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Posted: 05/06/2021
Blue Cross Complete's Risk Adjustment Retrospective Review Project 2021 / Health Plan News
Blue Cross Complete (BCC) is initiating a retrospective review project to ensure complete data was reported to the Michigan Department of Health and Human Services.
Posted: 05/06/2021
Balance Billing Blue Cross Complete Members / Health Plan News
Claims for all billable, covered services must be submitted to Blue Cross Complete within 365 days after the date of service.
Posted: 05/04/2021
Blue Cross Complete Claims for Referring Physicians - Submission Reminder / Health Plan News
To prevent denials, claims for referring physicians must be submitted with a valid provider type and unique NPI.
Posted: 05/04/2021
Blue Cross Complete (BCC) of Michigan May/June 2021 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan May/June 2021 Newsletter.
Posted: 04/30/2021
Molina Utilizes CAQH Data for our Provider Online Directory / Health Plan News
Molina announced in their 3rd Quarter 2019 Provider Newsletter that they are collaborating with DirectAssure to help maintain a more accurate and timelier provider directory.
Posted: 04/29/2021
MDHHS Announces Launch of Pilot MiCAL Crisis Helpline in Oakland County and Upper Peninsula, Services To Be Expanded Statewide in Coming Months / OSP News
Michigan Department of Health and Human Services announced the launch of its Michigan Crisis and Access Line, with the rollout beginning in Oakland County and the Upper Peninsula.
Posted: 04/22/2021
Blue Cross Complete Covers Face Masks With A Prescription / Health Plan News
Blue Cross Complete covers masks for members with a prescription to Northwood, Inc.
Posted: 04/21/2021
Update to Blue Cross Complete Request for Prior Authorization Process - One Member Per Fax Submission / Health Plan News
Blue Cross Complete (BCC) is moving to an automated fax authorization request system.
Posted: 04/21/2021
BCC Wants to Let You Know That The JIVA Provider Portal Will Have Two Functions Disabled for Maintenance Through May / Health Plan News
The Episode Abstract functionality and the Related Episode option in the JIVA provider portal will be temporarily unavailable.
Posted: 04/16/2021
BCBSM Behavioral Health Website Provides Resources, Emphasizes Importance of Whole-Person Health / Health Plan News
Blue Cross Blue Shield of Michigan (BCBSM) recently launched a new behavioral health site to help members who are struggling with mental or behavioral health issues.
Posted: 04/15/2021
Priority Health’s Member Inquiry Tool / Health Plan News
Access your Priority Health patient’s plan information with the Member Inquiry tool.
Posted: 04/13/2021
Molina Wants to Remind You to Encourage Your Patients to Participate In the CAHPS Survey / Health Plan News
It’s CAHPS Survey Season the CAHPS survey was recently distributed to a random sample of Molina Medicaid members.
Posted: 04/13/2021
Molina Utilizes CAQH Data for Their Provider Online Directory / Health Plan News
Molina announced in their 3rd Quarter 2019 Provider Newsletter that they are collaborating with DirectAssure to help maintain a more accurate and timelier provider directory.
Posted: 04/13/2021
Molina Announces Prior Authorization (PA) Updates / Health Plan News
The Prior Authorization Guide and Prior Authorization Code Matrix are updated for an April 1, 2021 effective date.
Posted: 04/13/2021
Molina Is Going Live With Availity Web Portal / Health Plan News
Molina will be going live on the Availity Web Portal beginning April 17, 2021.
Posted: 04/08/2021
Urgent Care Centers Must Not Charge Blue Cross and BCN Members for Services Covered Under Their Contract / Health Plan News
Urgent care centers must not charge Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) commercial and Medicare Advantage members for any services covered under their contract with BCBSM and BCN.
Posted: 04/06/2021
HAP Updates for April 2021 / Health Plan News
HAP Updates include the extension of cost-share waivers for COVID-19 testing, treatment and telehealth services; this update and more can be found in the HAP Provider Newsroom.
Posted: 03/31/2021
Blue Cross Complete (BCC) of Michigan April 2021 Complete Update / Health Plan News
Blue Cross Complete (BCC) of Michigan April 2021 Complete Update.
Posted: 03/29/2021
Is Your Office Ready to Offer COVID-19 Vaccine? / OSP News
If your office would like to possibly administer the COVID-19 vaccine, and have not yet registered, now is the time to act.
Posted: 03/24/2021
BCBSM and BCN Electronic Claims Transmission Change Requires Action / Health Plan News
Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) are moving to a new secured file transfer platform, or SFTP, Edifecs, for your electronic transmissions.
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