January 2020
Reporting instructions for Blue Cross or FEP supplemental when MA is primary payer
When a member has a Medicare Advantage or Medicare Advantage HMO primary and a Blue Cross Blue Shield of Michigan or Federal Employee Program® supplemental policy, remember to report the primary payer with a claim filing indicator of MA or MB in loop 2320.
Institutional:
- Loop 2000B SBR09: Report claim filing indicator BL or FI
- Loop 2320 SBR09: Report claim filing indicator MA when the primary payer is original Medicare, any type of Medicare Advantage or Medicare Advantage HMO
Professional:
- Loop 2000B SBR09: Report claim filing indicator BL or FI
- Loop 2320 SBR09: Report claim filing indicator MB when the primary payer is Original Medicare, any type of Medicare Advantage or Medicare Advantage HMO
Has the member responded to the Letter of Other Insurance inquiry? Members can update their coverage details with Blue Cross by the following methods:
- Phone — Call our automated response line at 1-866-263-9494 or the Customer Service line on the back of their member ID card.
- Blue Cross mobile app — Log in, click the menu button in the top left corner, then click on My Account, followed by Coordination of Benefits and follow the instructions.
- Online — Visit bcbsm.com/cob and select a radio button (either “Yes, I have coverage from another health insurance company” or “No, I don't have additional coverage”). Then, click the Login and Update button and follow the instructions.
Please allow up to five business days for Blue Cross to process the requested changes. |