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Reset MEMBER APPLICATION FOR PAYMENT CONSIDERATION Blue Cross Blue Shield of Michigan Member Claims MC 0010 600 E. Lafayette Blvd. Detroit, MI 482262998 Fill out online, print, sign and mail with.

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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.

Contact your practice management or hospital information system for instructions on how to receive ERAs from Blue Cross Complete under Payer ID 32002 and the ECHO Payer ID 58379.

You or your authorized representative must send us a written statement explaining why you disagree with our determination on your request for benefits or payment. You can also use the Member Appeal Form (PDF) if you'd like. The form is optional and can be used by itself or with a formal letter of appeal.

Are Anthem and Blue Cross Blue Shield of Michigan the same company? No, Anthem and Blue Cross Blue Shield of Michigan are two separate companies.

Contact your practice management or hospital information system for instructions on how to receive ERAs from Blue Cross Complete under Payer ID 32002 and the ECHO Payer ID 58379.

Blue Cross and Blue Shield of Michigan, 600 E Lafayette Blvd, Detroit, MI, Insurance Group - MapQuest.

Blue Cross and Blue Shield of Michigan, 600 E Lafayette Blvd, Detroit, MI, Insurance Group - MapQuest.

How to submit a claim. You'll need to fill out a claim form and mail it to us. Then we can figure out what your plan covers and how much. We'll reimburse you for charges your plan should pay.

Visit BlueCrossNC.com/Claims for prescription drug, dental and international claim forms, or call the toll-free number on your ID card. Important Notes When Completing the Claim Form: Type or use blue or black ink to complete. Complete a separate claim form for each covered family member.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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