The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

June 2015

Reminder: Keep Blue Cross updated about changes to your practice

We want to remind professional health care providers, other health care practitioners and non-hospital facilities that you must notify Blue Cross Blue Shield of Michigan within 30 days of changes made to ownership, name, tax identification number, practice location, practice phone number or medical group affiliations, as well as whether or not your practice is accepting new patients.

For practitioners:
To update provider information (name, individual practice address, phone number or credentialing information), physicians and other professional providers must update information online through the CAQH ProView®**. For help, practitioners and professional providers can call the CAQH Support Desk at 1-888-599-1771 or email providerhelp@ProViewCAQH.org.

To update your practice location information, when under a professional medical group, you must use the change notification process for organizational providers. Changing your practice address in CAQH does not change your practice location information for any medical group affiliations.

To update tax information (tax name, tax ID, mailing or remittance address or accepting new patients), submit the information using the appropriate change form available at bcbsm.com/provider by clicking on Enrollment and Changes and following the prompts. Fax the form to Provider Enrollment and Data Management at 1-866-900-0250.

For organizational provider and non-hospital facilities:
Professional organizational providers and non-hospital facilities must complete the appropriate change form available at bcbsm.com/provider by clicking on Enrollment and Changes and following the prompts. Fax the form to Provider Enrollment and Data Management at 1-866-900-0250.

For hospitals:
Hospitals can go to bcbsm.com/provider when updating existing provider information (name, phone number, tax name, tax ID, remittance address or any other information). 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.

It’s a good idea to occasionally 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 should use the enrollment self-service application 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 2014 American Medical Association. All rights reserved.