Payer Updates

For a curated summary of the latest payer updates impacting Northern Michigan physician offices, grouped by payer then category, please see below:

Blue Cross Complete

Primary Care: BCC has started an In Home Assessment program. This program was announced on June 27, and the program is active now. BCC selected Signify Health.

BCBSM and BCN

All Providers Offering Telemedicine Services: BCBSM announces new reimbursement, effective July 1.

SOURCE

Priority Health

Authorization Appeal: Effective June 2, 2025, no appeals are allowed on denied authorizations: Outpatient, DME, Home Health, Elective Inpatient, Behavioral Health. SOURCE