PDF Blue Care Network Contact Numbers - SharpSchool There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. rights during the credentialing process (PDF), Important Information About MedicarePlans, Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. Please review the terms of use and privacy policies of the new site you will be visiting. P.O. Register for web tools. Professional Enrollment Required Document Checklist (PDF), Facility Enrollment Required Document Checklist (PDF). The plan provides coverage for dependents who reside outside the network service area and meet eligibility guidelines. Blue Care Network Of Michigan is a provider established in Lansing, Michigan operating as a Dentist. Follow the steps and well let you know when your credentialing is complete. How can I learn more about my patients' eligibility? This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. The NPI number of this provider is 1831382407 and was assigned on August 2007. The protection of your privacy will be governed by the privacy policy of that site. Blue Cross Blue Shield of Michigan MAPPO . Providers in the Value Network have agreed to offer standard hearing aid options that will not result in out-of-pocket costs. This brochure describes the benefits of Blue Care Network of Michigan (BCN) under contract (CS 2011) between Blue Care Network of Michigan and the United States Office of Personnel Management, as authorized by the Federal Employees Health Benefits law. For an urgent request, you must attest with a signature that the patient's condition is unstable and a delay more than 72 hours could jeopardize their life or limb, or subject them to adverse health consequences if they don't get the requested care. BCBSM Provider Secured Services - Login If you are a Michigan provider, you can access the Provider Resources site through the Resources tab of our payer space on our provider portal. Now that you have everything on your checklist, you'll answer a series of questions to put together the forms you'll need to enroll. Prior authorization requirements Blue Cross Blue Shield of Michigan Behavioral health Blue Care Network of Michigan www.bcbsm.com Customer service 800-662-6667 2019 A Health Maintenance Organization (High Option) IMPORTANT Rates: Back Cover Changes for 2019: Page 16 Summary of benefits: Page 75 Contact TruHearing at (844) 815-7195 to speak with a hearing consultant or to locate a TruHearing provider, or go to truhearing.com/choice. F!'?yYR4VK_&qs4a6+60E\BF9sr7S9O7"G3=Gmdo},X^rLxI~_P?K+TjG>.7XFhGs9eArirS{UNGuYDn!2:6v3 k|d!G5#!cQmJX`B&n Effective Jan. 1, 2021, U-Ms hearing services benefits include a Hearing Services Value Network for U-M Premier Care and GradCare health plan members. *F*1 You may not be able to receive services, such as home health care, home infusion, home hospice and medical equipment deliveries, in your home if you live outside Michigan. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. These forms and your required documents make up your enrollment application. Heres everything you need to know about it. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Your new coverage will become effective the first day of the month following the move or the receipt of this form, whichever is later. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. The practitioner's primary taxonomy code is 122300000X with license number 18754 (MA). Independence Blue Cross(BC) of Philadelphia(Phi) and the Southeastern Pennsylvania(PA), Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA). Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. In this guide you will find contact information for many of the services that BCN ofers and for the functions you most frequently perform in caring for BCN members. BCN Care Management Forms - Blue Cross Blue Shield of Michigan BCBS Provider Phone Number - Anthem Blue Cross and Blue Shield List To become a provider for Blue Cross Blue Shield of Michigan, you need to be credentialed. v5J~05H Anthem Blue Cross (BC) of California (CA) XDV. Call the SSC Contact Center at 5-2000 from the Ann Arbor campus, (734) 615-2000 locally, or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m. TTY users: to reach any number listed here, start by dialing 711. 2023 The Regents of the University of Michigan, download theMoving out a Managed Care Service Area form, update your home address with the university, Search here to locate a participating U-M Premier Care provider, 2023U-M Premier Care Certificate of Coverage, health care Flexible Spending Account (FSA), The Regents of the University of Michigan, $25 copay for office visit for injury or illness, $100 copay for emergency care (waived if admitted), $25 copay for mental health, behavioral health or substance abuse services, No out-of-pocket cost to you for inpatient services, No out-of-pocket cost to you for outpatient surgery, $3,000 individual/$6,000 family out-of-pocket maximum (Networks 1 and 2 combined), $2,000 individual/$4,000 family annual deductible, No out-of-pocket cost to you for preventive care. Find a Medicare Doctor in Your Network - Humana Your contact information will be accessible to millions of our members. You may have rights during the credentialing process (PDF). U-M Premier Care is a managed care plan. Thank you to those who completed the Behavioral Health Quality Improvement Program Survey. The . Register Now, Not registered? If you are eligible, you may want to consider enrolling in a pre-taxhealth care Flexible Spending Account (FSA)to complement your health plan. 1-313-225-9000. Alliance Health Plan. BCN Behavioral Health uses modified InterQual criteria for decisions about the following services: . End of dialog window. Blue Care Network of Michigan 611 Cascade West Pkwy SE Grand Rapids, MI 49546-2143 | map | directions (888) 227-2345 | (800) 662-6667 Visit Site Member Since: 1981 Interested in being listed in our directory? Blue Cross Blue Shield of Michigan Commercial PPO. BCN: Health care coverage that travels - that's peace of mind Have Questions? You will not be able to change plans due to a physicians orhospitals disaffiliation with your health plan. Services received outside of Network 1 or Network 2 are not covered, except in the event of emergency (refer to plan documents for details). You can also contact us using the information here. fZ0]3Jn7G$"l&y3;yx,I:Os"5WI_*U8eG`I Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio to be eligible for U-M Premier Care. Show me where. Register to access tools like e-referral and Electronic Funds Transfer (EFT). Blue Cross Blue Shield of Michigan 20500 Civic Center Dr. When you enroll as a provider with Blue Cross Blue Shield of Michigan, you'll be part of the largest network in the state. The provider is registered as an organization and their NPI record was last . Learn more in ourself-service FAQ. In order to visit a specialist or a Network 2 provider, you will need a referral from your PCP. | Insurance Guide, Hawaii (HI) Medical Service Association (HMSA) BCBS. Carelon-Managed Procedures (formerly AIM), Behavioral Health Continuing Outpatient Treatment Request Form, Entering behavioral health provider names and NPIs, Mental health disorders: partial hospital program, Residential mental health treatment (adult/geriatric and child/adolescent), Mental health disorders: partial hospital program and intensive outpatient program, Substance use disorders: partial hospital program and intensive outpatient program, Neurofeedback for attention deficit disorder / attention deficit hyperactivity disorder, Documentation requirements for applied behavior analysis services, Documentation requirements and privacy regulations for services other than ABA, Behavioral health resources to discuss with your patients, Submitting authorization requests through e-referral - FAQ, Holiday closures: How to submit authorization requests for inpatient admissions, Instructions for filling out CMS-1500 form (02/12), Requirements for providing behavioral health services to BCN members, LLPs and LMFTs Frequently asked questions, HEDIS tip sheet for antidepressant medical management, Administering long-acting injectable medications at home (behavioral health), Requirements for drugs covered under the medical benefit - BCN HMO and Blue Cross PPO, Outpatient detoxification and follow-up care protocols for treating substance use disorders, Behavioral health: For mental health and substance use disorders, general assistance with behavioral health services, For local rules on autism spectrum disorder / applied behavior analysis, see the, Discuss or receive information on criteria used to render an authorization decision. When you enroll, you'll partner with us to care for a large and diverse membership. All providers, facilitiesand services are rendered in Michigan. kSUSTqaiOR wsFv:C C Members may buy up to advanced or premium hearing aid options. For complete information on benefits and coverage, please refer to the plan documents. Welcome to the BCN Provider Resource Guide! Mail Code 1112. Not registered? Individuals attempting unauthorized access will be prosecuted. PDF BCN Provider Resource Guide - Blue Cross Blue Shield of Michigan This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. Field Service. The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Register Now, Learn more about registering for our web tools. Carelon-Managed Procedures (formerly AIM), An Important Message from Medicare About Your Rights, Behavioral Health Continuing Outpatient Treatment Request Form, Entering behavioral health provider names and NPIs, Post-acute care services: Frequently asked questions by providers. In order to complete the process, visitCAQH.org. Northwood: 1-800-667-8496 - Provides non-diabetic durable medical equipment for BCN members.
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