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March 2014

Reminder: Keep practice address information up-to-date with BCBSM

We’d like to remind practitioners that it’s important to make sure that Blue Cross Blue Shield of Michigan has your correct practice address information in our records. If you need to update your practice’s address information, here’s important information to know:

  • To change or add a primary practice location: Practitioners should submit changes to the Council for Affordable Quality Healthcare's Universal Provider Datasource®. For help with the UPD, practitioners can call the CAQH Support Desk at 1-888-599-1771 or e-mail caqh.updhelp@acsgs.com. More information is available at upd.caqh.org**.
  • To add or remove practice locations: Submit the information using the Practitioner Change Form (PDF) that is available at bcbsm.com/provider by clicking on Enrollment and Changes and following the prompts. This applies to solo practitioners who work in Michigan at multiple locations outside of an established group affiliation.

    Note: If you only practice through a group affiliation, you don’t need to submit additional practice locations. The maintenance of group practice locations is handled by your group practice administrator.
  • For practice locations outside of Michigan: You must maintain an active Michigan practice address on CAQH, as well as meet the licensure requirements for enrollment. You can designate the Michigan address as either your primary or an additional practice location on CAQH. If you do not have an active Michigan practice location listed in CAQH, you may be subject to full disaffiliation with BCBSM.
  • If you practice exclusively in a hospital: You should record your primary hospital's address upon initial enrollment. When completing the CAQH application, you will indicate that you practice exclusively in a hospital. CAQH will send the Blues a notification that your practice location matches that of your primary hospital. If you do not wish for the hospital's address to be recorded as your primary practice location, please do not indicate that you practice exclusively in a hospital setting on CAQH.

If you’re making an address change and you have questions regarding how it may affect your Blues affiliation, please call Provider Enrollment and Data Management at 1-800-822-2761 or call your provider consultant.

Helpful tip: It’s a good idea to periodically review your address information using the “Find a Doctor” tool on bcbsm.com. Contact your provider consultant if you find any incorrect data. Professional groups can use Change Self-Service to change their information.

**BCBSM does not control this website or endorse its general content.

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 2013 American Medical Association. All rights reserved.