WebSep 22, 2024 · Provider enrollment Obtain and under the change requests •Provider Change and enrollment formsat mibuecrosscomplete.com. Click on Forms Providersmenu. Submit completed forms and requests to Provider Network Operations at: [email protected] or fax to 1-855-306-9762. WebForms for Providers. Included on this page are Change and Enrollment forms as well as Michigan Department of Health and Human Services forms. These forms help providers participate with Blue Cross Complete of Michigan as well as the state of Michigan.
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WebProvider Inquiry is for registered, nonregistered and out-of-state providers. Physicians and professionals: 1-800-344-8525. Hospitals or facilities: 1-800-249-5103. Vision and hearing providers: 1-800-482-4047. Federal Employee Program providers and facilities: 1-800-840-4505. While our automated response system is available to any provider who ... WebInstructions for Completion of the New Facility Provider Enrollment form ... Blue Cross Blue Shield of Michigan 600 E. Lafayette Blvd. Detroit, MI 48226 FAX: 866-393-8533 Applying to BCN Networks If you are applying for participation in BCN HMO, BCN Advantage or Blue Cross Complete, then either mail or fax a copy of your completed … scott bierly
For Providers BCBSM - Blue Cross Blue Shield of Michigan
WebProvider Orientation and Training Blue Cross Complete of Michigan offers orientation and provider training courses to better serve our members. New provider orientation Blue Cross Complete providers that are new to our network will receive a face-to-face visit from a provider account executive. WebSubmit forms using one of the following contact methods: Blue Cross Complete of Michigan Attention: Provider Network Management 4000 Town Center, Suite 1300 Southfield, MI 48075 Email: bccproviderdata Fax: 1-855-306-9762 WebThe Provider Manual helps providers navigate our comprehensive network of administrative and covered services. Changes to the Provider Manual are marked with a blue dot in the manual and explained in the blue dot changes document. The Resource Guide provides the most commonly used contacts for Blue Cross Complete. premolar impaction classification