blue cross complete patient portal

How do I become a blue cross provider?

©1996-2022 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

What is my Patient Portal?

The Claims Filing Instructions Manual (PDF) guides you through submitting clean claims to Blue Cross Complete. The Appropriate Use of Claims Modifier Guide (PDF) helps you with billing using modifier 25 and 59 appropriately. Submitting a refund Use the Provider Claim Refund Form (PDF) to submit a refund of overpayment to Blue Cross Complete.

Does Blue Cross Blue Shield offer life insurance?

Is Blue Cross a PPO?

What is a BIN number?

The electronic processing of retail pharmacy claims requires a NCPDP processor ID number, also known as a BIN, and a processor control number, or a PCN, for plan identification. Blue Cross Complete's D.0 Payer Sheet (PDF) contains our BIN (600428), PCN (06210000), member services number, field definitions and other helpful information for pharmacy claim billing and rebilling.

Do you need prior authorization for Blue Cross?

A prior authorization for healthcare common procedure coding system medications is required before they are covered by Blue Cross Complete. Click the HCPCS PA List (PDF) for a list of codes that require prior authorization.

What is a provider manual?

The Provider Manual (PDF) 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 (PDF).

How to enroll in EFT?

To enroll in EFT, visit ECHO Healthcare to start the enrollment process. To check the status of an EFT enrollment, contact ECHO Healthcare at 1-888-834-3511. A virtual debit transaction in which randomly generated, temporary credit card numbers are either faxed or mailed to providers for claims reimbursement.