VKI

BCBS Prefix VKI

Blue Cross and Blue Shield of Michigan

Michigan • Medicaid, Traditional Indemnity, 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 VKI

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

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.

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.