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August 2014

Reminder: Submiting CMS-1500 claim forms for Medicare Advantage patients

To submit paper claims and avoid processing delays, BCBSM Medicare Advantage providers should send their CMS-1500 claim forms to:

Medicare Advantage
Blue Cross Blue Shield of Michigan
P.O. Box 32593
Detroit, MI 48232-0593

If you have any questions, please call your provider consultant.

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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.