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 "yes" when asked if you're calling about the status 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. If you'd like to speak with a representative, say "more options." 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.