Resources for Providers

Blue Cross Complete of Michigan offers a variety of resources to its provider network.

Provider manuals and guides

 

Provider Manual

The Provider Manual (PDF) helps providers navigate our comprehensive network of administrative and covered services. Changes to the Provider Manual are marked with a blue dot in the manual and explained in the Blue Dot Changes document (PDF).

 

Provider 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.

Michigan Quality Improvement Consortium guidelines

Visit the Michigan Quality Improvement Consortium to access the guidelines, physician tools and reports, which provide MQIC community HEDIS® and non-HEDIS results for over 100 quality improvement measures.

Telemedicine resources

Visit telehealth.hhs.gov for more information on telemedicine services and resources.

Clinical and administrative resources

Blue Cross Complete payment systems

Blue Cross Complete has implemented payment systems to meet providers’ requests for more payment options. The payment systems allow providers the ability to receive the following payment options for claims reimbursement:

Electronic funds transfer
This option allows providers to receive payments directly in the bank account of their choice. When enrolled in EFT, providers will automatically receive electronic remittance advices for those payments. To enroll in EFT, visit ECHO Healthcare to start the enrollment process.

To check the status of an EFT enrollment, contact ECHO Healthcare at 1-888-834-3511.

Virtual credit card
A virtual debit transaction in which randomly generated, temporary credit card numbers are either faxed or mailed to providers for claims reimbursement. The VCC payment notification will contain a number unique to that payment transaction and an instruction page for processing the payment.

Note: Providers who aren’t enrolled to receive EFT will automatically receive the VCC. If you don’t wish to receive your claim payments through VCC, you can opt out by calling ECHO Health at 1‑888‑492‑5579 to receive a paper check.

Electronic remittance advice
Providers may also receive their electronic remittance advice from Change Healthcare and ECHO Health by including both the Change Healthcare Blue Cross Complete payer ID: 32002 and the ECHO Health payer ID: 58379. To receive remittance advice, visit ECHO Healthcare or contact the ECHO Health Enrollment team at 1-888-834-3511.

To access your ERAs from the Blue Cross Complete provider portal NaviNet, visit NaviNet.net.

Download the Blue Cross Complete Payment Systems (PDF) brochure for more information.

To access the ECHO Healthcare provider payments portal quick reference guide, visit ECHO Healthcare and log into your account. The User Guide can be accessed by selecting the Help button on the portal.  If you require further assistance, contact your Blue Cross Complete provider account executive.

County-based contacts for providers

For more information on training, Medicaid and other topics, contact a provider account executive in your county. Select a county below for the contact details of that county's account executive.