The Record - for physicians and other health care providers to share with their office staffs
December 2013

WebAssist chiropractic provider portal provides clinical resources

Blue Cross Blue Shield of Michigan is committed to helping clinicians provide care that is well-aligned with current, evidence-informed best practices. That’s why BCBSM and its chiropractic partner, Optum™, want to ensure that you can maximize the value and resources found on the Optum chiropractic provider portal, WebAssist.

WebAssist contains a vast library of resources available to you 24 hours a day, seven days a week:

  • BCBSM tiering criteria
  • Your personalized clinical profile comparing your performance against same-specialty peers within the BCBSM network
  • Evidence-based resources
  • Peer-reviewed literature
  • Clinical guidelines
  • Patient education
  • Clinical newsletters

Chiropractors participating in the TRUST network contractually agree to provide BCBSM members with efficient, cost-effective care. We monitor network and individual providers and understand unique aspects of your practice may impact your ability to perform within the averages established by your professional peers. However, unexplained high utilization and cost of care will change your tier category from “meets criteria” to “does not meet criteria.” Unexplained variance from your peers may impact your continued participation in BCBSM’s PPO. BCBSM may contact you at any time with concerns about your profile.

Regular use of the Optum provider portal will help you assess your current standing among your network peers and help you plan for a continued, successful participation in the BCBSM TRUST network.

You’ll need your provider ID and password to access your data on the Optum WebAssist provider portal. If you haven’t received your provider ID or password, or you need this information resent to you, call Optum at 1-800-873-4575.

If you have any questions about the information in this article or would like to discuss a BCBSM clinical case, please call an Optum support clinician at 1-800-873-4575, ext. 31413. If you have any other questions, call a BCBSM profile analyst at 313-448-7371.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.