Payer Updates

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

BCBSM and BCN

• All Ambulatory Authorizations/Medicare Advantage: Patients with new Blue Cross Medicare Advantage coverage need continuity of care questions addressed when placing an authorization. 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