BCBS Prefix Lookup
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KDB

BCBS Prefix KDB

Blue Cross and Blue Shield of Michigan

Michigan • Medicare Advantage, HMO, EPO

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 KDB

Medicare Advantage

This prefix is associated with Medicare Advantage. MA plans combine hospital (Part A) and medical (Part B) coverage, and many include prescription drug coverage (Part D). When billing, confirm whether the plan uses the same payer ID for MA claims as for commercial claims, as many BCBS companies use separate IDs.

HMO

Under this HMO prefix, the member's coverage is limited to the plan's provider network. Care is coordinated through a primary care physician. Specialist visits require a referral from the PCP. When billing, confirm that the referring provider and the referral authorization number are included on the claim.

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

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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