December 2015
We’ve got a new fax number for requesting practice profiles
Practice profiles for professional providers in the PPO TRUST and Traditional networks are available by mail, fax and email. We recently changed the fax number and it’s listed below.
To request copies of practice profiles, use one of the following methods to provide your name, signature, address and Blue Cross Blue Shield of Michigan provider ID number:
Mail: |
Information Management – Mail code J426
Blue Cross Blue Shield of Michigan
600 E. Lafayette Blvd.
Detroit, MI 48226-2998
|
Fax: |
1-866-297-0983
|
Email: |
IMPRPProfileRequest@bcbsm.com |
As a reminder, practice profiles requested by email can be sent either from the physician’s personal or business email address, but they must have the physician’s electronic signature.
Profiles are based on 12 months of paid claims data. Updated data is available every six months as follows:
- Full-year profiles (Jan. 1 to Dec. 31) are available in March of the following year.
- Mid-year profiles (July 1 to June 30) are available in September of the current year.
If your request is received just before new data becomes available, the request will be honored once that data is available. Follow-up inquiries may be faxed to the new number provided above. |