Blue Cross Blue Shield of Michigan Blue Care Network Lakeland Care Network Payor Conference October 17, 2018 Katie Rogers and Doug Bray Provider Outreach Consultants Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Resources / Tools www.bcbsm.com/providers Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

WebDenis Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

WebDenis eligibility Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

WebDenis Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

BCBSM Provider Publications and Resources Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

BCN Provider Publications and Resources Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Enrollment https://www.bcbsm.com/providers/join-the-blues-network/enrollment.html Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Enrollment / Credentialing Helpful tips: Keep Council for Affordable Quality Healthcare® ProView ® information current, and complete your re-attestation every 120 days. Update “Authorize” section on CAQH. Maintain current board specialty and certification status on CAQH. Designate your primary specialty on CAQH with care and consideration. Provide CAQH with a current malpractice insurance face sheet. Require your malpractice carrier to submit your liability insurance information in a timely manner. If practicing exclusively in an inpatient hospital setting, be sure to update CAQH accordingly. New graduates should wait until 60 days prior to completing training before submitting their application. Practitioners relocating from out of state can submit their application 30 days prior to their start date. Be sure to sign and include all required signature documents Requesting a status: Practitioners currently being credentialed or recredentialed may request the status of their application by contacting the Provider Enrollment and Data Management department. Have the following items ready: National Provider Identifier Tax ID/Social Security number Primary address and phone number Provider Enrollment and Data Management (PEDM) CAQH help desk 1-800-822-2761/fax 1-866-900-0250 1-888-599-1771 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 Manuals 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 Manuals Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Standard ID Cards See Blue Cross Blue Shield of Michigan and Blue Care Network specific ID Card Brochures for more detailed information. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Summary of UM Programs Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Summary of UM programs cont… Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Summary of UM programs cont… Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Summary of UM programs cont… Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Prior Authorization AIM Specialty Health Evicore NovoLogix e-referral www.aimspecialtyhealth.com 1-800-252-2021 Evicore www.evicore.com 1-855-774-1317 NovoLogix Access through Provider Secured Services Pharmacy Clinical Help Desk 1-800-437-3803 e-referral www.ereferrals.bcbsm.com 1-800-392-2512 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

E-referral www.ereferrals.bcbsm.com Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Who to call Provider Inquiry BCBSM / BCN Professional 1-800-344-8525 BCBSM / BCN Facility 1-800-249-5103 Federal Employee Program 1-800-840-4505 BCBSM Medicare Advantage 1-866-309-1719 EDI – front end rejection on claim 1-800-542-0945 BlueCard (BCBSM and MA) 1-800-676-BLUE (2583) WebDenis / Provider Secured Services 1-877-258-3932    If you have contacted the above areas without resolution, the Provider Relations department will be more than happy to assist. Please provide the name of the person/department you spoke with so we don’t duplicate efforts. BCBSM Professional Claim Specialist: Heather Armock at 616-389-2137 or harmock@bcbsm.com BCBSM Facility Claim Specialist: Jeff Munn at 616-389-2116 or jmunn@bcbsm.com BCN/BCNA Specialist: Jennifer Gallandt at 616-389-2136 or jgallandt@bcbsm.com   BCBSM/BCN Professional Provider Consultant BCBSM/BCN Facility Provider Consultant Katie Rogers Doug Bray krogers2@bcbsm.com dbray@bcbsm.com Ph: 269-321-7677 Ph: 616-321-7679 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Questions? Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.