Does BCBS Michigan require prior authorization?
BCBSM requires prior authorization for services or procedures that may be experimental, not always medically necessary, or over utilized. Providers must submit clinical documentation in writing explaining why the proposed procedure or service is medically necessary.
Is Blue Cross Blue Shield of Michigan accepted in other states?
As a Blue Cross member, your health coverage goes with you when you travel. No matter what plan you have, you’re covered for emergency care in Michigan, across the country or around the world.
Is BCBS of Michigan on availity?
In September 2020, Blue Cross Blue Shield of Michigan and Blue Care Network announced in The Record and in BCN Provider News that we’re moving to the Availity® provider portal.
What is Web Denis?
Web-DENIS is Blue Cross Blue Shield of Michigan and Blue Care Network’s online information system for providers. You can use it to look up eligibility, copays, benefits and claims for all our plans except Blue Cross Complete. To use it, you’ll need to request access.
What is CVS NovoLogix?
NovoLogix is a cutting-edge Medical Pharmacy Management(MPM) product. Our information system and services platform creates customizable, PBM-like capabilities, which effectively and efficiently manage drugs covered under the medical benefit. –
Who is the specialty pharmacy for BCBS of Michigan?
If you have questions about BCBSM’s and BCN’s specialty drug program, please call Walgreens Specialty Pharmacy at 1-866-515-1355 or visit the website at WalgreensHealth.com*. You can order your specialty drugs through Walgreens Specialty Pharmacy, and they’ll arrive right at your home.
Can I use Blue Cross Blue Shield of Michigan in California?
One of the hallmarks of having your Blue Cross Blue Shield of Michigan card is being able to access care wherever and whenever you need it – anywhere across the country.
What does Fepblue stand for?
For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program—or simply FEP—has provided health insurance to the federal employee workforce. We are proud to have been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.
How do I know if my website is eligible for Denis?
To access Medicaid Eligibility data via web-DENIS: Log into web-DENIS by going to www.BCBSM.com: a. Click on the Provider tab. b. Enter your user ID and password in the upper left column.
Does CVS take Bcbstx?
Effective Jan. Therefore, BCBSTX has made the decision to no longer include CVS pharmacies within the pharmacy network. Members will continue to have access to more than 55,000 nationwide pharmacies in network (without CVS), with more than 4,000 located within Texas.