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July 2023

HMS to decommission its provider portal

As reported in the November 2022 Record, Blue Cross Blue Shield of Michigan and Blue Care Network transitioned their audit services from HMS® to Cotiviti in December 2022 for Medicare Plus Blue℠ and BCN Advantage℠ claim reviews. HMS and Cotiviti are independent companies that provide auditing support services for Blue Cross and BCN.

HMS will decommission its provider portal on July 31, 2023. Starting Aug. 1, access to the portal will cease. Clients and health care providers attempting to log in to the portal on or after Aug. 1 will receive an error message stating the portal has been decommissioned.

Records uploaded into the portal prior to the decommission date will continue to be processed.

Call Cotiviti Provider Relations at 1-866-875-1749 to address:

  • Questions or issues pertaining to records uploaded prior to Aug. 1, 2023
  • Questions or instructions about submitting records or appeals on or after Aug. 1.

To submit records or appeals to Cotiviti on or after Aug. 1, fax them to 203-202-6511.

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 2022 American Medical Association. All rights reserved.