Jump to Content
Requesting Our Records
If you are an attorney requesting copies of our records where we are not a party to the lawsuit, a valid subpoena is required.
If you are a member requesting copies of your records, please contact Customer Service.
Subpoena Requirements
Subpoenas must include:
- Member, provider, employee or other entity name
- Timeframe
- Contract and/or ID number(s)
- Case name and number
- Appropriate signatures
Subpoenas for member records must be accompanied by these completed forms:
- Authorization for Use and Disclosure of Protected Health Information (PDF)
- Authorization for Use and Disclosure of Psychotherapy Notes (PDF)
How to Submit a Records Request
Mail subpoena and completed authorization forms to:
Office of the General Counsel — Mail Code 1923
Blue Cross Blue Shield of Michigan 600 E. Lafayette Blvd. Detroit, MI 48226-2998
Pricing & Response Time
For each records request, we charge a minimum of $34 ($8.50 per hour, minimum four hours) plus 25 cents per page.
We will respond to complete and valid requests (as outlined above) within four to six weeks of receipt.
