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:
- Say "claims" when the system asks why you're calling.
- Answer the system's prompts about your patient and whether you provided care in Michigan.
- 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
- Say "no" when asked if you have additional questions about the determination of a claim.
- Tell the system the date of service provided.
- Tell the system the total amount charged.
- 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
- 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.