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For Michigan providers (PDF)

Call 1-866-309-1719.

Claims

Contact your local Blue plan.

Medicare Plus Blue members
Medicare Plus Blue
Blue Cross Blue Shield of Michigan
P.O. Box 440
Southfield, MI 48037-0440

Medicare Plus Blue PPO dental
Blue Cross Blue Shield of Michigan
P.O. Box 49
Detroit, MI 48231-0049
Call 1-800-482-5141

Electronic claims
Call 1-800-542-0945.

Local carrier jurisdiction
Send claims to your local Blue plan.

Other Blue plan members
Blue Cross Blue Shield of Michigan
P.O. Box 2500
Detroit, MI 48231

Regional carrier jurisdiction
DMEnsion Benefit Management
P.O. Box 81700
Rochester, MI 48308-1700

DMEnsion Benefit Management

Call 1-888-828-7858 or 1-800-649-3777 (TTY).

DMEnsion Benefit Management
P.O. Box 81700
Rochester, MI 48308-1700

Eligibility

Call 1-800-676-BLUE (2583).

Facility preadmission notification

Call 1-800-572-3413.

Fraud

If you suspect fraud, please call the BCBSM Anti-Fraud Hotline at 1-888-650-8136 (24 hours a day, seven days a week) or Medicare at 1-800-633-4227 or 1-888-588-2711 (TTY).

Grievance and appeals

Grievance & Appeals Department
Blue Cross Blue Shield of Michigan
P.O. Box 2627
Detroit, MI 48231-2627
Fax 1-877-348-2251

DME regional carrier jurisdiction
DMEnsion Benefit Management
Call 1-888-828-7858.

Questions about BCBSM payments or denials
Call 1-866-309-1719
Fax 1-866-549-2506

Questions about payments or denials from another Blue plan
Contact your local Blue plan.

Questions about dental payments or appeals
For telephone inquiries, MA providers should call: Dental Network of America, LLC at 1-888-826-8152.

Level 1 MA provider appeals should be mailed to:

BCBSM Provider Appeals Department
P.O. Box 4168
Scranton, PA 18505-6168

For second level appeals, write to:

Grievance and Appeals Department
Blue Cross Blue Shield of Michigan
P.O. Box 2627
Detroit, MI 48231-2627

Healthways SilverSneakers® fitness program

Web: silversneakers.com

Hearing

Call Provider Inquiry at 1-866-309-1719.

Interim rate letters

E-mail: MARateLetterSubmissions@bcbsm.com

Fax: 1-866-392-7571

Medicare Advantage PPO provider enrollment

Facilities can apply for enrollment in the Medicare Advantage PPO network by downloading an application here.

If you have any additional questions about the facility enrollment process, e-mail ProviderContracting@bcbsm.com or call 1-800-777-2118.

Professional providers interested in enrolling in the Medicare Advantage PPO network, or who need to change or update their information, should visit our Provider Enrollment page or call 1-800-822-2761.

Preauthorization for high-technology radiology services

AIM Radiology Management Program

Call: 1-800-728-8008

Fax: 1-800-610-0050

Web: americanimaging.net

Precertification – Medicare Advantage PPO
Fax requests to 1-866-464-8223 or via e-fax to MedicarePlusBlueFacilityFax@bcbsm.com.
Facilities must submit precertification requests for behavioral health services by calling 1-888-803-4960 or faxing a request to 1-866-315-0442.
Provider Inquiry – Medicare Plus Blue PPO

Call 1-866-309-1719.

Medicare Plus Blue
Provider Inquiry Services
P.O. Box 33842
Detroit, MI 48232-5842

Provider Inquiry – Medicare Plus Blue PPO vision

Vision Service Plan providers should call VSP at 1-800-877-7195 or visit vsp.com to verify member eligibility and benefits or to receive authorization for services.


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