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July 2022

We’ve updated Addendum C of Blue Cross’ Ambulatory Surgical Facility Traditional Participation Agreement

Blue Cross Blue Shield of Michigan has made changes to the participating agreement for ambulatory surgical facilities. The changes are to Addendum C, Reimbursement Methodology, and are effective Oct. 1, 2022.

The new participating agreement is accessible from the Ambulatory Surgical Facilities section of Provider Enrollment on bcbsm.com/providers.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.