Check to see if you have a new provider consultant

Professional providers
Professional provider consultants have been reassigned as part of the Provider Outreach reorganization you read about in The Record previously.

As a result, your consultant may have changed. We’ve posted new contact lists to help you find the correct person. There are two lists and you can access them as follows:

• Primary care physicians and medical care groups — click here
  
  
• Specialists and other professional providers — To find your list:
• Go to bcbsm.com/providers.
• Click on Contact Us in the upper right corner.
• Under Physicians and professionals, click on either Blue Cross Blue Shield of Michigan provider contacts or Blue Care Network provider contacts.
• Click on Provider consultants and select your geographic region to find the consultants for various provider types. (If you don’t know which region you’re in, you can view our map.)

Remember: The first point of contact for claims questions is still Provider Inquiry:

• 1-800-344-8525 for medical providers
• 1-800-482-4047 for vision and hearing providers

If your issue isn’t satisfactorily resolved, ask the customer service representative to escalate your inquiry to a manager. By directing issues through standard methods, such as Provider Inquiry, we can better identify problems, prioritize efforts and fix problems affecting many providers simultaneously versus one practice at a time.

The Blue Cross and BCN resource guides include contacts for questions related to laboratory, pharmacy, behavioral health and other areas. Note: The Blue Cross resource guide is on the first page and the BCN guide is on the second page.

With current investments being made in our standard processes, we expect you’ll see incremental improvements over time. We hope these improvements will result in higher levels of provider satisfaction when you reach out to us for information or assistance.

Hospitals and other facility providers
There have only been minor changes to the provider consultant assignments for hospitals and facilities. Here’s how you can find the hospital and facility consultant lists:

• Go to bcbsm.com/providers.
• Click on Contact Us in the upper right corner.
• Under Hospitals and facilities, click on either Blue Cross Blue Shield of Michigan provider contacts or Blue Care Network provider contacts. Both take you to the same location.
• Click on Provider consultants and select the provider’s geographic region. (If you’re not sure of the region, view our map for facility providers.)

If you have any questions regarding claims, call Provider Inquiry. The number for facilities is 1-800-249-5103.

We’re continuing to work out specific details of our reorganization efforts to help serve you better. If you have specific comments or suggestions for improvement, contact us at provideroutreach@bcbsm.com.