Thanks to your feedback, we’ve improved Blue Cross provider manuals

We’ve updated the Blue Cross Blue Shield of Michigan provider manuals to make information easier to find and use. The changes are based on suggestions from providers who participated in provider manual usability testing or the provider manual survey in 2015.

Here are the changes:

• Several chapters have been combined:
• The “Blue Distinction Centers for Specialty Care” chapter has been folded into the “Value Partnerships” chapter.
• The “Best Practices” chapter has been folded into the “Medical-Surgical Services” chapter.
• The “Cardiac Rehabilitation Services” chapter has been folded into the “Hospital Services” chapter of the Outpatient Hospital manual.
• The “Problem Resolution” chapter has been folded into the “Appeals” chapter, which was renamed “Appeals and Problem Resolution.”
• The “ID Card” chapter has been folded into the “Patient Eligibility” chapter.

• The chapters have been reorganized into what we hope is a more logical and usable sequence:

• Most frequently accessed:
• Introduction
• Blue Pages Directory
• Claims
• Valid Modifiers
• Patient Eligibility
• Preapproval of Services
• Appeals and Problem Resolution
• Documentation Guidelines

• Provider-specific chapters (services) in alphabetical order
  (This includes “Physician Office Lab List” and “Radiology Management Program Procedure Codes” where applicable.)
  
  
• Supporting chapters:
• Audits and Other Post-Service Reviews
• Blue Cross Health and Wellness
• BlueCard Program
• Blue Preferred Plus
• Coordination of Benefits
• Exclusive Provider Organization
• General Limitations and Exclusions
• Participation
• Patient Copayment and Deductible Requirements
• PPO Policies
• Value Partnerships (where applicable)

What do you think?
If you have suggestions for making Blue Cross provider manuals easier to use, let us know. You can contact us at ProviderManuals@bcbsm.com.