For Providers: Contact Us

If you don't have an account yet, you can check claims for BCBSM patients with our automated system. It can also send you a copy of your claim's status. Just keep in mind you'll need to go through the prompts before you're connected to someone.

Note: It can take up to 30 days for a claim to be processed. If you call before 30 days, we may not be able to check your claim through our automated phone system.

Physicians and professionals: 1-800-344-8525
Hospitals or facilities: 1-800-249-5103
Vision and hearing providers: 1-800-482-4047

When you call:

1. Step 1: Say "claims" when the system asks why you're calling.
2. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan.
3. Step 3: Enter the following information:
   • The 10-digit national provider identifier that was billed on the member's claim. 
   • The member’s contract number, date of birth, spell up to the first five letters of their first name and their ZIP code
4. Step 4: Say "no" when asked if you have additional questions about the determination of a claim.
5. Step 5: Tell the system the date of service provided.
6. Step 6: Tell the system the total amount charged.
7. Step 7: Listen to your claim's status, which includes the following information:
   • Claim number
   • Payment date and amount
   • Check number and post date
   • Member liability, including deductible, coinsurance and copays
8. Step 8: After listening to the claim's status, you'll have the following choices:
   
   • Say "representative" to reach someone who can help.
   • Say "date of service" to learn about a different claim.
   • Say "another member" to inquire on another member.
   • Say "another contract" to inquire on another contract.
   • Say "fax or email" to receive a copy of your claim's status.

Federal Employee Program providers and facilities: 1-800-482-3600
   Note: The FEP phone system has a different set of prompts than the others.

You can use our automated system to reach a representative to discuss your claim's outcome. Just keep in mind you'll need to go through the prompts before you're connected to someone.

Physicians and professionals: 1-800-344-8525
Hospitals or facilities: 1-800-249-5103
Vision and hearing providers: 1-800-482-4047

When you call:

• Step 1: Say "claims" when the system asks why you're calling.
• Step 2: Answer the prompts about your patient and whether you provided care in Michigan.
• Step 3: Enter the following information:
  • The 10-digit national provider identifier that was billed on the member’s claim.
  • The member’s contract number, date of birth, spell up to the first five letters of their first name and their ZIP code.
• Step 4: Say "yes" when asked if you have additional questions about the determination of the claim.
• Step 5: Tell the system the date of service.
• Step 6: You will then be transferred to the servicing center for assistance.

Federal Employee Program providers and facilities: 1-800-482-3600
   Note: The FEP phone system has a different set of prompts than the others.

Log in to Availity.com for authorizations for Blue Care Network and BCN Advantage^SM members.

BCN

1-800-482-5982

BCN Advantage

1-800-431-1059

Physician determination review line

1-877-293-2788

Providers who don't have an account yet can mail a claim to one of the following:

Blue Care Network Claims
P.O. Box 68710
Grand Rapids, MI 49516-8710

BCN Advantage Claims
P.O. Box 68753
Grand Rapids, MI 49516-8753

Blue Cross Complete Claims
P.O. Box 7355
London, KY 40742

If you don't have an account yet, you can check claims for with our automated system. It can also send you a copy of your claim's status. Just keep in mind you'll need to go through the prompts before you're connected to someone.

Note: It can take up to 30 days for a claim to be processed. If you call before 30 days, we may not be able to check your claim through our automated phone system.

Physicians and professionals: 1-800-344-8525
Hospitals or facilities: 1-800-249-5103
Vision and hearing providers: 1-800-482-4047

When you call:

• Step 1: Say "claims" when the system asks why you're calling.
• Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan.
• Step 3: Enter the following information:
  • The 10-digit national provider identifier that was billed on the member’s claim
  • The member’s contract number, date of birth, the spelling of up to the first five letters of their first name and their ZIP code
• Step 4: Say "no" when asked if you have additional questions about the determination of a claim.
• Step 5: Tell the system the date of service provided.
• Step 6: Tell the system the total amount charged.
• Step 7: Listen to your claim's status, which includes the following information:
  • Claim number
  • Payment date and amount
  • Check number and post date
  • Member liability, including deductible, coinsurance and copays
• Step 8: After listening to the claim's status, you'll have the following choices:
  • Say "representative" to reach someone who can help.
  • Say "date of service" to learn about a different claim.
  • Say "same member" to inquire on another member.
  • Say "another contract" to inquire on another contract.
  • Say "fax or email" to receive a copy of your claim's status.

Federal Employee Program providers and facilities: 1-800-482-3600
   Note: The FEP phone system has a different set of prompts than the others.

You can use our automated system to reach a representative to discuss your claim's outcome. Just keep in mind you'll need to go through the prompts before you're connected to someone.

Physicians and professionals: 1-800-344-8525
Hospitals or facilities: 1-800-249-5103
Vision and hearing providers: 1-800-482-4047

When you call:

• Step 1: Say "claims" when the system asks why you're calling.
• Step 2: Answer the prompts about your patient and whether you provided care in Michigan.
• Step 3: Enter the following information:
  • The 10-digit national provider identifier that was billed on the member’s claim
  • The member’s contract number, date of birth, the spelling of up to the first five letters of their first name and their ZIP code
• Step 4: Say "yes" when asked if you have additional questions about the determination of the claim.
• Step 5: Tell the system the date of service.
• Step 6: You will then be transferred to the servicing center for assistance.

Federal Employee Program providers and facilities: 1-800-482-3600
   Note: The FEP phone system has a different set of prompts than the others.

If you’re a professional provider office, you have access to a provider consultant. You can find yours by selecting your region below.

• East Michigan Consultants (PDF)
• Mid Michigan Consultants (PDF)
• Southeast Michigan Consultants (PDF)
• Upper Peninsula Consultants (PDF)
• West Michigan Consultants (PDF)

Not sure which region you're in? View our map (PDF).

If you’re an administrative office of a medical care group, you have access to a professional organization consultant. Find yours in our list of physician organization consultants (PDF).

Our automated interactive voice response system provides claims, benefit and cost-share information. If you need more information, you can transfer to a customer service representative during business hours.

Michigan providers

1-800-344-8525
8 a.m. to 5 p.m.
Monday through Friday
The automated system is available anytime.

Vision and hearing

1-800-482-4047
8 a.m. to 5 p.m.
Monday through Friday
The automated system is available anytime.

Providers outside of Michigan

1-800-676-2583

Inquiries about Blue Cross employees only
1-888-265-4703 
8 a.m. to 5 p.m.
Monday through Friday

Our automated interactive voice response system provides claims, benefit and cost-share information. If you need more information, you can transfer to a customer service representative during business hours.

Michigan hospitals and facilities

1-800-249-5103
8 a.m. to 5 p.m.
Monday through Friday
The automated system is available anytime.

Outside-of-Michigan hospitals and facilities

1-800-676-2583

Inquiries about Blue Cross employees only

1-888-265-4703
8 a.m. to 5 p.m.
Monday through Friday

Vision

1-800-482-4047

VSP Provider service: 1-800-615-1883

In-network providers

Blue Vision providers submit claims electronically directly to VSP.

Out-of-network providers

If you're not a Blue Vision provider, send claims to:

VSP 
PO Box 385018
Birmingham, AL 35238-0518

Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to:

• Submit claims, appeals and attachments
• Verify patient eligibility and benefits
• Contact customer service