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March 2017

BlueCard® connection: How does a BlueCard member’s filing limitations affect adjustment claims I bill to Blue Cross?

In addition to Blue Cross Blue Shield of Michigan’s timely filing policy, some BlueCard members have specific filing limitations as part of their contracted group benefits. Both policies apply to claims you report for BlueCard members. To avoid claim rejections, promptly report all BlueCard original and replacement claims.

For more information on the BlueCard program, including links and articles on online tools, refer to the BlueCard chapter of the online provider manuals.

If you’re experiencing issues with the information provided in the BlueCard chapter of the online manual — or if you’d like more information on a particular topic — contact your provider consultant.

Want to suggest a topic to be covered in this series? Send an email to ProvComm@bcbsm.com and put “BlueCard series” in the subject line.

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 2016 American Medical Association. All rights reserved.