121891001SF Blue Cross Blue Shield of Michigan Respondent Issued and entered this day of November 20 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the date in the designated field, ensuring it reflects the correct issuance date.
  3. Fill in the Petitioner’s name and any relevant identifiers in the appropriate sections to ensure accurate representation.
  4. Review the procedural background section carefully, as it outlines critical information regarding your case. You may want to highlight or annotate key points for easy reference.
  5. In the factual background section, provide detailed information about your medical condition and treatment history. This is crucial for supporting your argument.
  6. Complete the issue and analysis sections by summarizing your arguments clearly. Use bullet points if necessary for clarity.
  7. Finally, review all entries for accuracy before saving or exporting your completed form.

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Who we are. Founded in 1939, Blue Cross Blue Shield of Michigan is the largest nonprofit health insurer in Michigan. Headquartered in Detroit, Blue Cross is an independent licensee of the Blue Cross Blue Shield Association.
At Blue Cross Blue Shield of Michigan, we are a nonprofit mutual, which means we have no investor owners. Instead, we are purpose-driven to serve our members and to return value to our communities. How do we accomplish these objectives?
(313) 225-9000 Blue Cross Blue Shield of Michigan / Customer service
How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) BCBS Rhode Island 180 Days BCBS Michigan 180 Days 1 Year for BCBS Complete Plans Anthem California 90 Days BCBS Illinois 180 Days28 more rows
Blue Cross Blue Shield of Michigan (BCBSM) is an independent licensee of Blue Cross Blue Shield Association.

People also ask

If you forget or arent sure what type of health insurance plan you have (like an HMO or PPO), you can find out on your BCBS ID card. If you have an HMO, your card may also list the physician or group youve selected for primary care.