We’ve simplified language in reimbursement addendums for our network agreements

At Blue Cross Blue Shield of Michigan, we’re committed to being clear and simple in our communications to all stakeholders, including our participating health care practitioners. As part of that effort, we’ve revised the language in the reimbursement addendums for the following:

• Blue Cross Practitioner Traditional Participation Agreement, or TRAD Agreement
• TRUST Network Practitioner Affiliation Agreement, or TRUST Agreement
• Local Network Participation Agreement, or Local Network Agreement

These updated addendums don’t reflect any substantive changes to how we reimburse practitioners for covered services provided to members. We’re simply providing a clearer look at our reimbursement policies and methodology. For example, we’ve provided additional detail about a practitioner’s opportunity to participate in our Value Partnerships program and be reimbursed in accordance with the Value-Based Reimbursement Fee Schedule.

To check out the updated addendums, click on the links below. We’ve bolded the areas where the language was updated for your reference:

• Addendum A — Reimbursement policies
• Addendum A — Reimbursement policies TRUST network
• Addendum B — Reimbursement methodology

The revised addendums are being posted on the Provider Enrollment section of bcbsm.com/providers.