BCBS Prefix Lookup
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H7N

BCBS Prefix H7N

Blue Cross and Blue Shield of Michigan

Michigan • HMO, Medicaid, Traditional Indemnity

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 H7N

HMO

This is a Health Maintenance Organization (HMO) prefix. HMO plans have stricter routing requirements than PPO plans. Members select a PCP who manages their care and issues referrals. Claims for specialist services should include the referral number. Out-of-network claims will typically be denied unless emergency criteria are met.

Medicaid

This prefix is associated with Medicaid managed care. When a BCBS plan administers Medicaid, the claims process may differ from commercial coverage: different payer ID, different claims address, different prior authorization rules, and different timely filing limits. Always verify Medicaid-specific details before submitting.

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

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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