Electronic Enrollment Programs

Group customers can submit enrollment and benefit updates for their employees and dependents electronically to Blue Cross Blue Shield and Blue Care Network of Michigan using the addenda version of the ANSI X12 834 standard. For more information about electronic enrollment programs, please contact your BCBSM/BCN group representative.

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HIPAA-Related Information

Visit the Washington Publishing Company website — The HIPAA-mandated, ANSI ASC X12N Implementation Guides and Addenda can be purchased (in downloadable PDF format, or as a book or CD) from the Washington Publishing Company website after completing a short registration process.

ANSI ASC X12 4010A1 834 Enrollment Companion Document (PDF) – This document should be used in conjunction with the applicable implementation guide for implementation of the ANSI X12N 834 enrollment transaction.

ANSI ASC X12 5010A1 834 Enrollment Companion Document (PDF) – This document should be used in conjunction with the applicable Technical Report Type 3 (TR3) for implementation of the ANSI X12N 834 enrollment transaction.

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834 Enrollment Testing

834 Enrollment Testing Overview (PDF) – Please review this information prior to requesting a login ID and password.

834 Enrollment Validator Testing Login — For more information about electronic enrollment programs, please contact your BCBSM/BCN group representative.