The BCBSM Subrogation Unit Questionnaire is the form that starts the recovery process when Blue Cross Blue Shield of Michigan has paid medical costs for a member's injury. Subrogation is the legal process by which BCBSM seeks reimbursement from the party responsible for the member's injuries.
This questionnaire applies to five types of cases: personal injury, motor vehicle accidents, workers' compensation, product liability, and medical malpractice incidents. For each case, the form collects detailed information about the nature of the injury, the date of the incident, and the legal proceedings currently underway.
The form requires contact information for both the insured's attorney and the insurance adjuster. Attorney details include the law firm name, street address, phone number, and fax number. Insurance adjuster details include the company name, adjuster name, claim number, and company address. The Subrogation Department uses this contact information to coordinate with all parties involved in the case and to assess the legal action status.
Once BCBSM receives the completed questionnaire, the department reviews the case to determine whether a recovery action can be pursued against the liable third party. This process protects members by ensuring that medical costs are recovered from the at-fault party rather than the policyholder.
| Question | Answer |
|---|---|
| Form Name | Bcbsm Subrogation |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | BCBSM Subrogation Form, BCBSM Subrogation Unit Questionnaire, bcbsm unit, subrogation bcbsm com, anthem com subrogation |
