What is the BCBSM Subrogation Form?
The BCBSM Subrogation Form is used to collect information related to claims where another party may be responsible for your injury. It helps Blue Cross Blue Shield of Michigan determine if you are entitled to reimbursement for medical expenses covered by your insurance when someone else's actions led to those expenses.
Who should complete the Subrogation Form?
The form should be completed by the client who received medical treatment covered by BCBSM. If applicable, a spouse can also fill out the form if they are enrolled in the same policy. Ensure to include all necessary details about the injury and the liable party.
When should I submit the Subrogation Form?
You should submit the form as soon as possible after your injury and after seeking medical attention. Timely submission can help expedite the recovery process of any claims for reimbursement.
Where do I send the completed Subrogation Form?
Fax the completed form to the BCBSM Subrogation Unit at (877) 257-2012. You may also reach out via email at SubrogationUnit@bcbsm.com for any questions before submission.
What information is required on the Subrogation Form?
The form requires details such as your name, date of birth, contract number, the nature of the case, attorney information, insurance company details, and specifics about the incident, including the type of injury and involved parties.
Are there any specific cases that require a Subrogation Form?
Yes, the form is applicable to personal injury cases, product liability, medical malpractice, workers’ compensation (specifically in Michigan), motor vehicle accidents, and motorcycle accidents, among others. Provide clear information on the type of case you are filing.
What if I have more questions about the form or process?
If you have additional questions, you can contact the BCBSM Subrogation Unit directly at (517) 325-4658. They can provide guidance and clarify any uncertainties you may have about completing the form or the subrogation process.
Can I submit this form by email?
Form submission is preferred via fax. However, if you need clarification first, feel free to email your inquiries to SubrogationUnit@bcbsm.com. Make sure to keep any sensitive information secure.
What happens after I submit the Subrogation Form?
After submission, BCBSM will review your case. They will assess whether they can recoup costs from the liable party. You may be contacted for additional information if needed. Stay in touch with your attorney and BCBSM for updates on your case.