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March 2024

New training course explains how to submit requests for appeals, peer-to-peer reviews in e-referral

We recently launched the Submitting requests for appeals and peer-to-peer reviews in e-referral course on the provider training website. This e-learning course about inpatient hospital admissions is for facility providers. The interactive course includes the simulation of an e-referral so you can quickly learn how to use e-referral’s questionnaire and case communication features to submit appeal and peer-to-peer review requests. Use the keywords “facility appeals” to search the provider training website. The course is also easily found in the Prior authorization category of the course catalog.

To access the training site from our provider portal, availity.com,** follow these steps:

  1. Log in to the provider portal.
  2. Click on Payer Spaces on the menu bar and then click on the BCBSM and BCN logo.
  3. Under Applications, click on the Provider Training Site tile.
  4. Click on Submit on the Select an Organization page.
  5. Existing users who used the same email address as their provider portal profile email will be directed to the training site. If you used a different email address, contact ProviderTraining@bcbsm.com to update your profile.

    Note: If you’re a new training site user, complete the one-time registration by entering your role and creating a password. This allows you to access the training site outside of the provider portal if needed.

You can also click here to directly access the training website if you don’t have a provider portal account.

If you need assistance navigating the provider training site, email ProviderTraining@bcbsm.com.

 

Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.

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 2023 American Medical Association. All rights reserved.