BCBS Prefix Lookup
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GMQ

BCBS Prefix GMQ

Blue Cross and Blue Shield of Michigan

Michigan • EPO, High-Deductible Health Plan (HDHP), HMO

Billing essentials

Provider phone
(800) 344-8525
Electronic payer ID
SB711
Claims mailing address
P.O. Box 312500, Detroit, MI 48231-2500
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 344-8525
Provider website
https://www.bcbsm.com

Coverage under prefix GMQ

EPO

EPO coverage under this prefix means the member must use network providers but does not need referrals for specialist visits. This plan type is becoming more common as it offers lower premiums than PPO plans while providing more flexibility than HMOs. Verify network status before providing services.

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

About Blue Cross and Blue Shield of Michigan

Independent licensee of the Blue Cross Blue Shield Association serving Michigan.

Other prefixes for Blue Cross and Blue Shield of Michigan

A4F
HMO, Traditional Indemnity, EPO
AAB
PPO, HMO, Medicare Advantage, Medicaid
AAI
PPO, HMO, Medicare Advantage, Medicaid
ADO
PPO, HMO, Medicare, Medicaid
AEQ
PPO, HMO, Medicare, Medicaid
AIB
PPO, HMO, EPO, Medicare Advantage
AIC
PPO, HMO, EPO, Medicare Advantage
AIF
PPO, HMO, EPO, Medicare Advantage
AIG
PPO, HMO, EPO, Medicare Advantage
AIK
PPO, HMO, EPO, Medicare Advantage
AIS
PPO, HMO, EPO, Medicare Advantage
AIT
PPO, HMO, EPO, Medicare Advantage
AJP
PPO, HMO, EPO, Medicare Advantage
AJR
PPO, HMO, EPO, Medicare Advantage
AJT
PPO, HMO, EPO, Medicare Advantage
AKM
PPO, HMO, EPO, Medicare Advantage
AKP
PPO, HMO, EPO, Medicare Advantage
ALS
PPO, HMO, EPO, Medicare Advantage
AOB
PPO, HMO, EPO, Medicare Advantage
AOW
PPO, HMO, EPO, Medicare Advantage
AQQ
ASY
HMO, PPO, Medicare Advantage, Medigap
ATC
HMO, PPO, Medicare Advantage, Medigap
AUB
HMO, PPO, Medicare Advantage, Medigap
AUG
HMO, PPO, Medicare Advantage, Medigap
AUP
HMO, PPO, Medicare Advantage, Medigap
AUV
HMO, PPO, Medicare Advantage, Medigap
AXL
HMO, PPO, Medicare Advantage, Medigap
BBI
PPO, EPO, Medicaid Managed Care
BBY
PPO, EPO, Medicaid Managed Care

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