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August 2017

Review, confirm your demographic data

Blue Cross Blue Shield of Michigan and Blue Care Network members rely on our online provider directory for accurate, up-to-date provider information. Therefore, we’re requesting that you review and confirm your demographic data with us throughout the year. The Provider Enrollment and Data Management team will also mail your demographic information to you twice a year and request that you update or confirm it.

If there are any changes or updates to your data, send them to the Provider Enrollment and Data Management team via:

  • Mail: Provider Enrollment – Attestation
    20500 Civic Center Dr.
    Southfield , MI 48076-4115
    H200 – PDA
  • Fax: 1-844-216-4941
  • Email: providerdataintegrity@bcbsm.com

If you have questions or need support with updating your data, visit bcbsm.com, call Provider Enrollment at 1-800-822-2761 or contact your provider consultant.

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 2016 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.