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September 2014

BlueCard® program: Check out provider manuals on web-DENIS for useful, up-to-date information

This is part of a series designed to improve your experience with the BlueCard program.

BlueCard members living in Michigan with out-of-state plans often have benefits, medical policies and authorization requirements that are different from Blue Cross Blue Shield of Michigan’s.

Information about out-of-state Blue plans can’t be accessed on web-Denis, and as a result, determining coverage for those BlueCard members can be more challenging.

But to assist you with providing services to BlueCard members, we’ve created a chapter in our provider manuals that discusses the BlueCard program. The chapter includes:

  • The latest information on how to determine eligibility, benefits, authorization and reporting requirements, and how to check the status of BlueCard claims
  • Links to online tools that allow you to check a Blue plan’s medical policy for service and authorization requirements
  • The process for executing electronic authorizations for Blue plans that make the same process available to their local providers
  • Links to Record articles that discuss the BlueCard program

To find the provider manuals, log in to web-DENIS and click on BCBSM Provider Publications and Resources.

We encourage you to review the BlueCard chapter, and contact your provider consultant if you have any questions or suggestions for additional information you’d like to see included in the chapter.

Next month, we’ll discuss the BCBSM BlueCard Department and its staff members who are dedicated to helping you provide services to BlueCard members.

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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.