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January 2013

Status claim process is the same for BlueCard® members

The Blue Cross Blue Shield of Michigan status claim process is the same for out-of-state members as it is for Michigan members. If you disagree with a claim payment or rejection, you must file a status claim form. You can use the paper form or send it electronically.

Do not submit a new claim. Resubmitting a claim can delay processing and result in duplicate rejections from the member’s Blue plan.

A new claim should only be submitted when:

  • There is no claim on file for the service.
  • If you receive a rejection message stating a billing error. In this case, you’re required to send in a new claim with the accurate billing information.

Our Provider Manuals on web-DENIS have complete instructions for status claims. In the professional manual, click on Claims and then Claims follow-up.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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