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Hello, I am a Michigan Provider for BCBS Behavioral Health. I have a client who lives in Michigan and her insurance is through BCBS IL. BCBS is taking back money for 21 sessions with this client from January 2024 through May 2025. I am unable to find out the reason why this is happening as I have been able to confirm client's continued health insurance during this time. I am able to talk to the claims department through BCBS of Michigan and they have said that I need to be in contact with BCBS IL claims department as the Michigan department cannot see on their end the reason for this clawback. I have been trying to get through to BCBS IL via the provider support number, but I cannot get through. My claim number does not match the format for claim number being asked of me. I have a 17 digit number that is the "payer claim number" and the automated system will not accept it. It keeps asking for a letter at the end. I cannot figure out how to get through to discuss the reason for this clawback. Any other avenue I have tried will not let me get through either. I am looking for help to reach a representative so I can understand the reason for the clawback on this particular client.
I am just returning form maternity leave after 5 months without pay and am currently not getting paid due to this issue. Therefore this is a time sensitive matter.
Hi Erin, I'm responding to you on your private message. ~ HC
Thank you
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