Reminder: We simplified your appeal process

Effective Oct. 1, 2020, Provider Inquiry will verbally accept your post-service claim appeal requests. You may contact a representative at one of the telephone numbers below. 

• Medical providers: 1-800-344-8525
• Facility providers: 1-800-249-5103
• Vision and hearing providers: 1-800-482-4047

For more information, see the previous article on this topic in the September Record.

Refer to the “Appeals and Problem Resolution” chapter of the PPO Provider Manual (located on web-DENIS) for a detailed overview of appeal filing criteria and guidelines.

Note: These changes only apply to Blue Cross Blue Shield of Michigan post-service commercial appeals. Blue Care Network commercial, BCN Advantage℠, Medicare Plus Blue℠, Medicare Private Fee for Service, Federal Employee Program^® and Blue Cross Complete plans, as well as prior authorization and clinical editing appeals, aren’t affected by these changes.