Keep your Provider Authorization form updated

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 the 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:

• Change service bureaus or clearinghouses.
• Change software vendors.
• Change billing services.
• Change submitter IDs.
• Change 835-file recipients.
• Change unique 835 receivers or trading partner IDs.
• Decide you no longer want to receive 835 remittance files.

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.
• 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 steps below to arrive at the TPA login page at bcbsm.com/providers/help/edi:

• Visit bcbsm.com/providers.
• Click on Help.
• Scroll to the Provider online tools section and click on How do I sign up for Electronic Data Interchange?
• Click on Trading Partner Agreements.
• Click on Complete or Update a Provider Authorization.

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