Blue You can also call eviCore at 1-855-774-1317. When you see a doctor whos in our network, youll pay less. Dr. Sophia Myers, DC, FASA is a Chiropractor & Acupuncturist practicing in Raleigh since 1998. 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. Dr. Katzman is an internationally recognized orthopedic surgeon specializing in minimally invasive spine surgery, and currently practices in New Jersey and Florida. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Your Online Account; Member Discounts 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations Enter N/A if not applicable. He has expertise in sports medicine and advanced reconstruction of the knee and shoulder. Heres how you can find one. portal Ryan Krochak, M.D, is a fellowship-trained sports medicine physician. WebProvider; Agent; Not Registered? Dr. Melvin Ashford, MD is an obstetrics & gynecology specialist in Maplewood, MN and has been practicing for 18 years. WebDental and Vision. Find a Doctor - mibluecrosscomplete.com WebFor Michigan providers new to Blue Cross and BCN, please review the Enrollment Helpful Hints (PDF). Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Protected Health Information and Privacy Forms page, Important Information About MedicarePlans, Physicians, including Primary Care Providers, Pay your monthly bill, if you buy your insurance from us, View your deductibles, out-of-pocket maximums and check claims, Access your claims and explanation of benefits statements, Research benefits, out-of-pocket costs and drug prices, View all your referrals and authorizations in one place, excluding Medicare Advantage and Rx, MESSA (Michigan Education Special Services Association), Distribute anyone else's copyrighted material, intellectual property or trade secret information without written permission of the owner, Interfere with privacy or publicity rights of others, Send or post a sexually-explicit image; use obscene, defamatory, threatening, harassing, abusive or hateful language, Pretend to be another person by using their password or otherwise, Violate the Children's On Line Privacy Protection Act ("COPPA"), Misuse or disclose without permission the private, personally identifiable information ("PII"), or protected health information ("PHI") of yourself or someone else, Market, promote or sell any tools, products or services for any commercial purpose, Suggest or imply that any information submitted, posted or otherwise shared by you on the App is in any way endorsed, promoted, supported or otherwise approved by BCBSM, Upload to, or transmit through, the App any harmful or malicious software or programming including, but not limited to, any viruses, malware, worms and/or Trojan horses. 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. We provide health insurance in Michigan. Plan highlights. Your Blue Cross mobile app is a great toolfor understanding and managing your health care. network Visit Site. Have you ever been surprised by a health care bill or the cost of a prescription? Click Secure Provider Resources (Blue Cross and BCN). HMO stands for health maintenance organization. However, out-of-pocket costs may be less if you receive services from a provider in the Value Network for hearing services. Type data into every field unless otherwise noted. Locate aU-M Premier Care providerorfind out if your doctor accepts this plan. You'll have access to a complete libraryof information to support your health and well-being. Blue Care Network P.O. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Disclosure to unauthorized persons or use for any other Non-Michigan providers: Referral and authorization requirements for BCN members Provider Inquiry Contact Information BCBSM employees or agents will never ask you to share your password. We provide health insurance in Michigan. This form is for members who have individual or family, or employer-sponsored coverage through Blue Care Network. For most services, you'll pay the full cost until you reach the deductible. Then, confirm your selection. Every effort has been made to ensure the accuracy of the benefits information in this site. Click the eviCore Provider Portal tile on the Applications tab. View your claims history. We may collect and use the information gathered through the App (both information you submit and information we collect about you) in accordance with the BCBSM Mobile Privacy Policy found at BCBSM.com. Blue Cross Blue Shield of Michigan Contacts John J Hong, MD, is a board-certified gastroenterologist who specializes in obesity management. WebFind Doctors Who Accept Blue Care Network of Michigan Near Me 150 results TOP DOCTOR Dr. Satjit Bhusri, MD Cardiologist (Heart Specialist) 5.0 (113) (212) It's the smart and intuitive way to understandwhat your health plan has to offer. You may not use the App to: You will not use the App in violation of any laws. 3 . We pay the Original Medicare deductibles for you. To enroll in a different health plan,download theMoving out a Managed Care Service Area formand submit your signed and completed within 30 days of the date of your move. WebCare outside of Michigan covered for BCN Advantage HMO-POS members.. 107 BCN Advantage Page ix BCN Provider Manual (BCN commercial and BCN Advantage) Revised June 2023 Provider Application Website. The App may permit you to post or share information. We may amend these Terms at any time by posting a revised version on the App or on our website. Providers WebGroup administrators who maintain data for health care practitioners and allied provider groups can use this app. Blue Care Network Thank you to those who completed the Behavioral Health Quality Improvement Program Survey. WebHMO. By logging in directly to the eviCore healthcare provider portal at evicore.com *. Quick Tip. Get access to your agent portal. WebBlue Vision. Blue Care Network of Michigan The UAW represents four bargaining units at Blue Cross Blue Shield of Michigan: Local Union 1781 (Region 1), Local Union 2500 (Region 1), Local Union 2145 (Region 1D) and Local Union 2256 (Region 1D). Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. WebBlue Cross Complete of Michigan has a network of providers for all your health care needs. Get access to your employer portal. Get access to your agent portal. The App is password-protected and for use only by BCBSM authorized users. Blue Cross Select. Which one do you live in? Webprovide covered services as long as they follow the authorization requirements for the services listed in the table below (for providers in Michigan) or in the Non-Michigan providers: Referral and authorization requirements document (for providers outside of Michigan). Blue Care Network provides materials and resources to assist you with your behavioral health referrals. U-M Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. Behavioral and mental health resources. Individual and Family Plans; Dental Plans; Medicare ; Medicaid Plans; Employers You agree to cooperate with BCBSM in causing any unauthorized co-branding, framing or linking to immediately cease. The App, or our website, BCBSM.com, allow you to change your password. Get access to your online account. Dr. Robert I. WebThis 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. The contents of this App, including but not limited to, the text, images, postings, uploads, downloads, layout and code, are proprietary information, intellectual property or copyrighted material belonging to BCBSM and its content providers. Air ambulance authorization requests for BCN commercial members: Effective Aug. 1, 2023, there are no local rules for acute inpatient medical admissions of adults. They cannot be bundled into one transmission.) Oct/Nov/Dec 2022 Edition of Solidarity Magazine is now online! The Blue Cross Blue Shield of Michigan app for members has more than 25,000 five-star reviews. Disclosure to unauthorized persons or use for any other Non-Michigan providers: Referral and authorization requirements for BCN members Provider Inquiry Contact Information Not registered? BCN referral and authorization requirements for Michigan With our HMO-POS plans, it means you can get routine health care when you travel nationwide. Modifications of InterQual criteria starting Aug. 1, 2022. Your primary care physician can refer you to over 16,000 doctors and 141 hospitals in Michigan, Michigan's largest Youll pay more when you see a dentist outside our PPO network. WebPrecertification. Providers You've got your health in hand and a phone in your pocket, and our members love it. Search for a primary care physician in the PCP Focus network. WebBlue Elect Plus out-of-network providers are: Michigan providers who are not contracted with BCN; Non-Michigan providers who do not participate with a BlueCard Traditional plan. Dr. Myers uses safe, effective techniques to help patients ranging from infants to seniors achieve better health, feel fantastic, and stay active. Customer service may be reached at 800-662-6667 or through our website: www.bcbsm. Single vision lenses: You pay costs over $30. Fellowship-trained hand and upper extremities specialist Tiffany Wu, M.D.. Brian Goldstein, D.O., is a highly skilled expert in pain management, offering the latest cutting-edge techniques and procedures to alleviate acute and chronic pain. 20500 Civic Center Drive. for Adults. She graduated from Norman Bethune University of Medical Sciences in 1997. We periodically conduct surveys through the App. You'll need to get set up and follow some guidelines to send and receive information using EDI. 1 choice for Medicare plans in Michigan. This is called the out-of-pocket maximum. Dental BCBSM DOES NOT WARRANT THAT THE APP WILL OPERATE ERROR-FREE, OR WITHOUT INTERRUPTION OR THAT THE APP AND ITS SERVER ARE FREE OF ALL VIRUSES OR CODE HARMFUL TO YOUR EQUIPMENT, YOUR PROGRAMS OR YOU DATA. Providers in the Value Network have agreed to offer standard hearing aid options that will not result in out-of-pocket costs. The transition began March 19, 2022, as shown in the diagram below. Blue Elect Plus Medicare Advantage HMO: 1-800-450-3680. Google Play and the Google Play logo are trademarks of Google LLC. Get access to your agent portal.Register Now. U-M Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. Some plans cover more drugs than others. 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. Blue Care Network providers listed on Doctor.com have been practicing for an average of: 24.1 year (s) Average ProfilePoints score for Providers who take Blue Care Network: 68/80. Were owned by Blue Cross Blue Shield of Michigan. Changes are made to the App often and can occur at any time and without notice. Modifications of InterQual criteria starting Aug. 1, 2022. For example, you provide information when you search for a product, provider or service; communicate with us by phone, e-mail or otherwise; complete a questionnaire or a contest entry form; or participate in discussion boards, wellness programs or other community features. Get access to your agent portal.Register Now. Specific surveys are offered to Blue Cross Blue Shield of Michigan members only within the secure member area. Just tap the app. Please watch for more information about BCN's new behavioral health quality improvement program in BCN Provider News. These acronyms all signify different health plan types: When you have an HMO plan, you choose a primary care physician who works as your partner. Thank you to those who WebSubmit Form Reset Form *By providing your phone number and/or email, you give permission for Blue Cross Blue Shield of Michigan and Blue Care Network to contact you about this communication, answer your questions, and discuss your options.By providing your email address, you give permission for Blue Cross Blue Shield of Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio. For Medicare claims, Get access to your online account.Register Now, Not registered? Prescription drug coverage is included. We provide health Register Now. We figure out what your plan covers and how much. You qualify if any of these apply: You're 65 or older. These are our most comprehensive plans. It also helps pay for medical costs outside a hospital, including doctor visits and preventive care. Register Now, Not registered? Box 68710 Grand Rapids, MI 49516-8710 Providers outside Michigan, file claims with your local BCBS plan. Important Legal and Privacy Information|Important Information About MedicarePlans|Privacy Practices|Site Map|Feedback|Download Adobe Acrobat Reader, Y0074_BCBSMBCNWeb_M_2023_C CMS Accepted 04232023, Page Last Updated Tue Jul 18 20:07:55 EDT 2023. The changes apply to all Blue Cross Blue Shield of Michigan, Blue Care Network and Blue Cross Complete of Michigan members, except for members who get a separate Notice of Privacy Practices from their employer. Below are links to various utilization-management-related forms, some of which are used to request authorization for various services. You will love how the app helps you find and checkon doctors and hospitals with the Find A Doctor tool. WebU-M Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. Providers These apply to services other than drugs covered under the medical benefit. primary care physician online Some of these plans also cover preventive dental, vision and hearing costs. Dr. Eric Morgenstern, MD is a gastroenterology specialist in New York, NY. and in . Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. About Blue Care Network Blue Cross Blue Shield of Michigan PPO stands for preferred provider organization. 1996-2023 Everyday Health, Inc., a Ziff Davis company. There you will Click the Forms menu and make the appropriate selection. Pay your premium online if you have individual coverage. All material made available to you on or through the App is confidential and shall be treated by you as such. Contact TruHearing at (844) 815-7195 to speak with a hearing consultant or to locate a TruHearing provider, or go to truhearing.com/choice. Dr. Michael Tarlowe, MD is a Colon & Rectal Surgeon in White Plains and New York, NY. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Tobacco coaching. Downloading the app is easy. >> FOR MEDICATIONS COVERED UNDER THE MEDICAL BENEFIT, SEE THE MEDICAL BENEFIT DRUGS PHARMACY PAGE << Blue Care BCN Care Management Forms - Blue Cross Blue Shield of Michigan BCN Provider Search - Blue Cross Blue Shield of Michigan Box 68767 Grand Rapids, MI 49516-8767. Our Medicare Advantage plans use copays for most services. To get copies of individual rights forms, please visit ourProtected Health Information and Privacy Forms page. Behavioral Health You pay 20 percent coinsurance for most services with Original Medicare. Click the Forms menu and make the appropriate selection. PPO plans have more flexibility than HMO plans. * Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. Below are links to documents detailing Blue Care Network's authorization and referral requirements for services managed by BCN, including lists of procedures that require authorization and authorization criteria and preview questionnaires for various procedures. WebProviders will need to submit a claim to us on the CMS-1500 form or online. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. These plans are also only available through private health insurance companies. The App may contain inaccuracies or typographical errors. Scott Koenig, M.D., is a board-certified and fellowship-trained orthopedic surgeon specializing in the care of the foot and ankle. Members who live in Kent, Muskegon and Oceana counties can choose the Blue Cross Partnered plan. Individuals attempting unauthorized access will be prosecuted. Most popular medical specialty of providers who accept Blue Care Network: Orthopedic Surgeon. WebHealthy Blue Choices SM POS is a point-of-service product for FCA non-bargaining employees and retirees that is administered by Blue Care Network. Dr. Daisy Ayim, MD is an obstetrics & gynecology specialist as well as a cosmetic surgeon in Houston, TX and has been practicing for many years. PPO stands for preferred provider organization. When you register to use this password-protected App, you will establish your account password. Get access to your online account. Dr. A. Joshua Zimm, MD is a facial plastic & reconstructive surgery specialist in New York, NY and has been practicing for 17 years. Register Now, Not registered? Get access to your member portal. To access the router, go Webreached at 800-662-6667 or through our website: www.bcbsm.com. Not registered? When you contact us, either electronically or telephonically, we may keep a record of your communication to help solve any issues you might be facing. WebIn September 2020, Blue Cross Blue Shield of Michigan and Blue Care Network announced in . Need more help? 24-Hour Nurse Line. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Provider Contact Michigan Medicine Audiology Services at (734) 936-8051 for more information or to locate a Michigan Medicine audiology provider, or view information online at Hearing Loss and Hearing Testing. Once there, click the green Find a Doctor button. This form can be used for the following: 1. Most drug lists are updated monthly. About Us. They offer lower monthly payments for those who have few medical and prescription needs. We periodically conduct two types of surveys on our corporate website or through the App. These plans and prices are available in your area: Not sure if you're eligible for Medicare? Around 1,400 UAW members at Blue Cross Blue Shield of Michigan and Blue Care Network are demanding economic justice as contract If you have an Availity account, go to the quick guide for Availity Essentials Success for Blue Cross Blue Shield of Michigan and Blue Care Network Providers to view the top five Blue Cross and BCN questions, and more. Individual and Family Plans; Dental Plans; 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Your new coverage will become effective the first day of the month following the move or the receipt of this form, whichever is later. You can access it through the BCBSM mobile appunder ID card. WebView all our doctors who accept Blue Care Network of Michigan near you. As reflected in the certificate provided through your online account, with this plan you can receive care from both in-network and out-of-network providers. Health Support Value Network providers include Michigan Medicine Audiology Services and TruHearing providers. To get help choosing a plan, call1-866-875-1375. Call for general assistance with behavioral health services, including: Go to the Provider contact us section of bcbsm.com to locate contact information for assistance with the following: 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. If you are enrolled in the plan and move out of the service area,you must change your health plan. For temporary changes and recommendations for providers, refer to our COVID-19 provider webpage. A copay is a fixed amount of money you pay for a certain service. Please watch for more information about BCN's new behavioral health quality improvement program in BCN Provider News. Members save money in Network 1, which includes Michigan Medicine providers along with several 1-800-572-3413. We updated ourNotice of Privacy Practices (PDF)on Sept. 23, 2013 to comply with updated regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
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