Provider Resources
The Blue Cross Complete Provider Resources page is a centralized hub where providers can access important tools, forms and reference material to support patient care.
Provider manuals and guides
Provider Manual
The Provider Manual (PDF) helps providers navigate our comprehensive network of administrative and covered services.
Blue Dot Changes
Changes to the Provider Manual are marked with a blue dot in the manual and explained in the Blue Dot Changes document (PDF).
Resource Guide
The Resource Guide (PDF) provides the most commonly used contacts for Blue Cross Complete. These contacts include claims, customer service, eligibility verification and pharmacy services.
Prior Authorization Resources
Blue Cross Complete of Michigan's self-service tools are valuable resources that can assist you in providing the highest quality of care to our members.
Administrative Resources
Providers can access essential tools, policies, and guidelines to support daily operations.
Clinical Resources & Guidelines
Blue Cross Complete guidelines supersede any other applicable guidelines.
HEDIS and Care Gaps
Accurate coding of Healthcare Effectiveness Data and Information Set, or HEDIS, measures can help identify and eliminate gaps in care and disparities in health and health care.
Pharmacy Resources
This page provides easy access to key pharmacy resources designed to support safe and efficient pharmacy management for Blue Cross Complete members.
Training
Blue Cross Complete of Michigan offers orientation and provider training courses to better serve our members.