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October 2017

Reminder: Re-enrollment with Blue Cross and BCN for physician assistants starts October 2017

Beginning Oct. 1, 2017, physician assistants must re-enroll with Blue Cross Blue Shield of Michigan and Blue Care Network, including our Medicare Advantage programs. PA re-enrollments will be processed with an effective date of Feb. 1, 2018.

Please refer to the following documents for complete information:

  • August 2017 Record article
  • September-October 2017 BCN Provider News article
  • Frequently asked questions, located in web-DENIS
    1. Log in to web-DENIS.
    2. In the left navigation, click BCBSM Provider Publications and Resources.
    3. Click on Newsletters & Resources.
    4. Click Provider Training in the left navigation.
    5. Scroll down to the Job aids, FAQs, brochures and flyers section to find FAQ for Physician Assistant Re-enrollment for Reimbursement.

Also please note:

  • All PAs are encouraged to re-enroll as early as possible beginning Oct. 1, 2017, to ensure claims don’t reject inappropriately for dates of service on or after Feb. 1, 2018.
  • Upon re-enrollment, be sure your CAQH data is current and consistent with the information you provide on the re-enrollment form.
  • Current reimbursement arrangements will be terminated for dates of service after Jan. 31, 2018.

How to contract and re-enroll

Beginning Oct. 1, 2017, PAs can find and use the Blue Cross and BCN practitioner agreements and enrollment forms on bcbsm.com.

About reimbursement for dates of service on or after Feb. 1, 2018

  • PAs who have re-enrolled by Jan. 31, 2018, will be eligible for reimbursement for services within their scope of license either directly or under a group for all lines of business.
  • PAs who haven’t re-enrolled will have their claims denied.

If you have any questions, contact Provider Inquiry or 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.