Join our Provider Network

Blue Cross Blue Shield providers are a part of the largest network in the state, with tools that let you
check benefits, submit claims and process payments. Here's how to enroll with us.

 

step 1

 

Credentialing

In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. You may have rights during the credentialing process (PDF)

For professional providers:

Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. In order to complete the process, visit CAQH.org. There you'll receive the NPI number you need for enrollment.

For hospitals and facilities:

We handle the credentialing process for hospitals and facilities. You'll do this in step three. Follow the steps and we’ll let you know when your credentialing is complete.

Questions:

During the credentialing or recredentialing process, you can ask questions about the status of your application, ask to review information submitted to support your application and correct anything in error by calling us at 1-800-822-2761.

 

step 2

Required Checklists

We want to make this process as easy as possible. Use these checklists to make sure you have everything you need before you start.

For providers:

Use the provider enrollment checklist (PDF).

For hospitals and facilities:

Use the facility enrollment checklist (PDF).

 

step 3

Prepare to Enroll

Now that you have everything on your checklist, you'll answer a series of questions to put together the forms you'll need to enroll. These forms and your required documents make up your enrollment application. Download them, fill out the PDFs electronically, then print them and fax them to us. 

It can take us up to 90 days to review your enrollment application. You'll receive a letter to let you know that you have successfully enrolled. If your enrollment application is incomplete, you may receive a letter to let you know why your application has been delayed.

Some professional provider and allied group administrators can make changes using our Provider Enrollment and Change Self-Service tool. Learn more in our self-service FAQ

 

Get Access to Web Tools

You can sign up for access to Provider Secured Services when you fill out your enrollment forms. Once you’re enrolled in our provider network, if you didn’t sign up for access during enrollment, you can register so you’ll be able to securely log in to the Blue Cross provider portal.

These are some of the tools you’ll have access to:

  • Electronic Funds Transfer (EFT): for sending payments to your choice of financial accounts
  • Electronic Connectivity: exchange information with us electronically 
  • web-DENIS: for verifying patient eligibility and benefits and tracking claims
  • e-referral: for submitting and reviewing patient authorizations