coding of common challenging diagnoses. To review session topics or register, see the March 2021 issue of The Record. Check for messages in e-referral to finalize your pending requests You can help us complete the processing and improve the turnaround time of your requests for authorization by checking the e-referral system for messages and responding quickly. We may reach out to you using the Case Communication feature in e-referral for additional information, including clinical documentation, that we need to process your requests. This information can be found on Page 38 of the March–April 2021 BCN Provider News or the March 2021 issue of The Record. Blue Cross adds Billing/Claims page At the end of 2020, we added a Billing/Claims page to the BCBSM Newsletters & Resources section of our secure website. It organizes useful billing and claims information and links on one convenient page for Blue Cross commercial and Medicare Plus Blue℠. Read more in the February 2021 issue of The Record.
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Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |