Waiver of Liability

Medicare sometimes denies payment for certain health care services. If you're a non-contracted provider you can try to appeal a Medicare denial. As part of the process, you'll have to fill out this Waiver of Liability (PDF). You can find this and the other requirements for an appeal at the Centers for Medicare & Medicaid Services.

©1996-2014 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

State and Federal Privacy laws prohibit unauthorized access to Member's private information. Individuals attempting unauthorized access will be prosecuted.

Site Map  |  Feedback  |  Important Legal and Privacy Information

Explanation of Level A Conformance
Better Business Bureau Online Seal of Reliability