Overpayment

Overpaid by a Blue plan?

If you've received an overpayment, don't return the check to us. We will recover overpayments by deducting them from future claim payments to you. We call this method of recovery an offset.

If you notice an overpayment, you can either notify our Provider Inquiry area or complete and send the Request for Offset form (PDF) to the email or street address on the form.

Give the following information about the overpayment.

  • Patient's name
  • Patient's contract number
  • Date of service
  • Claim number
  • Claim line numbers
  • Reason you initially sent the check to us

The Provider Inquiry representative helps determine if the payment was truly an error and advises you if and when the recovery process will begin.

If we notice an overpayment, we'll send you a letter that details the overpayment and begin the offset without delay.

You have dispute rights if you don't believe that the amount to be offset or the reason we give is correct.

  • Medicare Plus Blue PPO℠ disputes
  • Medicare Advantage Part D and Prescription Blue disputes
    • Pharmacies with questions about AWP or MAC pricing should contact BCBSM's Technical Pharmacy Help Desk at 1-800-437-3803.
  • Dental disputes
    • Providers with questions about dental claims payments may call 1-888-826-8152.

For first level appeals, write to:

Medicare Advantage Dental
Provider Grievance and Appeals
600 E. Lafayette - Mail Code 517K
Detroit, MI 48226

Second level appeals, write to:

Medicare Advantage Dental
Provider Grievance and Appeals (Second Level)
600 E. Lafayette - Mail Code 517K
Detroit, MI 48226

If the check is from another Blue plan, or if you receive a letter about an overpayment from another Blue plan, call that plan for instructions.

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