Blue Cross® Blue Shield® of Michigan and Blue Care
Network, naviHealth + You = Partnering to Improve Health Care

Blue Cross Blue Shield of Michigan and Blue Care Network has chosen naviHealth as a delegated partner to manage the post-acute benefit for Medicare Advantage members. Our goal is to collaborate with quality providers like you to optimize care delivery and improve outcomes.

Scroll down for information and resources to get you started

Now Playing On-Demand: naviHealth and You

In these informative presentations we’ll cover everything you need to know about partnering with naviHealth to manage the post-acute benefit for Blue Cross® Blue Shield® of Michigan and Blue Care Network patients.

Please use the tabs above the video on the right to select the presentation that’s appropriate for your facilities level of care.

Acute Care Hospitals
Inpatient Rehab-Long Term Care
SNF

Resources

We’ve pulled together the most important and relevant documentation to make things as easy as possible for you and your team.

Authorization Initiation Form

Blue Cross and BCN Acute Presentation

Blue Cross and BCN SNF Provider Forum

Blue Cross and BCN IRF/LTAC Presentation

Claims Processing FAQ

Clinical Documentation Submission Requirements

Clinical Documentation Submission Requirements (IRF)

Clinical Documentation Submission Requirements (LTCH)

Clinical Documentation Submission Requirements (SNF)

Fax Cover Sheet

Fax Cover Sheet (IRF)

Fax Cover Sheet (LTCH)

Fax Cover Sheet (SNF)

Peer-to-Peer Overview

Post-Acute Care Frequently Asked Questions

Pre-service Authorization Request Guide

Streamlined Pre-Service Authorization Summary

Update Trusted Sites

Welcome to nH Access

The video walkthroughs below will help you familiarize yourself with naviHealth’s online portal.

Additional nH Access documents and guides are available via the link below.

Workflow Walkthrough

Authorization Types

naviHealth Is An Experienced Partner

For health systems and health plans navigating the fundamental shift from fee-for-service to value-based care, naviHealth is the only care transitions company with the post-acute care management expertise, technologies, clinical services, and post-acute provider network to optimize clinical, financial and quality outcomes across the care continuum.

Visit our website to learn more about naviHealth

naviHealth is accredited by NCQA in Utilization Management

Achieving NCQA Utilization Management Accreditation demonstrates that naviHealth has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards.

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