Reminder: Update your Provider Authorization form when changes occur

Blue Cross Blue Shield of Michigan is dedicated to safeguarding the protected health information of our members. These safeguards include completion of a Trading Partner Agreement and Provider Authorization form as part of the electronic data interchange setup process. All EDI trading partners must complete a TPA form and Provider Authorization form before they can exchange PHI with Blue Cross.

Terms of the TPA require you to notify Blue Cross of any changes in your trading partner information. If you switch service bureaus (clearinghouses), software vendors, billing services or the recipient for your 835 files, you must update your Provider Authorization form. Updating the form ensures information is routed to the appropriate destination. You don’t need to update the Provider Authorization form if your submitter and trading partner IDs don’t change.

Keep these items in mind when changes occur. You should review your provider authorization information if you’ve:

• Joined a new group practice
• Left a group practice and now bill using your own national provider identifier
• Hired a new billing service
• Started submitting claims through a clearinghouse or you’ve changed clearinghouses
• Decided you no longer want to receive 835 remittance files
• Selected a new destination for your 835s

You must update your provider authorization information if you will be sending claims using a different submitter ID or route your 835s to a different unique receiver/trading partner ID.

To make changes to your EDI setup:

• Go to bcbsm.com
• Click on Providers at the top of the page.
• Click on Quick Links, located on the right side of the page.
• Click on Electronic Connectivity (EDI) and then Update your Provider Authorization Form under EDI Agreements.

If you have questions about EDI enrollment, contact our help desk at 1-800-542-0945. For assistance with TPA and Provider Authorization forms, select the TPA option.