PUU

BCBS Prefix PUU

Blue Cross and Blue Shield of Michigan

Michigan • PPO, Traditional Indemnity, Medicare Advantage

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 PUU

PPO

PPO coverage under this prefix means the member can access any provider. In-network providers have negotiated rates with the plan, while out-of-network providers are reimbursed based on usual and customary charges. Prior authorization is generally not required for routine services but may be needed for high-cost procedures.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

About Blue Cross and Blue Shield of Michigan

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