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December 2020

Meijer to move to exclusive provider organization network arrangement and offer an HPN option

Starting Jan. 1, 2021, all plans for Meijer members (group number 72625) will move to an exclusive provider organization, or EPO, network arrangement. In addition, Meijer is offering a High-Performance Network, or HPN, option to its members. We’ve told you about Blue Cross’ HPN in recent articles that appeared in the October and November issues of The Record.

In these types of plans, members are responsible for obtaining services from in-network providers and services obtained out-of-network are not a benefit (with some exceptions).

In particular, we wanted to call your attention to services provided by AIM Specialty Health. AIM provides services like high-tech radiology, cardiology and in-lab sleep studies. Prior authorizations are required for any services provided by AIM. You can contact AIM for prior authorization through their website at AIMSpecialtyHealth.com** or by calling AIM’s call center at 1-800-728-8008.

For more information about the Meijer group changes, effective Jan. 1, see the “Group benefit changes” section of the December billing chart.

You’ll know if your patient has a Meijer Blue HPN plan by their Blue Cross ID card or in web-DENIS when you check eligibility. An image of a sample card is below.

Blue Cross Blue Shield Card

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.

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 2019 American Medical Association. All rights reserved.