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December 2016

PARS to provide members’ remaining visits or days in December 2016

The Provider Automated Response System, or PARS, currently provides you with the remaining amounts of member services in terms of cost-share dollars after you authenticate.

Beginning in mid-December 2016, PARS will be enhanced to provide members’ remaining number of visits or days in the benefit period for chiropractic spinal manipulation and cardiac rehabilitation services. Cardiac rehabilitation service limits won’t be available for MESSA members.

Remaining visit limits for physical therapy will be available starting in January 2017. We’ll provide more details in future communications.

Inpatient substance abuse day limits won’t be available through PARS. For this service, you’ll hear the following message, “Due to HIPAA regulations, we cannot provide remaining amounts on member sensitive benefits. If you require further assistance, please contact Provider Inquiry.”

Remaining day or visit limits for Blue Care Network, Federal Employee Program® and Medicare Advantage policies won’t be available through PARS. To obtain the remaining days or visits for these policies, you should request to speak to a Customer Service representative after obtaining benefit information through PARS.

Note: You must listen to at least one benefit in PARS before a transfer to a Customer Service representative is offered.

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 2015 American Medical Association. All rights reserved.