MI BCBS
- 03 Jan 2025
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MI BCBS
- Updated on 03 Jan 2025
- 1 Minute to read
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Other Carrier Codes
When sending secondary claims to Michigan BCBS, or when passing an other payer ID, this payer requires their proprietary payer ID's (Carrier Code). Reference the Michigan BCBS list of allowed codes below.
Secondary / Other payer ID's can be sent in block 9d for Professional Claims and block 51b for Institutional Claims.
Carrier Codes and Filing Indicators using Payer ID's
The following payer IDs are specific to Michigan BCBS payers and control the payer type code:
| Payer ID | Payer Name | Filing Indicator |
|---|---|---|
| MIBLS | MI BCBS | BL (Blue Cross/Blue Shield) |
| MIFEP | MI BCBS FEP | FI (Federal Employee Program) |
| SB711 | MI Blue Care Network | HM (HMO) |
| SX170 | MI Medicare Plus Blue | MB (Medicare Part B) |
| UX170 | MI Medicare Part A | MA (Medicare Part A) |
These codes should be entered into the secondary payer fields in Claim.MD found in box 9d for professional claims.
Filing Indicator
Please note that the Filing Indicator does not need to be entered as it will be populated automatically by Claim.MD in the backend.
Facility Claim
Institutional Claim
Medicaid Provider ID and NPI Crosswalk
Per HIPAA 5010 X12 standards, Medicaid is not allowed to receive a Medicaid provider ID on electronic claims, if the provider has an NPI.
Medicaid may tell you the wrong provider ID was sent on a claim, but this means their crosswalk did not match the correct provider ID.
The payer is using a table of information that tells them which provider ID to assign to the claim after it has been received.
This table or "crosswalk" of information normally includes:
- Provider NPI
- Provider Address
- Provider taxonomy code