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March 2020

We’re expanding CAQH ProView 3.0

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

The purpose of the expansion is to:

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

The automated data feed process between CAQH ProView 3.0 and Portico, the Blue Cross provider data repository, will streamline the process of maintaining provider data and reduce duplication of data submission for the delegated groups.

You’re still required to complete a supplemental document or form to submit any Blue Cross required documentation, such as contract signature documents, certifications and tax ID numbers. We’ll notify you of additional requirements in a future issue of The Record.

Beta testing is expected to begin with the University of Michigan Medical Group and Genesys PHO for initial enrollment and changes in the first quarter of 2020 and recredentialing during summer 2020.  

If you have questions, contact Provider Enrollment and Data Management at
1-800-822-2761 from 8 a.m. to 4 p.m. Monday through Friday.

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.