This article is for all professional providers caring for our members
The Massachusetts Division of Insurance (DOI) requires us to monitor our network and notify them of contracted providers that participate in a concierge model. The DOI also requires us to clearly identify those concierge providers in our provider directory. In accordance with your provider agreement, you are required to give us 90 days’ advance notice when transitioning to a concierge model.
What’s a concierge provider?
Concierge providers offer extra services not covered by the health plan and may require patients to pay a one-time or periodic fee.
Notification requirements
- Send an email to NetworkManagement@bcbsma.com at least 90 days before establishing a concierge model. Please include the names and NPIs for the providers in the practice.
- Notify your patients of the changes and explain how it will impact them to allow them enough time to decide whether they will remain with the practice.
Our Concierge Provider Fact Sheet offers guidance on notifications for you and your patients.
Questions?
Call Network Management and Credentialing Services at 1-800-316-BLUE (2583).
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