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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 e-mail 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 PPOSM 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
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Providers with questions about dental claims payments may call 1-800-482-5141.
For first level appeals, write to:
Medicare Plus Blue PPO dental
Blue Cross Blue Shield of Michigan
P.O. Box 49
Detroit, MI 48231-0049Second level appeals, write to:
Grievance and Appeals Department
Blue Cross Blue Shield of Michigan
P.O. Box 2627
Detroit, MI 48231-2627
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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.
