BCBS Michigan provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.bcbsm.com/providers/ |
|---|---|
| Payer contact reference | 1-800-344-85251-800-344-8525 serves physicians/professionals; hospitals/facilities use 1-800-249-5103 and FEP uses 1-800-840-4505. These are distinct inquiry roles. |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Plan-specific: Universal ERA 00710 is withdrawn. The batch guide shows product-specific 835 REF02 response values; Availity designation/enrollment is separate. Confirm the exact product and transaction enrollment. |
| Timely filing | Product specific; Medicare Plus Blue PPO one calendar year |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 1-800-344-8525 serves physicians/professionals; hospitals/facilities use 1-800-249-5103 and FEP uses 1-800-840-4505. These are distinct inquiry roles.
- The July-September 2026 Medicare Plus Blue PPO manual requires claims, including revisions and adjustments, within one calendar year from service or discharge. This does not verify commercial BCBS, BCN or Blue Cross Complete filing limits. Confirm the member product; do not turn a calendar-year rule into a universal 365-day deadline.
- This registry has not established a payer-specific appeal ladder for BCBS Michigan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- Universal ERA 00710 is withdrawn. The batch guide shows product-specific 835 REF02 response values; Availity designation/enrollment is separate. Confirm the exact product and transaction enrollment.
BCBS Michigan at a glance
| Legal name | Blue Cross Blue Shield of Michigan |
|---|---|
| Also known as | BCBS MI, Blue Cross Blue Shield of Michigan |
| Category | BCBS affiliate |
| Parent organization | Blue Cross Blue Shield of Michigan Mutual Insurance Company |
| Claims payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Plan-specific: Universal ERA 00710 is withdrawn. The batch guide shows product-specific 835 REF02 response values; Availity designation/enrollment is separate. Confirm the exact product and transaction enrollment. |
| NAIC company code | Not established in this registry |
| States covered | Michigan |
| Members covered | ~4.5 million members |
| Provider resource entry point | https://www.bcbsm.com/providers/ |
| Provider phone | 1-800-344-85251-800-344-8525 serves physicians/professionals; hospitals/facilities use 1-800-249-5103 and FEP uses 1-800-840-4505. These are distinct inquiry roles. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for BCBS Michigan
The July-September 2026 Medicare Plus Blue PPO manual requires claims, including revisions and adjustments, within one calendar year from service or discharge. This does not verify commercial BCBS, BCN or Blue Cross Complete filing limits. Confirm the member product; do not turn a calendar-year rule into a universal 365-day deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Product specific; Medicare Plus Blue PPO one calendar year |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for BCBS Michigan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: BCBS Michigan provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with BCBS Michigan
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify BCBS Michigan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for BCBS Michigan. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
- → https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/medicare-plus-blue-ppo-manual.pdf
- → https://www.bcbsm.com/providers/
- → https://www.bcbsm.com/providers/help/edi/
- → https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/hipaa-transaction-standard-companion-transactions.pdf
- → https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/hipaa-transaction-standard-companion-real-time-transactions.pdf
- → https://www.bcbsm.com/amslibs/content/dam/public/providers/documents/vaccine-affiliation-program-billing-information.pdf
Top denial reasons for BCBS Michigan
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient BCBS Michigan volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Plan-specific: Universal ERA 00710 is withdrawn. The batch guide shows product-specific 835 REF02 response values; Availity designation/enrollment is separate. Confirm the exact product and transaction enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- The October 2025 batch guide distinguishes 837P professional 00710, 837I institutional 00210 and FEP-only 837D dental 382069753. These are transaction-qualified references, not one medical claims scalar.
- The September 15, 2026 real-time guide identifies 00710P professional, 00210I institutional and 00710D dental for eligibility/claim-status routing. Do not copy unsuffixed 00710 into that field.
- The batch guide's 835 REF02 values vary by product: local professional 00710, local institutional 00210, Medicare Plus Blue BCBSM and MOS/NASCO 710. These payload fields are not an ERA enrollment ID; Availity designation is separate.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
timely_filing_days, filing_rule, provider_phone — BCBS Michigan: Medicare Plus Blue PPO manual
Source comparison: 2026-09-18
The current Medicare Advantage manual uses one calendar year rather than a universal 365-day rule. The stored phone is a professional Provider Inquiry contact, not a universal payer line. Source scope: Medicare Plus Blue PPO claims, including revisions and adjustments, use one calendar year from service/discharge. This does not establish commercial, BCN or Blue Cross Complete rules. Locator: PDF 1 cover; PDF 87 / printed 78, Claim filing. Version: July through September 2026.. Retrieval: content_read; Primary PDF byte download and pertinent-page text plus visual inspection. This is a partial comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, filing_rule, provider_phone — bcbs michigan: medicare plus blue ppo manualtimely_filing_days, filing_rule, provider_phone — BCBS Michigan: provider entry and contacts
Source comparison: 2026-09-18
The current Medicare Advantage manual uses one calendar year rather than a universal 365-day rule. The stored phone is a professional Provider Inquiry contact, not a universal payer line. Source scope: 800-344-8525 serves physicians/professionals; facilities, FEP, vision and hearing contacts differ. Locator: Eligibility FAQ / Provider Inquiry. Version: No effective/publication date established on checked HTML.. Retrieval: content_read; public_web_content_read. This is a partial comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, filing_rule, provider_phone — bcbs michigan: provider entry and contactsprovider_phone, field_status.provider_phone — For Providers
Source comparison: 2026-09-18
800-344-8525 is physician/professional inquiry. Facility support is 800-249-5103; FEP is 800-840-4505. Retain the valid contact with its stated provider-type scope. Source scope: Physician/professional inquiry versus facility, vision/hearing and FEP contacts Locator: How can I learn about my patients eligibility?. Version: Undated in checked source; retrieval does not establish a publication date.. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for provider_phone, field_status.provider_phone — for providerspayer_ids.claims — HIPAA Transaction Standard Companion Guide – Batch Transactions
Source comparison: 2026-09-18
The batch control table distinguishes 837 professional 00710, institutional 00210 and FEP-only dental 382069753. A single 00710 cannot represent both professional and institutional claims; preserve these as scoped references. Source scope: Transaction-type-specific claim identifiers and product-specific remittance response fields Locator: PDF p13 control table; p17 professional routing; p29 835 REF02. Version: October 2025; footer last revised 10/24/2025. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims — hipaa transaction standard companion guide – batch transactionspayer_ids.claims — Blue Cross Vaccine Affiliation program payable procedure codes and billing information
Source comparison: 2026-09-18
The batch control table distinguishes 837 professional 00710, institutional 00210 and FEP-only dental 382069753. A single 00710 cannot represent both professional and institutional claims; preserve these as scoped references. Source scope: Corroborating professional claims example for Blue Cross/BCN commercial; not universal transaction approval Locator: PDF pp11–12 electronic billing. Version: Revised June 2026. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims — blue cross vaccine affiliation program payable procedure codes and billing informationpayer_ids.eligibility — HIPAA Transaction Standard Companion Guide – Real Time Transactions
Source comparison: 2026-09-18
The September 2026 real-time guide specifies 00710P professional, 00210I institutional and 00710D dental in 2100A NM109. Stored unsuffixed 00710 is not that guide’s eligibility mapping. Source scope: 270/271 eligibility and 276/277 claim-status routing Locator: PDF p13 control table; p17 270 NM109 instructions. Version: September 2026; footer last revised 09/15/2026. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for payer_ids.eligibility — hipaa transaction standard companion guide – real time transactionspayer_ids.era, era_payer_id, field_status.era_payer_id — HIPAA Transaction Standard Companion Guide – Batch Transactions
Source comparison: 2026-09-18
Batch p29 835 additional-payer REF02 varies: local professional 00710, local institutional 00210, Medicare Plus Blue BCBSM and MOS/NASCO 710. These are response fields, not proof of a universal ERA enrollment ID. Availity designation is separate. Source scope: Transaction-type-specific claim identifiers and product-specific remittance response fields Locator: PDF p13 control table; p17 professional routing; p29 835 REF02. Version: October 2025; footer last revised 10/24/2025. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for payer_ids.era, era_payer_id, field_status.era_payer_id — hipaa transaction standard companion guide – batch transactionspayer_ids.era, era_payer_id, field_status.era_payer_id — How do I sign up for paperless EDI?
Source comparison: 2026-09-18
Batch p29 835 additional-payer REF02 varies: local professional 00710, local institutional 00210, Medicare Plus Blue BCBSM and MOS/NASCO 710. These are response fields, not proof of a universal ERA enrollment ID. Availity designation is separate. Source scope: Current source owner links both guides and requires separate Availity enrollment Locator: 835 designation and enrollment; Companion Documents links. Version: Undated in checked source; retrieval does not establish a publication date.. Retrieval: content_read; Independent primary-source reading by reporting_accuracy. This is a partial comparison, not whole-field or whole-record approval.
Primary source for payer_ids.era, era_payer_id, field_status.era_payer_id — how do i sign up for paperless edi?
Not checked in this pass: Other fields in the immutable 43-field research inventory remain unverified unless expressly scoped in these findings; Whole-record approval, current legal entity/ownership, enrollment and complete insured geography; Every provider agreement, product, claim type, filing/appeal exception and clinical authorization policy; Current transaction-specific enrollment/capabilities and authenticated portal behavior; unknown does not mean unavailable; QuickIntell integrations/outcomes and historical April 2026 DataForSEO demand; Accountable reviewer approval; last_reviewed and reviewed_by remain unchanged.
Sources used for this guide
- BCBS Michigan: Medicare Plus Blue PPO manual
- BCBS Michigan: provider entry and contacts
- How do I sign up for paperless EDI?
- HIPAA Transaction Standard Companion Guide – Batch Transactions
- HIPAA Transaction Standard Companion Guide – Real Time Transactions
- Blue Cross Vaccine Affiliation program payable procedure codes and billing information
State coverage
BCBS Michigan operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for BCBS Michigan
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for BCBS Michigan; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for BCBS Michigan; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for BCBS Michigan before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about BCBS Michigan
Where is the BCBS Michigan provider portal?
Use https://www.bcbsm.com/providers/ as a starting point for BCBS Michigan provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for BCBS Michigan?
The July-September 2026 Medicare Plus Blue PPO manual requires claims, including revisions and adjustments, within one calendar year from service or discharge. This does not verify commercial BCBS, BCN or Blue Cross Complete filing limits. Confirm the member product; do not turn a calendar-year rule into a universal 365-day deadline.
Does BCBS Michigan publish a single claims payer ID?
This registry has not established one all-product claims payer ID for BCBS Michigan. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does BCBS Michigan accept electronic claims?
Verify BCBS Michigan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a BCBS Michigan denial?
This registry has not established a payer-specific appeal ladder for BCBS Michigan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do BCBS Michigan prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the BCBS Michigan provider phone number?
This registry lists 1-800-344-8525 as a contact reference for BCBS Michigan. 1-800-344-8525 serves physicians/professionals; hospitals/facilities use 1-800-249-5103 and FEP uses 1-800-840-4505. These are distinct inquiry roles.
Automate workflows around BCBS Michigan requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against BCBS Michigan's current published documents before submission. CPT® is a registered trademark of the American Medical Association.