Providers who have access to Provider Secured Services can simply log in to check the status of a claim.

If you don't have an account yet, you can check claims for BCBSM patients with our automated system. It can also send you a copy of your claim's status. Just keep in mind you'll need to go through the prompts before you're connected to someone.

Note: It can take up to 30 days for a claim to be processed. If you call before 30 days, we may not be able to check your claim through our automated phone system.

 

Physicians and professionals: 1-800-344-8525

Hospitals or facilities: 1-800-249-5103

Vision and hearing providers: 1-800-482-4047

Federal Employee Program providers and facilities: 1-800-840-4505

 

When you call:

  1. Say "claims" when the system asks why you're calling.
  2. Answer the system's prompts about your patient and whether you provided care in Michigan.
  3. Enter the following information:
    • Your 10-digit national provider identifier, BCBSM PIN or facility code
    • The member’s contract number, date of birth, the spelling of their first name and their ZIP code
  4. Say "no" when asked if you have additional questions about the determination of a claim.
  5. Tell the system the date of service provided.
  6. Tell the system the total amount charged.
  7. Listen to your claim's status, which includes the following information:
    • Claim number
    • Payment date and amount
    • Check number and post date
    • Member liability, including deductible, coinsurance and copays
  8. After listening to the claim's status, you'll have the following choices:
    • Say "representative" to reach someone who can help.
    • Say "date of service" to learn about a different claim.
    • Say "same member" to inquire on another member.
    • Say "another contract" to inquire on another contract.
    • Say "fax or email" to receive a copy of your claim's status.