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October 2021

Contact Provider Inquiry if you have claims issues

This article was updated Oct. 11, 2021.

Contact Provider Inquiry if you’re experiencing claims (or complex claims) issues. If you call your provider consultant, you’ll first need a reference number from Provider Inquiry.

To speak with a Provider Inquiry representative, call one of the following phone numbers from 8:30 a.m. to noon and 1 to 5 p.m. Monday through Friday:

  • Professional providers  ̶  1‑800‑344‑8525
  • Facility providers  ̶  1‑800‑249‑5103
  • Dental, hearing and vision providers  ̶  1‑800‑482‑4047
  • Medicare Advantage providers  ̶  1‑866‑309‑1719

If you don’t think your issue has been satisfactorily resolved, ask the representative to escalate your inquiry to our help desk in Provider Inquiry.

Other questions?

  • If you have enrollment questions, contact Provider Enrollment and Data Management at 1‑800‑822‑2761 from 8 a.m. to 4 p.m. Monday through Friday.
  • Online tutorials about our e-referral system are available on the Training Tools page at ereferrals.bcbsm.com.

You’ll also find job aids, FAQs, brochures, flyers and user guides on the BCBSM Newsletters and Resources and BCN Provider Publications and Resources pages on Provider Secured Services.

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 2020 American Medical Association. All rights reserved.