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June 2014

Do you have a Medicare Advantage claim from 2012 or before that you think was processed incorrectly?

If a health care provider believes that a Medicare Advantage claim with a date of service in 2012 or before was processed incorrectly, he or she should submit an inquiry as soon as possible.

The first step the provider should take is to call Provider Inquiry at 1-866-309-1719. If the issue is not resolved to the provider’s satisfaction, he or she may submit an appeal in writing to:

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

We appreciate your cooperation in this matter. We want to ensure that we make appropriate adjustments in a timely manner.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
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