Blue Cross Blue Shield of Michigan creates combined signature document for each provider type

As part of Provider Enrollment and Data Management’s commitment to assisting practitioners, we have combined the practitioner signature documents into a single document for each provider type.

That way, for example, a medical doctor would only need to sign one document, indicating what network or networks he or she wishes to participate in, rather than a separate document for each network. Signature documents have been created for each provider type.

To complete a combined signature document, the practitioner will need to indicate which network or networks he or she wants to apply for and sign the form. To see a copy of the new combined signature document for doctors, click here.

As of Feb. 23, 2015, combined signature documents were posted for M.D.s, D.O.s, chiropractors, podiatrists and dental and oral surgeons in the Provider Enrollment area of bcbsm.com/providers. New documents for other provider types will be available in the near future.