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Appropriate treatment plan to improve the member's health status. Physician: For instructions, please turn over the qualification form. WP 9454 OCT 11 .

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Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. The network covers all 83 Michigan counties and is the largest PPO network in Michigan.

To submit electronic claims for Blue Cross' Medicare Advantage members through a clearinghouse or directly to DentaQuest through our Trading Partner Portal, you must use payer ID: BBMDQ.

Find out how to make a payment. For questions about ID cards, benefits, claims or other issues: Call the number on the back of your member ID card or 313-225-9000.

Blue Care Network of Michigan is a nonprofit health maintenance organization. We're owned by Blue Cross Blue Shield of Michigan.

Blue Cross Complete of Michigan is an independent licensee of the Blue Cross and Blue Shield Association. For more information about Blue Cross Complete, see our 2021 Fact Sheet (PDF).

Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. We help Medicaid members get the health care they need in 32 Michigan counties across the state. We provide members with the care they need, when they need it.

All claims must be resolved with 365 calendar days from the date of service or discharge date. This applies to capitated and fee-for-service claims. Please allow for normal processing time before re-submitting a claim either through the EDI or paper process.

Blue Cross Blue Shield of Michigan is a nonprofit mutual insurance company belonging to the Blue Cross and Blue Shield Association. It is the largest health insurance company in Michigan with more than 8,100 employees and 6.1 million people receiving care.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232