Blue Cross/BCN: Announce delay in 2021 BCN Advantage and Medicare Advantage PPO settlements

November 14, 2022

Dear BCN Medical Care Group Business Administrator, Blue Cross Physician Organization Administrator and Blue Cross Risk Based Contracted Entity Administrator:


Blue Cross Blue Shield of Michigan and Blue Care Network’s 2021 BCN AdvantageSM and Medicare Advantage PPO settlements will be delayed due to a delay in Blue Cross receiving the final revenue file from the Centers for Medicare & Medicaid Services. 


Per the BCN Advantage, Medicare Advantage PPO gainshare, and Medicare Advantage PPO Blueprint contracts, if there is a delay of final revenue from CMS, a corresponding delay may occur with the settlement and the Health Plan will provide notice to you of the CMS delay. This email serves as your notice of a delay.


The latest information communicated to us from CMS is that the file will be available to us at the end of November. Once received, we will process that file and the settlement checks (in accordance with the timeline of your contract). We will keep you posted if we hear of any further delays.


If you have questions, please reach out to either your provider consultant or Contracting contact.


Thank you for your patience and your partnership in serving our Medicare Advantage members.