How Do I Submit a Claim for a Payment I Made at the Doctor, Pharmacy or Dentist?
When you go to the doctor or dentist who takes your insurance, you usually don’t have to do much at checkout.
That’s because the office and your plan handle the paperwork.
But some health care providers don’t submit claims to us. They may collect payment from you in full at the time the service or prescription is provided.
This can happen when you:
In these cases, you’ll have to send us the claim yourself.
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.
For medical and dental services you got in the U.S., Puerto Rico or the U.S. Virgin Islands, use these claim forms.
For medical care you got anywhere else, including on a cruise ship outside U.S. waters, use the Blue Cross Blue Shield Global Core international claim forms. You’ll need your Blue Cross ID card to log in to the site.
For prescriptions you got inside or outside the U.S. or U.S. territories, use these claim forms.
These deadlines apply to members submitting their own claims.
The best way to get information about claims is to log in to your member account. You can do that using our website or the Blue Cross Blue Shield of Michigan app.
Keep in mind that due to requirements for protected health information, not everyone on a plan may be able to see all claims. For example, adults on a plan can’t see the claims of other adults.
Look under the member icon dropdown menu in the upper right corner of our website — My Account on the app — to learn about and to change permissions that affect who sees your claims.
You can also check claim status by phone. During business hours, you can talk with a representative. Or you can check the status of a claim anytime using our automated system. Just call the number on the back of your Blue Cross ID card.