We’ve added a Documentation Guidelines section to Benefit Explainer

To make it easier for you to find information about medical criteria, payment policies and procedure code updates, we’ve added a Documentation Guidelines tab to Benefit Explainer.

To find the Documentation Guidelines tab in Benefit Explainer:

Log in to Provider Secured Services.
Select web-DENIS.
Click on BCBSM Provider Publications and Resources.
Click on Benefit Policy for a Code.
Select Medical/Payment Policy or the BPR tab.
Click on Topic to select and enter desired search criteria.
Select Finish, then click on Search.
Medical Payment Policy Report or BPR Report displays.
Click on Additional Information.
Select Documentation Guidelines to view the information.

The information found under the Documentation Guidelines tab will still be available in The Record billing chart and web-DENIS alerts.

Here’s what the new tab looks like through the Medical/Payment Policy Report tab:

Here’s what the new tab looks like through the BPR tab:

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 2017 American Medical Association. All rights reserved.