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Before you start

Before you submit: Make sure the practice EIN/TIN, each clinician’s individual rendering NPI, the practice or claim-service address, and other practice details you give this plan exactly match the information in Thrizer. Use this guide when BCBS of Michigan is a required Local / Host Plan for your practice or claim-service location. Your practice coordinates registration and any required clinician records so the payer can process affected claims. Registration is separate from joining a network and does not guarantee reimbursement. Not sure which plan applies? First identify your required Local / Host Plan. These steps concern mental-health practitioner enrollment with BCBS of Michigan. Use the clinician’s actual license type and practice arrangement when answering the enrollment selector.

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Follow Michigan’s current enrollment route

1

Start with the payer's enrollment page

Open BCBS of Michigan’s current enrollment instructions. Choose the professional-provider route and the action that fits your situation: a new record or a change to an existing one. Select the clinician’s actual provider type.Answer the incorporation and existing-group questions for your actual practice. A solo clinician’s answers are not the defaults for a group practice. Follow the forms, document checklist, and any deadline for your CAQH provider credentialing profile shown on the payer’s current page.
2

Keep the out-of-network choice clear

For a new mental-health practitioner record, use the form Michigan presents for your answers. Its Requested Networks section currently calls this route Traditional-Nonparticipating. Do not choose participating, PPO, BCN, or Medicare Advantage simply to establish an out-of-network record. If the choices have changed or do not fit your practice, ask Michigan before signing.
3

Complete the route for your practice

Follow the payer’s current form and document instructions for each required clinician and practice record. If you are establishing a group or adding a clinician to one, confirm the required group forms and affiliations. Do not assume an existing-group change tool creates a new practice record.
4

Review, submit, and confirm activation

Have the authorized person review the current signature and payment terms before submitting through Michigan’s stated channel. Keep a copy and the submission confirmation, then ask Michigan to confirm the practice record and required clinician affiliations are active. A submitted form is not proof of active registration.For enrollment questions, use the contact information on Michigan’s enrollment page.

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Payment terms on the form

For BCBS claims through Thrizer, your client pays the appointment price plus any applicable practice OON billing service charge and receives any insurance reimbursement. See Pricing overview for the applicable pricing period and fees. Do not elect payment to the clinician for this process. Michigan’s form includes conditions for providers who accept assignment, participate on a claim, or elect direct payment. Those conditional provisions should not be assumed to apply automatically to client reimbursement. If a required selection appears to direct payment to your practice, ask Michigan how to complete nonparticipating enrollment for client reimbursement before signing.

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What happens next

Once each required plan confirms registration and the required clinician associations are active, notify Thrizer support and review what happens next. For associate, pre-licensed, or supervised clinicians, confirm payer recognition separately and review Thrizer’s supported claim structure.