|
||
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. Final Provider Secured Services and web-DENIS retirement dates announced along with Availity enhancements On Oct. 25, Blue Cross Blue Shield of Michigan and Blue Care Network entered the third phase of retirement for Provider Secured Services and web-DENIS. This phase included the removal of:
Read more: e-learning videos on Medicare Star Ratings updated for 2022 The 2022 CMS Star measures overview is now available on the provider training website. The video series discusses the importance of creating positive patient experiences as part of your efforts to close gaps in care Read more: Page 6 of the November–December 2022 BCN Provider News Submit application to join Blue HPN Blue Cross is opening applications to hospital systems, their physician partners and other types of health care providers for the Detroit-area Blue High Performance Network℠. Read more: November 2022 issue of The Record For some providers, the process for updating information with us is changing in November Starting Nov. 3, 2022, some providers may need to complete two forms to update any of the following information in the Blue Cross and BCN online provider directory: name, specialty, address, phone number and digital contact information. This change will affect all providers except hospitals and group and individual providers. Read more: New for 2023: Blue Cross® Local HMO and BCN Advantage℠ Local HMO Blue Cross Local HMO and BCN Advantage Local HMO are new 2023 networks available to Michigan residents in Macomb, Oakland and Wayne counties. Members must select a primary care physician within the local network of physicians and hospitals affiliated with Ascension and Trinity Health. Read more: Reminder: Providers have a new email box to reach provider consultants Blue Cross and BCN want to make it easier and simpler for you to reach a provider consultant when you need to escalate a provider inquiry. To this end, providers in the East, Mid and Southeast regions now have a new email box to use: petcontactus@bcbsm.com. Read more: BCN offers virtual primary care plan for 2023 BCN will offer a new, low-cost plan providing coordinated, virtual access to primary, urgent and behavioral health care starting Jan. 1, 2023. The virtual primary care plan was developed with Included Health, an integrated clinical care and health care navigation platform. Read more: Page 4 of the November–December 2022 BCN Provider News Check out these online resources Blue Cross has key information our providers need to know about doing business with us, including access, availability and clinical practice guidelines; utilization management criteria; medical policies; member rights and responsibilities; translation services; and much more. Read more: November 2022 issue of The Record Access the Blue Cross Commercial Provider Manual on our new provider portal The Blue Cross Commercial Provider Manual has moved from Benefit Explainer and is only accessible through our new provider portal (availity.com*). The PPO Provider Manual tab in Benefit Explainer will be removed on Nov. 29. Read more: November 2022 issue of The Record *Blue Cross Blue Shield of Michigan doesn’t own or control this website. Holiday office closings Blue Cross and BCN offices will be closed Nov. 8 (Election Day) and Nov. 25 to 26 (Thanksgiving).
| ||
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |