Blue Cross will directly handle network performance management duties, starting Nov. 1

Starting Nov. 1, 2024, Blue Cross Blue Shield of Michigan will monitor network performance, a service currently performed by SecureCare, an independent company. Blue Cross will directly conduct any future reviews.
 
This will apply to network performance management for the following outpatient services for Blue Cross commercial and Medicare Plus Blue℠ members:  

• Physical, occupational and speech therapy services provided by therapists
• Physical medicine services performed by chiropractors and athletic trainers
• Chiropractic services

There is no action required of health care providers at this time. If a provider is currently on a corrective action plan, the provider should continue working toward the goals put in place by SecureCare. Any follow-up communication about the corrective action plans will come directly from Blue Cross.

Please watch for more communications in our provider portal through Availity Essentials™ and The Record as we progress toward this change.

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.