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CAREN
For Michigan providers (PDF)
Call 1-866-309-1719.


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Claims
Contact your local Blue plan.
Medicare Plus Blue members
Medicare Plus Blue
Blue Cross Blue Shield of Michigan
P.O. Box 440
Southfield, MI 48037-0440
Medicare Plus Blue dental
Blue Cross Blue Shield of Michigan
P.O. Box 49
Detroit, MI 48231-0049
Electronic claims
Call 1-800-542-0945.
Local carrier jurisdiction
Send claims to your local Blue plan.
Other Blue plan members
Blue Cross Blue Shield of Michigan
P.O. Box 2500
Detroit, MI 48231
Regional carrier jurisdiction
DMEnsion Benefit Management
P.O. Box 81700
Rochester, MI 48308-1700


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DMEnsion Benefit Management
Call 1-888-828-7858 or 1-800-649-3777 (TTY).
DMEnsion Benefit Management
P.O. Box 81700
Rochester, MI 48308-1700


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Eligibility
Call 1-800-676-BLUE (2583).


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Facility preadmission notification
Call 1-800-572-3413.


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Fraud
If you suspect fraud, please call the BCBSM Anti-Fraud Hotline at 1-888-650-8136 (24 hours a day, 7 days a week) or Medicare at 1-800-633-4227 or 1-888-588-2711 (TTY).


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Grievance and appeals
Grievance & Appeals Management department
BCBSM Medicare Advantage — Mail Code X509
Blue Cross Blue Shield of Michigan
600 E. Lafayette Blvd.
Detroit, MI 48226-2998
Fax 1-877-348-2251
DME regional carrier jurisdiction
DMEnsion Benefit Management
Call 1-888-828-7858.
Questions about BCBSM payments or denials
Call 1-866-309-1719
Fax 1-866-549-2506
Questions about payments or a denials from another Blue plan
Contact your local Blue plan.


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Interim rate letters
E-mail MARateLetterSubmissions@bcbsm.com
Fax 1-866-392-7571


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Medicare Advantage PPO provider enrollment
Facilities can apply for enrollment in the Medicare Advantage PPO network by downloading an application here.
If you have any additional questions about the facility enrollment process, e-mail ProviderContracting@bcbsm.com or call 1-800-777-2118.
Professional providers interested in enrolling in the Medicare Advantage PPO network, or who need to change or update their information should visit our Provider Enrollment page or call 1-800-822-2761.


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Preauthorization (AIM RMP) – Medicare Advantage PPO
Call: 1-800-728-8008
Fax: 847-559-6850
Web: americanimaging.net


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Precertification – Medicare Advantage PPO

Type of facility

Precertification phone number

Skilled nursing facility

1-800-482-4040

Inpatient rehabilitation facility

1-800-922-5114

Long-term acute care hospital

1-800-245-2513
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Provider inquiry — Medicare Plus Blue
Call 1-866-309-1719.
Southeast Michigan Medicare Plus Blue
Provider Inquiry Services
P.O. Box 33842
Detroit, MI 48232-5842
West Michigan Medicare Plus Blue
BCBSM — Medicare Advantage
P.O. Box 230435
Grand Rapids, MI 49523-0435


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Provider inquiry — Medicare Plus Blue dental

Area Code

Inquiry Number

248, 313, 517, 586, 734, 810, 947, 989

1-800-482-5141

231, 269, 616, 989*

1-800-531-2583

906

1-800-517-4441

Out-of-state

1-800-482-5141
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Provider registration — Medicare Plus Blue PFFS
Facility and professional providers who have not registered with BCBSM must register via bcbsm.com/provider/enrollment/index.shtml as Medicare-only provider or Medicare supplemental-only provider to ensure claims will process appropriately.


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