April 2023
Blue Cross changing practitioner fees July 1
Blue Cross Blue Shield of Michigan will change practitioner fees for services with dates of service on or after July 1, 2023. This change applies to services provided to our Traditional, TRUST and Blue Preferred Plus℠ members, regardless of the customer group.
Blue Cross will use the 2023 Medicare resource-based relative value scale for most relative value unit priced procedures for dates of service on and after July 1. Most fees are currently priced using the 2022 values.
The Blue Cross overall fee update includes base fee adjustments and value-based reimbursement. Due to significant changes in relative value unit valuations, it’s best to review the fee schedule to view the effect on an individual code or group of codes.
Fee schedules effective July 1 will be available on the Provider Resources site through our provider portal on Availity®. To find the fee schedules:
- Log in to availity.com.**
- Click on Payer Spaces on the menu bar.
- Click on the BCBSM and BCN logo.
- Scroll down and then click on Secure Provider Resources (Blue Cross and BCN).
- Click on the Fee Schedules drop-down menu and then click on Blue Cross Professional Fee Schedules.
Only claims submitted with dates of service on or after July 1 will be reimbursed at the new rates.
Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services.
**Blue Cross Blue Shield of Michigan doesn’t own or control this website. |