Reminder: Update your Provider Authorization Form when changes occur

Blue Cross Blue Shield of Michigan is dedicated to safeguarding its members’ protected health information. To help us achieve this goal, we require that all electronic data interchange trading partners complete a Trading Partner Agreement and Provider Authorization Form before they exchange PHI with Blue Cross.

Terms of the TPA require you to notify Blue Cross of any changes in your trading partner information. Updating your Provider Authorization Form ensures that information is routed to the appropriate destination.

Please review your provider authorization information and update your form as needed 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 changed clearinghouses; these are often called service bureaus
• Changed software vendors
• Decided you no longer want to receive 835 remittance files
• Selected a new recipient for your 835 remittance files

You must also update your form if you plan to send claims using a different submitter ID or route your 835 remittance files to a different unique receiver or Trading Partner ID.

To make changes to your EDI setup:

• Visit bcbsm.com/providers.
• Click on Quick Links.
• Click on Electronic Connectivity (EDI), and then click on How to use EDI to exchange information with us electronically.
• Click on Update your Provider Authorization Form under “EDI Agreements.”

If you have questions about your EDI enrollment, Trading Partner Agreement or Provider Authorization Form, call our help desk at 1-800-542-0945.

None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.