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February 2015

Blue Cross committed to improving your experience with BlueCard® program

This is part of an ongoing series providing information about the BlueCard program.

Blue Cross Blue Shield of Michigan has reviewed the BlueCard provider satisfaction survey scores. The information and comments we gathered from this survey will help us improve your satisfaction and experience with the BlueCard program.

In 2015, we’ll focus on educating and collaborating with you on areas of the program that affect your business. Some of the areas identified as needing improvement include:

  • Receiving prompt notifications for medical record requests
  • Processing BlueCard adjustment claims in a timely and accurate manner
  • Education on the BlueCard program and the online tools available to assist you

Medical record requests
It’s important to remember that the member’s home plan decides when to request medical records. The BlueCard department at Blue Cross works to expedite sending the request to you and then back to the plan. Ensuring we have your accurate contact information for these record requests will reduce the time it takes for you to be notified that records are needed. Once you receive the request, if the records are returned to us within 10 days of the home plan’s request, it can prevent the claim from rejecting.

If you need to update your contact information for medical record requests, please provide us with the correct address and fax number for the department responsible for processing your claims. A link to the form can be found in the BlueCard chapter of the online provider manuals located on web-DENIS. To find the manuals, log in to web-DENIS and click on BCBSM Provider Publications and Resources.

Online provider manuals
The BlueCard chapter of the provider manuals also includes a variety of links to other online tools that will assist you with the BlueCard program. Please refer to the chapter often as updates and additional information are added monthly.

When a change or additional information is added to the manuals, a web-DENIS broadcast message will alert you to the updated information in the chapter.

If you’re experiencing issues with the information provided in the chapter or any of the online tools — or if you’d like more information on a particular topic — let us know. You can send an email to ProvComm@bcbsm.com and put “BlueCard series” in the subject line.

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 2014 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.