Plan Documents and Forms

Provider Patient Review Inquiry

Enrollment and Changes

Pharmacy services

Blue Cross Blue Shield of Michigan:

Blue Care Network:

Blue Cross Complete

Wellness Plans

  • Physician Verification Form
    Use this form to request a medical waiver or update us on the progress of patients enrolled in a wellness plan.

Supply forms

  • Supply Forms
    Learn how to order general administrative materials if you're a Blue Care Network, Blue Cross Blue Shield of Michigan, dental, or vision and hearing provider.

Referrals

  • Referrals
    Get access to out of network referral forms and learn how to submit referrals electronically.

Continuing Education

  • Training and Seminars
    Learn about billing, electronic services and more with our training and seminars designed for physicians and hospitals.

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