Credentialing by payer
Join the Blue Cross Blue Shield of Michigan Network
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
Blue Cross Blue Shield of Michigan at a Glance
| Parent company | Independent nonprofit; Blue Care Network is its HMO affiliate |
|---|---|
| Service area | Michigan. |
| How to request to join | The enrollment application on the Enroll in Our Network page with the Professional Enrollment Required Document Checklist, completed electronically and faxed to 1-866-900-0250. Start here |
| Portal | Availity Essentials |
| CAQH ProView (DataSpring) | Yes. Complete the CAQH Provider Data Portal (DataSpring) profile and authorize Blue Cross to pull it; update CAQH at least every 90 days. |
| Behavioral health | No outside vendor. Limited licensed psychologists, LPCs and LMFTs enroll individually first (New Mental Health Practitioner Enrollment Form), then join a group; CAQH must be completed within 14 calendar days and review can take up to 90 days. |
| Published turnaround | Blue Cross may take 30 days or more to process the application; Blue Care Network participation has its own processing period and confirmation letter. |
| Recredentialing | Every three years from initial network entry. |
| Lines of business | Commercial PPO; Blue Care Network HMO (BCN commercial); Medicare Plus Blue and BCN Advantage. |
How Blue Cross Blue Shield of Michigan Takes Applications
BCBSM is still a forms-and-fax process for professionals: download the enrollment application, attach everything on the required document checklist, and fax it. Blue Cross then pulls the CAQH (DataSpring) application for primary source verification.
What to Watch With Blue Cross Blue Shield of Michigan
Blue Care Network is a second contract, not an add-on: BCN commercial and BCN Advantage require separate agreements and a separate confirmation letter, and services should not be rendered to BCN members until it arrives.
Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.
Questions About Blue Cross Blue Shield of Michigan
How do I apply to Blue Cross Blue Shield of Michigan?
The enrollment application on the Enroll in Our Network page with the Professional Enrollment Required Document Checklist, completed electronically and faxed to 1-866-900-0250.
How long does Blue Cross Blue Shield of Michigan credentialing take?
Blue Cross may take 30 days or more to process the application; Blue Care Network participation has its own processing period and confirmation letter. Recredentialing: Every three years from initial network entry.
Does Blue Cross Blue Shield of Michigan use CAQH (DataSpring)?
Yes. Complete the CAQH Provider Data Portal (DataSpring) profile and authorize Blue Cross to pull it; update CAQH at least every 90 days.
How do therapists join Blue Cross Blue Shield of Michigan?
No outside vendor. Limited licensed psychologists, LPCs and LMFTs enroll individually first (New Mental Health Practitioner Enrollment Form), then join a group; CAQH must be completed within 14 calendar days and review can take up to 90 days.
What does PECS charge for a Blue Cross Blue Shield of Michigan application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Blue Cross Blue Shield of Michigan until the effective date is set.
Want Blue Cross Blue Shield of Michigan handled? Get your self-serve quote.
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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
- BCBSM: Join our provider network
- BCBSM: Recredentialing FAQ
- BCBSM: Behavioral health enrollment hints
- BCBSM: New provider guide
Facts checked against the sources above in October 2026; plan procedures change.