For Providers

As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. That means better service and better care for your patients. Whether you're interested in joining our network or have already partnered with us, we're here to help.

 

 

 

 

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Why join our provider network?

When you enroll, you'll partner with us to care for a large and diverse membership.

  • You'll have access to reward programs that seek to transform health care.
  • Your contact information will be accessible to millions of our members.
  • Online tools provide you with information and support anytime.
Enroll now

PROVIDERS

Provider manuals

Need help understanding our plans? Read our manuals to learn more about our programs, policies and procedures. ACCESS MANUALS

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PROVIDERS

The power of partnerships

It's more than just business when you join the Blue Cross network. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs.

LEARN MORE

Already an enrolled provider?

After you've enrolled, you can register for a provider portal account. Each account comes with tools that let you quickly and easily get your work done.

Register for web tools

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Popular web tools tasks

  • Send electronic funds transfers
  • View patient benefits
  • Check authorizations
  • View claims

Frequently asked questions

Credentialing is a verification process that proves you have the appropriate license, education, insurance and other qualifications necessary for your provider type.    

To get credentialed, you'll need to visit CAQH.org. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy.

We offer two ways to find patient eligibility information — by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. 

 

Provider Inquiry is for registered, nonregistered and out-of-state providers. 

 

  • Physicians and professionals: 1-800-344-8525
  • Hospitals or facilities: 1-800-249-5103
  • Vision and hearing providers: 1-800-482-4047
  • Federal Employee Program providers and facilities: 1-800-840-4505
 

While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account.

We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. 

 

Providers within Michigan

If you're within Michigan, you can use our e-Referral site to learn whether you need to submit a prior authorization.

 

Providers outside Michigan

If you're practicing outside Michigan, use these documents to learn how to submit a prior authorization:

 

Still have questions?

Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact.
Contact us