October 2017
Reminder: Update your Provider Authorization form when changes occur
Blue Cross Blue Shield of Michigan is dedicated to safeguarding our members’ protected health information. 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 and Provider Authorization form before they can share protected health information with Blue Cross.
Terms of the TPA require you to notify us of any changes in your trading partner information. If you switch service bureaus or 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.
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 send 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 and click on the following:
- Providers
- Quick Links
- Electronic Connectivity EDI
- How to use EDI to exchange information with us electronically
- Update your Provider Authorization Form, which is found under EDI agreements
For 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. |