May 2016
Blue Cross Blue Shield of Michigan issues Medicare Plus BlueSM claim overpayment recovery letters
Medicare Plus BlueSM has sent letters to health care providers regarding overpayment for services provided to Medicare Plus Blue members. As soon as overpayments are identified, we attempt to recover by reducing other payments.
For unpaid balances over 90 days we will attempt to collect the balance due by reducing current claims payments based on your tax identification number or though a collection agency. Also, under federal regulations, we may be required to report this issue to the Centers for Medicare & Medicaid Services.
If you have outstanding balances that exceed 90 days, and would prefer to pay by check rather than through claims offset, send a refund check, made payable to Medicare Plus Blue, within 30 days to:
Blue Cross Blue Shield of Michigan
Attn: SBD COB, Recoveries & Collections
P.O. Box 441187
Detroit, MI 48226-1187
We apologize for any inconvenience this may cause. If you have any questions, please call our Medicare Advantage Provider Inquiry department at 1-866-309-1719 Monday through Friday between 8 a.m. and 4:30 p.m.
To review our recovery and provider disputes process in more detail, visit our Overpayment page on bcbsm.com/providers.
If you have questions about this policy, contact your provider consultant.
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