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Provider Enrollment and Change Self-Service for professional groups and allied providers
What is Provider Enrollment and Change Self-Service?
Provider Enrollment and Change Self-Service is an online application within Blue Cross Blue Shield of Michigan's Provider Secured Services that allows practice group administrators to submit requests for updating group information with BCBSM and Blue Care Network and enrolling new practitioners within the group electronically.
Why use self-service?
The Provider Enrollment and Change Self-Service application benefits practice group administrators in several ways:
- Easy – The self-service application is more streamlined and electronic, making it easier to keep your group records up to date.
- Fast – Your enrollment and change requests are processed faster, with some transactions completed within minutes.
- Secure – Your data remains secure since your practice group determines its users and access levels and the application provides an audit trail for every transaction.
- Accurate – You control the data entered for enrollment and change requests. You can also check your group information and the status of your enrollment and change requests online anytime with a few mouse clicks.
- Green – The need to print and fax forms is greatly reduced, which saves money and is more environmentally friendly.
What transactions can be completed using self-service?
| Use the self-service application for: | |
|---|---|
| Professional groups and allied providers | Practitioners in professional group |
| Add or remove practice locations | Enroll or remove practitioners with group |
| Add or remove network participation | Move practitioners between groups |
| Change primary, remit, mailing address or tax ID | Maintain practice locations within group |
| Maintain office hours and location services | Maintain BCN PCP status with group |
| Maintain location contact information | Move members when BCN PCP disaffiliates |
| Terminate groups and allied providers | Maintain BCN Managed Care Group affiliations with your group |
What transactions still require paper forms?
You can't use the self-service application for some transactions. The enhanced online forms must be used for the following provider types and transactions.
| Use enhanced online forms for: | |
|---|---|
| Provider type | Transactions |
| Facility providers |
|
| Professional groups and allied providers |
|
| Individual practitioners |
|
Who can register to use this application?
Group administrators with responsibility for maintaining data of professional groups of health care practitioners and allied providers are eligible to register for access to the Provider Enrollment and Change Self-Service application. These registered group administrators and their designated staff can maintain information only for their group providers enrolled with the Blues who use Type 2 (group) NPIs.
| Professional groups include: | Allied provider groups include: |
|---|---|
| Physicians | Ambulance |
| Mid-level practitioners | Clinical independent laboratories |
| Behavioral health practitioners | Durable medical equipment suppliers |
| Vision and hearing practitioners | Prosthetic and orthotic suppliers |
| Vaccine pharmacies |
Only practitioners with Type 2 (group) NPIs who are responsible for maintaining group information with the Blues should register for the self-service application. Independent physicians or practitioners who are solo practitioners (not part of a group) and facility providers cannot use the self-service application at this time.
How do I sign up?
Registration steps:
- All users must have access to BCBSM Provider Secured Services. If you do not have this access, you must first register for Provider Secured Services.
- Your group then completes Addendum G (PDF) to select a practice administrator and designate users and the level of access for each user. Complete separate Addendum G forms if you are the administrator for more than one group.
Training Tools
To learn how to use the Provider Enrollment and Change Self-Service application, go to the Training Tools page.
Learn what else you can do with bcbsm.com's Provider Secured Services.
