Services rendered as result of telemarketing subject to post-service audit

Blue Cross Blue Shield of Michigan and Blue Care Network work with health care providers to facilitate the provision of optimal medical care for our members. To this end, we reserve the right to audit services provided to our members to ensure these services were medically necessary.

Blue Cross and BCN don’t condone telemarketing services, defined as provider solicitation or cold calling of our members, to prescribe items that may be medically unnecessary, including, but not limited to, durable medical equipment, genetic testing, wound care items or prescription medication. All services are subject to a post-service audit and possible payment recovery if it’s determined that the services were rendered as a result of providers soliciting members.