BlueCard^® connection: Learn about coordination of benefits policy for BlueCard claims

As part of our ongoing series on the BlueCard program, here’s the answer to a question we recently received.

Does Blue Cross Blue Shield of Michigan’s coordination of benefits policy apply to BlueCard claims?

No. The member’s home plan is responsible for determining the coordination of benefits method used for its members’ secondary or tertiary claims.

Members are responsible for:

• Notifying their home plan if they are covered under more than one health insurance contract
• Keeping their coordination of benefits information updated as required by their plan
• Notifying their home plan if one or more of the policies terminate

If you receive a claim rejection regarding a coordination of benefits discrepancy, please notify the member. Also notify the member if you receive a rejection advising you that the member has not responded to an open coordination of benefits inquiry with his or her plan. The member is responsible for resolving the issue with his or her plan.

For more information on the coordination of benefits program for BlueCard, refer to the BlueCard chapter of the online provider manuals. The BlueCard chapter includes other information about the program, such as links to and articles about online tools.

If you’re experiencing issues with the information provided in the BlueCard chapter or any of the online tools — or if you’d like more information on a particular topic — contact your provider consultant. If you’d like to suggest a topic to be covered in a future issue of The Record, send an email to ProvComm@bcbsm.com and put “BlueCard series” in the subject line.