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Blue Cross Blue Shield of Michigan/ Medicare Advantage

Primary payer ID
Last successful claim status
No successful response observed
  • Enhanced eligibility across 3+ clearinghouses
  • Coordination of benefits via CAQH registry
  • Insurance coverage discovery
  • Includes payer portal check
Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>

Coverage profile

Work Blue Cross Blue Shield of Michigan/ Medicare Advantage across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Cross Blue Shield of Michigan/ Medicare Advantage.

Available

Other aliases

Also known as

  • BBMDQ
  • BCBSM Healthy Kids Dental (DentaQuest)
  • Blue Care Network (BCBSM MA/BNCA - Medicare Advantage)
  • Blue Cross Blue Shield of Michigan

2027 maternity billing research

Review Blue Cross Blue Shield of Michigan/ Medicare Advantage’s 2027 OB/GYN billing guidance, plan-specific updates and policy sources.

Confirmed 2027 guidance

Blue Cross Blue Shield of Michigan Medicare Advantage has published 2027 maternity billing guidance. The billing page explains the applicable patients, transition conditions, and billing dates and links the source.

Policy Updated At
No published date

Routing reference

Blue Cross Blue Shield of Michigan/ Medicare Advantage payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Blue Cross Blue Shield of Michigan/ Medicare Advantage payer name, operating states, and transaction-specific payer IDs
Payer nameBlue Cross Blue Shield of Michigan/ Medicare AdvantageSource: Substrate payer directory · data last changed
Operating statesAK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WISource: Stedi payer catalog · catalog dated · matched by payer nameSource: United Clearinghouse payer catalog · matched by payer name
837P professional claims payer IDStedi00710Source: Stedi payer catalog · catalog dated · matched by payer name
837I institutional claims payer IDStedi00710Source: Stedi payer catalog · catalog dated · matched by payer name
835 ERA payer IDStedi00710Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
270 eligibility payer IDStedi00710Source: Stedi payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi00710Source: Stedi payer catalog · catalog dated · matched by payer name

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
  • Stedi payer catalogMatched by payer name; matched record: Blue Cross Blue Shield of Michigan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Blue Cross Blue Shield of Michigan. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone numbers2
Blue Cross Blue Shield of Michigan/ Medicare Advantage phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP VISION CARE
Vision (Optometry)
phone(800) 676-2583
  • BLUE CROSS BLUE SHIELD OF MICHIGAN

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.