Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN). Before sending anything sensitive, confirm the number and receiving department directly with Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) fax number

(877) 522-4767

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Customer Individual Rights Unit

Used for: Request for confidential communication of protected health information via an alternate method, and cancel confidential communication when no longer needed.

Fax destination details

Department
Customer Individual Rights Unit
Purpose
Request for confidential communication of protected health information via an alternate method, and cancel confidential communication when no longer needed.
Form
WF 9080; WF 17943 — Request for confidential communication
Address
600 East Lafayette Blvd., Detroit, MI 48226-2998

Before you send

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  • Check the organization website or call its main line for the current fax number.
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  • Keep the delivery confirmation with your submission records.

Forms explain how to request or cancel confidential communication of PHI; typically used to specify alternate delivery methods for communications containing protected health information (e.g., explanations of benefits, notices) and to revoke such requests.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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