First-level appeal. Initial appeal requests for a claim denial must be submitted within 60 days from the date the provider receives the initial denial notice.

The appeal must be submitted with documentation to support medical necessity or appropriateness. For more information, refer to the Provider Appeals section of ...

Appeals generally relate to the clinical part of your medical coverage. This means they affect your ability to receive benefit coverage, access to care, ...

Send bcbs michigan provider appeal form via email, link, or fax. You can also download it, export it or print it out.

Use this form to authorize an individual to file an appeal and communicate on your behalf with Blue Cross Blue Shield of Michigan on a one-time basis.

Bcbs of Michigan Provider Appeal Form. Check out how easy it is to complete and eSign documents online using fillable templates and a powerful editor.

Provider Appeal Form (Online Version). The appeal form should not be used to submit a claim correction or as a venue for submitting medical records or EOBs.

Reconsideration bcbs form. Bcbs of michigan benefits and eligibility phone number. Bcbs of michigan provider appeal address. Bcbs provider reconsideration form.

The purpose of the Blue Cross Blue Shield (BCBS) of Michigan appeal form is to provide a formal process for members to dispute a decision or denial made by BCBS ...

Blue Cross Blue Shield of Michigan General Inquiries 1-313-225-9000 Blue Cross Blue Shield of Michigan 600 Lafayette East Detroit, MI 48226-9942