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October 2016

Find out how we resolve overpayments and incorrect payments

If we overpay you on a claim, you’ll receive two vouchers from us within three weeks after the overpayment.

  • The first voucher, the Accounts Created Voucher, advises you that a deduction will be taken on a future voucher. It shows the overpayment amount, your patient account number and an accounts receivable number.
  • The second voucher, the Accounts Applied Voucher, deducts the overpayment amount. It shows any accounts receivable balances from previous vouchers and the actual cash deductions that have been applied to correct the overpayments.

After our notification, if you disagree that you were overpaid, you may appeal. For more information, see the “Appeals and Problem Resolution” chapter of your provider manual. If you’re receiving weekly income from Blue Cross Blue Shield of Michigan, the Accounts Receivable will automatically deduct from future payments; no action is needed from you. Please don’t send a check to Blue Cross for overpayments except in the following instances:

  • If date of service is greater than two years, then you must submit a check to Blue Cross for the overpayment:
    • No Accounts Receivable will be set up.
    • Include the patient name, document number, date of service and contract number. With that information, we can ensure that the money is properly applied.
  • If the provider identification number that the original claim was paid on is no longer in use:
    • Send in a check or, after 90 days, letters will be sent out. If no payment is received after six months, Blue Cross will recover the funds using a different PIN that falls under the same tax ID as the original PIN as long as another PIN is available.
  • If you receive a misdirected check or a check for services you didn’t provide:
    • Write a personal check in the amount of the incorrect payment.
    • Underline the error on a copy of the voucher.
    • Attach the voucher to your check with a note of explanation, including the patient's name, address, date of birth, date of service and the Blue Cross check number.

      Send the check or voucher and note of explanation to:
      Blue Cross Blue Shield of Michigan
      P.O. Box 366
      Detroit, MI 48231-0366

After our notification, if you disagree that you were overpaid, you may appeal. For more information, see the “Appeals and Problem Resolution” chapter of your online provider manual.

If you need more information, review this frequently asked questions document.

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 2015 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.