Increased professional reimbursement for select procedures in ambulatory surgical facilities
This notice informs providers that Blue Cross Blue Shield of Michigan and Blue Care Network are increasing allowed professional payments by 15% for select procedures when performed in ambulatory surgical facilities, for specific commercial and Medicare/BCN lines of business. It affects providers submitting professional claims for eligible procedures performed in ambulatory surgical facilities.
Allowed professional amounts increased by 15% for select procedures performed in ambulatory surgical facilities.
Policy Snapshot
This notice informs providers that Blue Cross Blue Shield of Michigan and Blue Care Network are increasing allowed professional payments by 15% for select procedures when performed in an ambulatory surgical facility. The change applies to providers submitting professional claims for eligible procedures across specified commercial and Medicare/BCN lines of business and goes into effect by March 21, 2025.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.