What are the billing guidelines for Medicare plus Blue?
Medicare Plus Blue billing guidelines and unique billing requirements may be accessed in the Provider Toolkit. Claims, including revisions or adjustments, that are not filed by a provider prior to the claim filing limit of one calendar year from date of service or discharge will be the provider’s liability.
Where do I Send my Medicare plus Blue provider inquiry?
Medicare Plus Blue Provider Inquiry P.O. Box 33842 Detroit, MI 48232-5842 For DME-related questions , providers should contact Northwood: Mail: Provider Relations 7277 Bernice Center Line, MI 48015 Fax: 1-586-261-0118 Or, complete the provider application online at: northwoodinc.com
Does Medicare plus Blue PPO pay for clinical trials?
The Medicare Plus Blue PPO plan will pay for Medicare-covered services that are not affiliated with the clinical trial. Therefore, providers must submit claims for Medicare-covered services related to the clinical trial to carriers and fiscal intermediaries , not to Blue Cross, using the proper modifiers and diagnoses codes.
Can a pharmacy bill you without a Medicare plus blue plan?
For long-term care or skilled nursing facility residents without a Medicare Plus Blue prescription drug plan, pharmacies should bill using the member’s Part D plan ID card. 2
Is Medicare Plus Blue PPO available in every county in Michigan?
Medicare Plus BlueSM network All of our PPO network plans are available to residents who live in any Michigan county at least six months of the year.
Is Medicare Plus Blue the same as Medicare?
Medicare Advantage is an alternative to original Medicare where a private health insurance company offers your Medicare benefits, plus other benefits original Medicare doesn't traditionally offer. Examples include vision, dental, and preventive health services. Blue Cross Blue Shield is one of these companies.
What is the claim address for Blue Cross Blue Shield of Michigan?
Blue Cross 600 E Lafayette Blvd Detroit, MI Insurance Group - MapQuest.
How do I file a claim with Blue Cross Blue Shield of Michigan?
Call Blue Cross Blue Shield of Michigan Customer Service at (877) 671-2583.
What type of insurance is Blue Cross Blue Shield?
Blue Cross Blue Shield Association (BCBSA) is a federation of 35 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people.
What is Bluemedicare?
Blue Medicare Advantage offers Group Medicare Advantage plans with a national network of doctors and a care management team that supports retirees on their health care journey.
What is the payer ID for Blue Cross Blue Shield of Michigan?
32002Select Blue Cross Complete of Michigan (payer ID: 32002) as your receiver.
How do I contact Blue Cross Blue Shield of Michigan?
Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630. 2583.FAQs.Healthcare Fraud.
What is BCBS Federal Payer ID?
All claims should be submitted electronically. The Electronic Payor ID for BCBSTX is 84980.
When the same BCBS payer issues the primary and secondary or supplemental policies?
Commercial Ins/ BCBSQuestionAnswerwhen same payer issues the primary, secondary, or supplemental policiesyou would submit one claim for all policiesmandatory second surgical system is necessary whenpatient is considering elective, non-emergency surgical care33 more rows
What is the timely filing limit for BCBS of Michigan?
365 daysAll claims must be submitted within the required filing deadline of 365 days from the date of service.
How do I submit a Superbill to insurance?
Upload Superbill Through Your Insurance Company's Portal Your insurance company may have a portal that you can use to upload the Superbill. The portal is the insurance company's website that requires a username and password. This is the most secure way to transmit your Superbill, and the most timely.
Are you already a Medicare member?
The best way to reach us is to call the number on the back of your Blue Cross ID card or on your explanation of benefits statement. If you don't have either handy, find your plan below to learn how to contact us.
Looking for something else?
You can find more websites, phone numbers and other Medicare information in our Make the Most of Medicare brochure (PDF).
Key Dates
October 7, 2014 - CMS, MI, and participating plans execute three-way contract
Health Link Model
On April 3, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a new partnership with the State of Michigan to test an initiative to improve care for Medicare-Medicaid enrollees.
More Information from CMS
All state-specific information and guidance for plans is available on the Information and Guidance for Plans page.
How to make an appeal or file a payment dispute
Michigan providers can either call or write to make an appeal or file a payment dispute. Call 1-866-309-1719 or write to us using the following address:
What to include in your written request for a claim denial appeal or payment dispute
Initial appeal requests for a claim denial must be submitted within 60 days from the date the provider receives the initial denial notice. Be sure to include the following information with your written appeal: