Administrative training for professional providers

Benefit Explainer Enroll

The Benefit Explainer class reviews basic topics and covers in-depth material related to all information available through use of the tool.

Billing Basics Enroll

The Billing Basics class is intended for professional providers. The class covers eligibility and coverage, checking benefits, online resources and completing the CMS-1500 claim

Best Practices Enroll

The Billing Basics class is intended for professional providers. The class covers eligibility and coverage, checking benefits, online resources and completing the CMS-1500 claim

BlueCard^® Enroll

This class component provides information about processing, reimbursement and appeals for claims submitted for out-of-state contracts.

Documentation Guidelines education session Enroll

The Documentation Guidelines class covers general medical record documentation guidelines and specific guidelines for providers ordering and rendering diagnostic and therapeutic procedures.

Electronic Funds Transfer Enroll

This class component provides an explanation of the process and registration instructions for this required form of reimbursement.

Home Infusion Therapy Enroll

Review of benefit, reimbursement and medical policies involved in administered Home Infusion Therapy program

Informational Sessions Enroll

This class addresses recent changes and updates in BCBSM medical, reimbursement and benefit policies for all provider classifications.

Medicare Advantage (three-hour session) Enroll

This class is for new and experienced professional and facility billers and covers an in-depth review of processes, updates and related BCBSM policies.

Medicare Advantage Update Enroll

This class is for new and experienced professional and facility billers and covers an in-depth review of processes, updates and related BCBSM policies.

Medical Dental Billing Enroll

This class provides an overview of billing guidelines and tips for dental services billed under a provider's medical provider identification number.

Mental Health Billing Enroll

Overview of changes as result of national healthcare reform, billing instructions for Clinical MSWs billing independently, and tips for doing business with BCBSM

Professional Claims Adjustment Enroll

This class component explains the process that may be used for simple adjustments on previously submitted claims

Physician Group Incentive Program/PCMH Enroll

Overview of Value Partnership program, Patient-Centered Medical Home, role of physician organizations, role of health plan, and goal of initiatives involved in delivering care.

Provider Enrollment and Data Management Enroll

This class component provides an overview of enrollment websites, application processes, forms to submit and the self-service tool for group administrators and allied health professionals.

Registration and Billing for CLMSWs
Enroll Registration and Billing for Clinical Licensed Masters Social Workers class will cover topics related to doing business with BCBSM and includes the registration process for providers classified as an CLMSW and basic billing tips for submitting claims.

Registration and Billing for IOT and SPT Enroll

Registration and Billing for Independent Occupational Therapists class will cover topics related to doing business with BCBSM and includes the registration process for providers classified as an IOT and basic billing tips for submitting claims.

Registration and Billing for Speech-Language Pathologists will cover topics related to doing business with BCBSM and includes the registration process for providers classified as an ISLP and basic billing tips for submitting claims.

Value Partnership and PCMH Enroll

Value Partnership class covers basic information on programs that focus on improving health care quality and patient safety, and managing cost. Topics include Physician Group Incentive Program and Patient-Centered Medical Home.

Web-DENIS Enroll

The web-DENIS Benefits, Eligibility & Claims class covers basic information with general reference to the Benefit Explainer tool.