Blue Care Network
Patient Resources
Insurance and Patient Forms
We are pleased to accept the following insurance providers. If your insurance provider is not listed, please contact our billing department to see if arrangements can be made with you and your provider.
Insurances Accepted at All Locations
- All Blue Cross Blue Shield
-
Blue Care Network - All Priority Health Plans
- Medicare
- Workers Compensation
- Auto Accident Related
Cofinity
(accepted at MPCP and WMP, not accepted at WMSC)
Medicaid
(accepted only at MPCP Grand Rapids location)
Forms
New Patient Packet
Payment Policy
HIPAA Release
Medical Records Release
MPCP Medicare Shared Savings ACO Participation
West Michigan Pain
Medical Records Release
Medication Management
West Michigan Surgery Center
Past Medical History
Demographics
Patient Survery
Endoscopy Services
Medication Reconciliation
Medication Refill Sheet
Advance Directives
Patient Rights
Privacy Agreement
Please Bring the Following to Your Visit:
Insurance card(s)
New patient packet
Current medication list (or bring your prescription bottles)
If applicable workers compensation or an automobile claim (please bring the carriers name, phone number and your claim number as well as the adjustor’s name.)
Connect with Us Online through our Patient Portal
Established patients of our practice have access to the MPCP patient portal. The portal offers the convenience of allowing you to communicate with your provider, pay your bill, see test results, and request prescription refills – all from the comfort of your home.
