Michgan Blues Claim Filing DEADline

BCBS of Michigan sent out an e-mail recently stating that the Blues will retire their local system on Oct. 31, 2014. Since they will no longer process claims on that system, all claims filed on the local system must be submitted and received by Sept. 15, 2014, in order to be processed.

If you submit a claim after the filing limits, BCBSM will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber. All health care providers must follow claim-filing deadlines (as you can see, there are no exceptions here).

For more information about this change, please refer to the March 2014 Record.

Blue Cross defined the local contracts, which have been migrating to their new system and will be completely migrated mid September.
These local contracts include:

• Local and Medicare Advantage group numbers: Five digits
• MOS group numbers: Nine digits
• NASCO group numbers: Five digits, usually starting with a seven or eight
• BCN group numbers: Eight digits

Any clam submitted with one of the local contracts (listed above); whether it is a secondary, resubmission, or original needs to be received by Blue Cross no later than September 15, 2014 or it will not be processed.

Patients with local contracts should have received a new contract number to go through the new system.

You can contact Provider Inquiry at Blue Cross of Michigan for more information.

Provider Inquiry Information:

If you’re calling from this area code	Hours of operation	Use this phone number
248, 313, 586, 734, 810 or 947	8:30 a.m. to 5 p.m.	1-800-245-9092
517, 989	8:30 a.m. to 5 p.m.	1-800-272-0172
231, 269, 616, *989	8 a.m. noon, 1 p.m. to 5 p.m.	1-800-255-1878
906	8:30 a.m. to noon, 1:05 p.m. to 5 p.m.	1-866-872-5837
Outside Michigan	8:30 a.m. to 5 p.m.	1-800-482-3146
For questions about BCBSM employees only, contact our Ombudsman office.	8:30 a.m. to noon, 12:50 p.m. to 5 p.m.	1-877-258-0167 313-225-8748