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December 2014

Legal or court-ordered services are not considered Blue Cross Blue Shield of Michigan benefits

Services that are rendered due to legal or court-ordered actions and solely for the benefit of the court are not benefits for most Blue Cross Blue Shield of Michigan members. These types of claims should not be submitted to Blue Cross for processing.

Group-specific provisions may be applicable, as some groups may pay for some of these services for their members. Please verify group-specific benefits for coverage availability and guidelines.

For groups that cover these services, please submit those claims according to our current claims filing guidelines.

For more information, contact 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.