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July 2014

Reminder: Providers responsible for verifying member eligibility and benefits

We’ve experienced an increase in calls from members telling us that their providers are placing the responsibility on members to verify eligibility and benefits for services. 

Please note that, as a provider, it’s your responsibility to verify member eligibility and benefits. Because coverage changes can occur, it’s important to check this information on behalf of your patients each time you provide services. 

In addition to ensuring that coverage is up to date, verifying member eligibility and benefits on behalf of your patients ensures that you have the correct information.

There are three ways to check your patients’ eligibility and benefits:

  • Use web-DENIS to access this information online by logging into Provider Secured Services. You can access Provider Secured Services at bcbsm.com.
  • Call our automated and interactive phone system, CAREN.
  • Call our Blue Cross Blue Shield of Michigan or Blue Care Network Provider Inquiry line. Provider Inquiry will help answer questions that web-DENIS and CAREN can’t.
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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.