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BEM 101 10 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Medical Insurance Code Description Medical Insurance Code Code 68 Self-Funded Administration/Group/Plans 69 Fortis Benefits Insurance Company 70 Group Marketing 71 United Medical Resources 72 Corporate Benefit Services 73 Secure One Benefit Admin., Inc. 74 SET/SEG 75 Claim Management Services 76 Core Source/Cambridge 77 Reserved for future use 78 Medicaid Recipient Monitoring 79 Guardian 80 - 82 Reserved for future use 83 Long-Term Care 84 Indemnity (fixed price paid per day/stay for outpatient, inpatient, home health and nursing homes, such as., AARP, Connecticut General, Physicians Mutual)

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Official source

BEM 101 10 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Medical Insurance Code Description Medical Insurance Code Code 68 Self-Funded Administration/Group/Plans 69 Fortis Benefits Insurance Company 70 Group Marketing 71 United Medical Resources 72 Corporate Benefit Services 73 Secure One Benefit Admin., Inc. 74 SET/SEG 75 Claim Management Services 76 Core Source/Cambridge 77 Reserved for future use 78 Medicaid Recipient Monitoring 79 Guardian 80 - 82 Reserved for future use 83 Long-Term Care 84 Indemnity (fixed price paid per day/stay for outpatient, inpatient, home health and nursing homes, such as., AARP, Connecticut General, Physicians Mutual)