Ereferrals.bcbsm.com

Blue Cross Home-Based Services

To learn how to submit requests, see our Getting Startedpage. Submit requests before providing services. See more

Actived: 2 days ago

URL: http://ereferrals.bcbsm.com/bcbsm/bcbsm-home-health-care.shtml

BCN Healthy Blue Choices POS

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. Healthy Blue …

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BCN Woman's Choice specialty and procedure/diagnosis code …

WEBFor primary care-related specialists, certain professional services can be billed without a referral but must have a specific diagnosis code. List is continued from page 4. When …

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Behavioral Health

WEBBlue Cross Behavioral Health SM manages prior authorizations for behavioral health services (for mental health and substance use disorders) for the following members: …

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Blue Cross Blue Shield of Michigan: Understanding member …

WEBEnrollee Name VALUED CUSTOMER Health Plan (80840) 9101003777 Blue Cross Blue Shield of Michigan A nonprofit corporation and independent licensee of the Blue Cross …

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Blue Care Network: Understanding member ID cards

WEBMichigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI …

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CARE MANAGEMENT AND SUPPORT SERVICES

WEBBlue Cross and BCN - Health assessments: For complex medical conditions. Blue Cross Blue Shield of Michigan and Blue Care Network offer care management programs and …

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BCN referral and authorization requirements for Michigan …

WEBCall these requests in to BCN Utilization Management at 1-800-392-2512. For providers contracted with BCN, no authorization is required. For BCN Advantage members, home …

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Filling Out the CMS-1500 (02-12)

WEBInclude all alpha and numeric characters. 2. Patient’s name. Enter the patient’s last name, followed by the first name and then a middle initial. Use a nickname only if the patient is …

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BCN Home-Based Services

WEBHome-Based Services. Blue Care Network requires prior authorization for home-based services as follows. BCN Utilization Management — Submit through the e-referral …

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Blue Cross: Behavioral health information for dates of service …

WEBThis document contains information for behavioral health services with dates of service before Jan. 1, 2024. Note: See the Blue Cross Behavioral Health page on …

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Home health care

WEBCareCentrix manages authorizations for and supports the coordination of home health care services, such as skilled nursing and physical, occupational and speech therapies. This …

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For BCN HMO and BCN AdvantageSM

WEBEffective Jan. 7, 2020, behavior analysts must be licensed by the state of Michigan to be reimbursed by BCN. Effective Jan. 1, 2020, clinical nurse specialists …

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Blue Cross and BCN Provider Systems and Web Resources

WEBProvider Manuals. The manuals educate providers on policies and procedures and give comprehensive information about doing business with Blue Cross and BCN. They also …

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BCN's Woman's Choice Referral and Authorization Guidelines

WEBReferral requests must be submitted electronically (preferred method) or by telephone to BCN's Utilization Management department at 1-800-392-2512. A requirement for …

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Physician peer-to-peer request form

WEBFor non-behavioral health facility inpatient admissions, check one (below), then complete the form and fax it to 1-866-373-9468 or email it to [email protected]. Note: Peer …

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Home health care

WEBBy fax. Fax to 1-877-245-4891. By phone. Call 1-833-409-1280. For information about the clinical documentation you need to submit with the prior authorization request, see the …

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Blue Cross and BCN: Blue Cross Behavioral Health

WEBStarting Jan. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network consolidated all behavioral health prior authorization and case management services …

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Frequently asked questions: LLPs and LMFTs

WEBFor additional assistance. If you need additional assistance, call one of these numbers: Provider Inquiry at 1-800-344-8525 (professional providers) or 1-800-249-5103 …

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