Individuals attempting unauthorized access will be prosecuted. I am applying for health care coverage with Blue Cross Blue Shield of Michigan or Blue Care Network, or I am modifying existing coverage for me or my dependents. Resources for providers continuing participation in Blue Shield network. Behavioral Health Provider Initiated Notice Adverse Action; BlueCare/ TennCareSelect Appeal Forms. These guidelines have been adopted by Blue Cross NC and adhere to the guidelines established by the National Committee for Quality Assurance (NCQA) and the North Carolina Department of Insurance (NCDOI). Find out how to continue participation in our network, including a recredentialing application and mailing instructions. Call 1-800-316-BLUE (2583). Please follow the instructions carefully and provide current Blue Cross and Blue Shield of Minnesota uses a credentialing process to provide members with a selection of physicians and other health care professionals who have demonstrated backgrounds consistent with the delivery of high quality, cost-effective health care. The checklist and signature documents are available online from within provider enrollment. Box 5043 Southfield, MI 48086 Fax: 1-877-218-1466 . Below is a sample ID card for a Georgia Anthem member enrolled in a national employer Blue HPN plan. While Caterpillar makes every effort to maintain accurate information, participating NetWork provider information may periodically change. Outside of Michigan, this plan uses the Blue Cross and Blue Shield PPO network through the BlueCard program. Please review the Required Document Checklist ( PDF ) for your classification type and ensure that you have all the needed information readily available to avoid processing delays. Medical and Pharmacy Information. ©1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Please select which networks you wish to join: Preferred Blue (PPC and FEP) State Health Plan Medicare Advantage Blue Essentials Blue Option. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. We help Medicaid members get the health care they need in 32 Michigan counties across the state. Questions? BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. Join the Dental Network See enrollment and credentialing guidelines specific for dental providers and apply today! Name: Anthony Cooper Phone: (844) 353-2900, (Option 1) ext. Behavioral health services Preauthorization Claims Enrollment E-referrals Pharmacy services Provider inquiry Provider consultants Quality management Was this content helpful? We share with all physicians and providers who participate in our networks a commitment to quality care and service as well as to the standards set by regulatory and accrediting organizations . Medicare Policies and Responsibilities Find information on specialty networks, credentialing, and the responsibilities of primary care physicians. Blue HPN ® plans offer access to providers with a record of delivering high-quality, efficient care. With the implementation of the Provider Application and Validation for Enrollment (PAVE) Provider Portal, PED now offers an improved web-based enrollment process. Provider Enrollment Application . As employers across the country host open enrollment periods for their employees, many will offer a new option this fall: plans built around a Blue High Performance Network (HPN). Your network representative is your direct liaison to Blue Cross. It’s more than care. Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. Early Arrival Enrollment Form [pdf] This plan uses the Blue Care Network of Michigan (BCN) provider network within the state of Michigan. We’ll do the same for you. It’s a call when you need it most. Need Our Help? FEP Standard Option Dental, FEP Basic Option Dental, BCN Advantage SM and Medicare Plus Blue PPO use the DenteMax networks. *Blue Cross Blue Shield of Michigan and Blue Care Network use leased provider networks offered by United Concordia Companies, Inc. for its dental plans. Find Care Contact Blue KC Prior Authorization Updates We are pleased to announce that we are making electronic authorizations available, fully effective beginning January 1, 2021. Blue Care Network forms are available on the Forms page in BCN Provider Publications and Resources on web-DENIS. Online Training Stay connected with online web-based training created specifically for physicians, providers, and administrative staff. Network providers are listed in our online directories for your reference. To find a doctor, click on one of the below links: Ann Arbor. Blue Cross Blue Shield. We apologize for the inconvenience. Our Network Development is made up of several teams with one goal: working together to deliver the best possible service to our providers. Partnering with you to deliver the best care and patient experience. Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. To join the Blue Cross NC provider network, we’ll need to check your credentials. Web Content Viewer - Fixed Context. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Manual for Physicians and Providers View Manual. Give Feedback . The Department of Health Care Services (DHCS) Provider Enrollment Division (PED) is responsible for the timely enrollment and re-enrollment of eligible fee-for-service health care providers in the Medi-Cal program. We apologize for the inconvenience. Important Legal and Privacy Information | Important Information About Medicare Plans | Privacy Practices Please follow the instructions carefully and provide current information to avoid delays in processing. BlueChoice HealthPlan As employers across the country host open enrollment periods for their employees, many will offer a new option this fall: plans built around a Blue High Performance Network. Provider Login . You may go to any of our network providers listed in this directory. You might not be able to log in or access some applications from 2 to 6 a.m. Jan. 9 while we work on the website. United Concordia Companies, Inc. and DenteMax are independent companies. 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