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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.
SecureCare® to manage certain services Blue Cross Blue Shield of Michigan has contracted with SecureCare®, an independent network performance management company, to manage outpatient PT, OT, ST, physical medicine and chiropractic services for Blue Cross commercial and Medicare Plus Blue℠ members starting July 5. Read more: May 2022 issue of The Record Outpatient PT, OT services no longer require prior authorization for Medicare Plus Blue℠ members Medicare Plus Blue will no longer require prior authorization for outpatient physical and occupational therapy services for dates of service on or after April 1. You can submit retroactive authorization requests to eviCore through July 29 for dates of service prior to April 1. Read more: April 2022 issue of The Record Providers in East, Mid and Southeast regions 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: Holiday office closings Blue Cross and BCN offices will be closed May 30 (Memorial Day). Outpatient PT, OT and ST, and physical medicine services by chiropractors and athletic trainers document updated April 2022 The Outpatient PT, OT and ST, and physical medicine services by chiropractors and athletic trainers document has recently been updated. This document provides a brief overview of the utilization management services provided by eviCore healthcare®. The PDF can be found on the BCN Outpatient PT, OT, ST and Blue Cross Authorization Requirements & Criteria pages of ereferrals.bcbsm.com. How to confirm the networks with which you participate We have a document that helps providers find the Blue Cross and BCN products with which they participate. Finding your plans and networks shows you how to use the online provider search to confirm which products you accept. Here's how to find the document:
Blue Cross changing practitioner fees July 1 Blue Cross will change practitioner fees for services with dates of service on or after July 1. This change applies to services provided to our Traditional, TRUST and Blue Preferred Plus℠ members, regardless of the customer group. Fee schedules effective July 1 are available on web-DENIS and Availity. Read more: April 2022 issue of The Record We’re making changes to our practice profiles and providing TRUST PPO network information updates When you receive a practice profile from Blue Cross Blue Shield of Michigan, you may notice it’s in a new format. We’re using a different application to pull the reports, which has resulted in some changes. Read more: March 2022 issue of The Record Blue Cross provides physical therapy benefits for GM hourly employees under group number 83200 Effective Jan. 1, 2022, Blue Cross will administer outpatient physical therapy benefits to GM hourly populations under group number 83200. TheraMatrix will no longer be the outpatient physical therapy provider for this group. Read more: December 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. |