Search results with tag "Bcbsm"
Medicare Advantage Enhanced Benefits - bcbsm.com
www.bcbsm.comBlue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. BCBSM Medicare Advantage – Enhanced Benefits Fee Schedule Page 3 of 9 Revised 11/30/17
Required Document Reference List - bcbsm.com
www.bcbsm.com(enrolling a new practitioner not already affiliated with BCBSM/BCN and adding them to the Group) The following documents are required to enroll the new Practitioner (this section is only applicable for a small number of pr ovider types):
Clinical Laboratory Participating Agreement - bcbsm.com
www.bcbsm.comCLINICAL LABORATORY PARTICIPATING AGREEMENT ... Services provided under this Agreement are subcontracted. Any subcontract for the provision of Covered Services shall be subject to the terms and conditions of this Agreement. 2.5 Accept BCBSM Payment as Payment in Full.
Group Practice Agency Authorization - BCBSM
www.bcbsm.comService Company (BSC), to provide health care services under health benefit products sponsored and/or administered by BCN, BSC or other BCN subsidiaries. By my signature ... Member education, Member grievance, claims processing and administration, and clinical and
Emergency Department Utilization - bcbsm.com
www.bcbsm.comEmergency Department Emergency Department Utilization Team Utilization Team PCP Access Pilot presented at PGIP Quarterly Meeting. Best Practices Session. September 9, 2011
Frequently Asked Questions - bcbsm.com
www.bcbsm.comTitle: Frequently Asked Questions Author: BlueCross BlueShield of Michigan Subject: Frequently Asked Questions Keywords: Frequently Asked Questions, BlueCross BlueShield of Michigan, Why do I need to complete this form, Why do you need this information, Am I required to provide this information, I am covered by two …
COORDINATION OF BENEFITS QUESTIONNAIRE
www.thetmta.comCOORDINATION OF BENEFITS QUESTIONNAIRE LOCAL For your convenience, you can update your coordination of benefits information online at bcbsm…
What is CAQH? - bcbsm.com
www.bcbsm.comThe Council for Affordable Quality Healthcare® (CAQH) is a not-for-profit collaborative alliance of the nation's leading health plans and networks. CAQH's mission is the improvement of healthcare access and quality for patients and the
Building Healthy Communities - bcbsm.com
www.bcbsm.comThe Building Healthy Communities: Step Up for School Wellness program provides students, teachers and administrators with the tools they need to create a healthy school environment that supports a culture of wellness. This program integrates the recommended process from Michigan’s new .
Provider Enrollment and Change Process Required …
www.bcbsm.comSupplier • New Allied Provider Enrollment Form -or- Allied Provider Change Form • BCBSM DME/Prosthetic and Orthotic Supplier Participation Signature Document • Active Michigan practice location required • Medicare Approval Letter • Type 2 National Provider Identifier • Tax Identification Number and Internal Revenue Service document
Instructions for document submission - bcbsm.com
www.bcbsm.comType 2 NPI (National Provider Identifier) Tax identification number For professional group practices and facilities From (Insert name of contact person) Date (MM/DD/YYYY) Type 2 NPI (National Provider Identifier) Tax identification number Instructions for document submission 1. Fax cover sheet must be the first page of your form submission. 2.
Custom Drug List - bcbsm.com
www.bcbsm.comBlue Cross and BCN Custom Drug List Blue Cross Blue Shield of Michigan and Blue Care Network’sCustom Drug List is a useful reference and educational tool for …
Cardiology ICD-10-CM Coding Tip Sheet
www.bcbsm.comICD-10ProviderReadiness@bcbsm.com Page 5 of 5 The codes highlighted in orange indicate the individual ICD-9 code that is being mapped to one or many ICD-10 codes (Source of ICD-9-CM to ICD-10-CM mappings: CMS.org General Equivalence Mappings (GEMs), 2014)
Blue Care Network Qualification Form - Blue Cross Blue ...
www.bcbsm.comYour deadline date is posted on your to-do list in your member account at . bcbsm.com. See below. ... LDL target level based on risk factors: <100, <130 or <160. A. Does not have high cholesterol or it is well ... B. A1C is not controlled but is following treatment C. A1C is not controlled; does not commit to or is ...
Blue Cross and BCN utilization management medical drug …
www.bcbsm.comA checkmark ( ) indicates that a drug has quantity limits. See the Blue Cross and BCN Quantity Limits for Medical Drugs (bcbsm.com) document for the specific quantity limit.
You BCN member ID card has valuable information
www.bcbsm.comBlue Care Network of Michigan . bcbsm.com . A nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association . Customer Service: 800-662-6667 . Use of this card is subject to terms of . TTY/TDD: 800-257-9980 . applicable contracts, conditions and user To locate participating agreements. providers outside of ...
Understanding your Blue Cross prescription drug plan
www.bcbsm.comixed copay (for example, $10 for a generic drug or $80 for a brand-name drug) or a percentage (for example, 20 percent of the total cost of a medication). Annual out-of-pocket maximum: The most that you will have to pay out-of-pocket during the plan year. This includes copays and your deductible. bcbsm.com
2022 BCN Custom Select Drug List - bcbsm.com
www.bcbsm.comThis tier includes drugs that are covered with no out-of-pocket costs when health care reform requirements are met. When health care reform requirements are not met, the drug is not covered. These drugs are shown on the drug list with “PV1” next to them. Tier 1a Preferred generics Lower generic drug out-of-pocket costs
Professional Secured Access Application - BCBSM
www.bcbsm.comProvider Group, Individual Provider, and/or Provider Organization) am responsible for all actions undertaken by the listed individuals. Note: This is an Addendum to the Provider Secured Services Use and Protection Agreement and does not alter the terms set forth therein.
Tip Sheet Mental Health and Behavioral Health - …
www.bcbsm.comICD-10ProviderReadiness@bcbsm.com Page 1 of 2 Mental and Behavioral Health ICD-10-CM Coding Tip Sheet Overview of Key Chapter 5 Updates for Mental, Behavioral and
BCBSM Enrollment/Change of Status Form
www.southgateschools.comSUBSCRIBER INFORMATION - COMPLETE SECTION 1 THROUGH 4 Social Security Number/ Contract Number Subscriber First Name MI Home Street Address check if new City State Zip Code County Current Marital Status
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