Reminder: Update your Provider Authorization form when changes occur

Blue Cross Blue Shield of Michigan is dedicated to safeguarding the protected health information of its members. These safeguards include completion of a Trading Partner Agreement and Provider Authorization form as part of the electronic data interchange setup process. All EDI trading partners must complete a TPA and Provider Authorization form before they can exchange PHI with Blue Cross.

The terms of the TPA require you to notify Blue Cross of any changes in your trading partner information, so it’s important to keep your Provider Authorization form up to date. Updating the form also ensures information is routed to the proper destination.

Update the form when you switch:

• Service bureaus or clearinghouses
• Software vendors
• Billing services
• 835-file recipients
• Submitter IDs
• Unique 835 receivers or Trading Partner IDs

Review the form when you:

• Join a new group practice.
• Leave a group practice and start billing using your own NPI.
• Hire a new billing service.
• Start submitting claims through a clearinghouse or when you’ve changed clearinghouses.
• Decide you no longer want to receive 835 remittance files.
• Select a new destination for your 835.

You don’t need to update the Provider Authorization form if your submitter and Trading Partner IDs don’t change.

How to change your EDI setup

To make changes to your EDI setup log in to the Trading Partner Agreement webpage. Or follow the complete navigation steps to arrive at the TPA login page:

1. Visit bcbsm.com/providers
2. Scroll down to the Provider resources section and click on Quick Links.
3. Click on Electronic Connectivity EDI.
4. Click on How to use EDI to exchange information with us electronically.
5. Scroll down to the EDI agreements section and click on Update your Provider Authorization Form.

If you have any questions about EDI enrollment, contact the EDI Help Desk at EDISupport@bcbsm.com. Include your submitter ID with all correspondence.