We’re expanding CAQH ProView 3.0 to include delegated credentialing practitioners

Blue Cross Blue Shield of Michigan is expanding the use of the CAQH ProView 3.0 application. The application will include enrollment demographic and credentialing data for delegated credentialing practitioners.

The purpose of this initiative is to:

• Streamline the data exchange process between delegated practitioner groups and Blue Cross.
• Allow data to be exchanged consistently and more efficiently.
• Improve our provider data quality for our members to view in our directories.

Blue Cross will be accepting automated data feeds from CAQH ProView 3.0 into our provider data repository, Portico. This automated process will make it more efficient for us to maintain provider data and will reduce duplication of data submission for the delegated groups.

We expect to begin beta testing this electronic data exchange with the University of Michigan Medical Group and Genesys PHO for initial enrollment and changes during the latter part of 2019, with the exchange of recredentialing data to follow.

Note: We still require signature documents for contracting. Continue to send these documents to the Provider Enrollment and Data Management department.