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    • November 27, 2017

    Most Blue Cross Blue Shield ID cards display a three-character alpha prefix in the first three positions of the ID number. However, with the ongoing development of new products and networks, the need for new prefixes for member ID cards is growing. To accommodate this need, alpha-numeric prefixes may be issued as early as April 15, 2018. Numeric... more

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    • September 28, 2017

    Blue Cross Blue Shield of Michigan-branded ID cards display a three-digit alpha prefix in the first three positions of the member’s ID number. However, with the ongoing development of new products and networks, the need for new prefixes for member ID cards is growing. To accommodate this need, a combination of three-digit alpha-numeric prefixes... more

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    • September 28, 2017

    Over the past two months, BCBSMI has received several authorization requests through the e-referral system for procedures for Blue Cross Blue Shield of Michigan PPO (commercial) members that didn’t require authorization. Keep in mind that the list of Services That Require Authorization for procedures that require authorization, as of July 31, 2017... more

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    • April 27, 2017

    As part of Blue Cross Blue Shield of Michigan’s utilization management efforts, we’re moving from the pre-notification system to e-referral, starting July 31, 2017. If you’ve been using the pre-notification system for services requiring authorization (also called prior authorization or preauthorization), you’ll be switching to e-referral. Blue... more

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    • December 19, 2012

    BCBS Michigan provides billing guidelines for procedures they are clarifying under Policy Clarifications.   POLICY CLARIFICATIONS 0001M, 0002M, 0003M, 84999 Basic Benefit and Medical Policy Medical Policy reviewed the Multianalyte Assays with Algorithmic Analysis for the Evaluation and... more

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    • May 20, 2013

    You’ll find the latest information about procedure codes and Blue Cross Blue Shield of Michigan billing guidelines in the following chart. Procedures that have changed a billing guideline or added a new payable group will appear under Updates to Payable Procedures. New procedures that are not covered will appear under Experimental Procedures... more

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    • February 28, 2013

    You may use the new Patient Advance Notice of Noncovered Service(s) form with BCN Advantage HMO‑POS, BCN Advantage HMO or Blue Care Network members if you believe BCN Advantage or BCN will deny payment for a service because it is not medically necessary or is not covered. The Patient Advance Notice of Noncovered Service(s) form allows you to... more

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    • February 28, 2013

    New procedures that are not covered will appear under Experimental Procedures. EXPERIMENTAL PROCEDURES 88299 Basic Benefit and Medical Policy Genetic testing for familal cutaneous malignant melanoma (CDKN2A) is considered experimental, effective March 1, 2013. The peer-reviewed medical literature has not yet... more

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