Medical billing services in Michigan
Billing, coding, credentialing and A/R follow-up for providers in Michigan.
Billing in Michigan: what is different
Medicaid Health Plans serve most members, while many behavioral health services run through prepaid inpatient health plans.
Key payers and contractors in Michigan
- Medicare Part A/B
- WPS Government Health Administrators, Jurisdiction J8Portal: WPS GHA Portal
- Medicare DME
- CGS, DME MAC Jurisdiction BDME supplier claims only · Portal: myCGS
- Medicaid
- Michigan Medicaid (including Healthy Michigan Plan)Portal: CHAMPS
- Blue Cross Blue Shield
- Blue Cross Blue Shield of Michigan
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Michigan providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with WPS Government Health Administrators through the WPS GHA Portal
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Michigan: common questions
Do you bill Michigan Medicaid and its managed care plans?
Yes. We bill Michigan Medicaid fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in Michigan?
Medicare Part A and B claims in Michigan are processed by WPS Government Health Administrators (Jurisdiction J8), and we submit and track them through the WPS GHA Portal. DME supplier claims go to a different contractor, CGS (DME MAC Jurisdiction B), through myCGS.
Can you credential new providers in Michigan?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Michigan.
Get a free billing audit for your Michigan practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.