Key forms and documents
These commonly used documents can help you complete your tasks.
View allWaiver of Liability (PDF)
PPO Provider Preauthorization and Precertification Requirements (PDF)
BCN Authorization and Referral Requirements for Non-Michigan Providers (PDF)
BCBSM Request for Preauthorization Form (PDF)
Acute inpatient hospital assessment form (PDF) – Blue Cross and BCN commercial
Medical Record Routing Form (PDF)
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Out-of-area prior authorization resources
Find prior authorization, also known as preauthorization or precertification, resources with the out-of-area router.
PROVIDERS
Provider manuals
Need help understanding our plans? Read our manuals to learn more about our programs, policies and procedures.
Downloadable resources
These documents and materials can help you explain tough topics to your patients.
TOOLKIT
Good Health Club
Help encourage children and young adults to be healthy.
View Good Health Club resourcesORDER FORMS
Patient digital engagement
Spread the word about the value of an online member account.
Order materialsTOOLKITS
New Directions PCP toolkits
Help address mental health and substance use disorder issues.
Visit New Directions