Blue Cross | Blue Shield | Blue Care Network of Michigan The Record

Stethoscope with RX papers

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

January 2020

Reminder: Here’s how to find help

You’re trying to get your work done and you run into a Blue Cross Blue Shield of Michigan or Blue Care Network question or problem that you need to solve. Where do you turn?

Check for help online
You can often save time by searching for information online. Log in to bcbsm.com and look in one of our provider manuals or view documents within BCBSM Provider Publications and Resources or BCN Provider Publications and Resources. If your question is about authorizations or referrals, you may be able to find your answer at ereferrals.bcbsm.com. 

Call Provider Inquiry
If you can’t find your answer online, call Provider Inquiry if the question is general or related to claims, benefits or eligibility. Automated information is available 24 hours a day, seven days a week. Plus, you can speak to a Provider Inquiry representative during regular business hours. If your issue isn’t satisfactorily resolved, ask the representative to escalate it to a senior representative.
For help call:

  • 1-800-344-8525 for professional medical providers
  • 1-800-482-4047 for vision and hearing providers
  • 1-800-249-5103 for facility providers

Consult our provider resource guide
If your question is about behavioral health, web technical assistance, pharmacy or other select topics, you can consult our Provider Resource Guide. (Blue Cross phone numbers are on the first page and BCN phone numbers are on the second page.)

Contact a provider consultant
Requests for educational assistance for professional providers should come through a physician organization or medical care group administrator, if you have one. Here’s how to find your provider consultant:

  • Primary care physicians and medical care groups can look on the physician organization consultant list.
  • Specialists and other professional providers:
    • Go to bcbsm.com/providers.
    • Click on Contact Us in the upper right corner.
    • Under Physicians and professionals, click on either Blue Cross Blue Shield of Michigan provider contacts or Blue Care Network provider contacts.
    • Click on Provider consultants and select your geographic region. (View our map to confirm your region.)
  • Hospitals and other facility providers:
    • Go to bcbsm.com/providers.
    • Click on Contact Us in the upper right corner.
    • Under Hospitals and facilities, click on either Blue Cross Blue Shield of Michigan provider contacts or Blue Care Network provider contacts.
    • Click on Provider consultants and select your geographic region. (View our map for facility providers to confirm your region.)

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.