Get records about a deceased member

Do you need PHI information about a specific date of service or range of dates, medical procedure or therapy for the deceased member?

Our Customer Service representatives can help you with this request. Call the Customer Service phone number on the back of the member's ID card. If you don't have the member's ID card, call the Blue Cross Blue Shield of Michigan corporate operator at 313-225-9000. You'll need to provide the member's enrollee ID number. You'll also need to submit required documentation:

• If you are the next of kin, submit the Affidavit of Next of Kin — for handling of decedent's health care claim payments (PDF).
• If you are the member's personal representative (estate executor, trust administrator, estate personal representative), submit documentation showing you are the personal representative. Mail your documentation to:
  

  Blue Cross Blue Shield of Michigan
  Mail Code X320
  600 E. Lafayette Blvd.
  Detroit, MI 48226-2998

Do you need all the deceased member's records?

If you need a HIPAA designated record set, complete the Request for Access to Designated Protected Health Information Records (PDF). Include it with the following required documentation:

• If you are the next of kin, submit the Affidavit of Next of Kin — for handling of decedent's health care claim payments (PDF).
• If you are the member's personal representative (estate executor, trust administrator, estate personal representative), submit documentation showing you are the personal representative. Mail your documentation to:
  

  Blue Cross Blue Shield of Michigan
  Mail Code X320
  600 E. Lafayette Blvd.
  Detroit, MI 48226-2998

Additionally, if you need the protected health information or HIPAA designated record set sent to a third party (attorney, life insurance company, etc.), you must also submit the Authorization for Use and Disclosure of Protected Health Information (PDF) authorizing us to disclose the deceased member's PHI to the third party.

You'll receive a response within 30 days of the receipt of the request.