Every Michigan claim is scrubbed against payer-specific edits before submission. Our billers know the requirements of BCBSM, Medicaid health plans, and auto insurers, which keeps rejections low.
Certified coders apply ICD-10, CPT, and HCPCS codes that match documentation and payer policy. Michigan providers capture full reimbursement while staying protected during audits. .
We verify coverage before every visit, including whether an injury falls under no-fault auto coverage or a health plan. Michigan practices avoid denials caused by billing the wrong payer first.
Our team submits and tracks prior authorizations with Michigan Medicaid health plans, Blue Care Network, Priority Health, and other payers. Treatment stays on schedule while we handle the follow-up.
Denied Michigan claims are corrected and resubmitted or appealed fast. We also track denial trends by payer so recurring issues are solved at the source.
We follow up on unpaid claims every week, including slower-moving auto insurance claims. Michigan practices recover revenue that might otherwise sit unpaid for months.
Patients receive clear statements and helpful answers from a dedicated support line. Michigan practices see fewer billing complaints and faster patient payments.
We enroll Michigan providers with Medicare, Michigan Medicaid and its health plans, and commercial networks. Revalidation and recredentialing dates are tracked so no provider falls out of network.
Our full revenue cycle management service covers every step from intake to final payment for Michigan healthcare organizations. You get one accountable team across the entire cycle.
Every payment is posted and checked against contracted and fee schedule rates. Underpaid Michigan claims, including auto claims paid below the allowed amount, are flagged and appealed.
When Michigan providers deliver out-of-network care, we build a market-based case for fair reimbursement and negotiate with the payer. Federal dispute resolution is managed where it applies.
Clear reports show collections, AR aging, and denial rates for your Michigan practice. Performance is broken down by provider, location, and payer type, including no-fault auto claims.
All billing runs on secure, HIPAA-compliant systems with strict access controls. Every Michigan client receives a business associate agreement from day one.
Michigan Medicaid is administered by the Michigan Department of Health and Human Services. Most members, including those in the Healthy Michigan Plan expansion program, receive benefits through contracted Medicaid health plans, each with its own provider network, authorization list, and claim rules.
Medicare Part A and Part B claims for Michigan are processed by Wisconsin Physicians Service (WPS) under Jurisdiction 8. Michigan also has strong Medicare Advantage enrollment, so many seniors are billed through private plans with different requirements.
Commercial coverage is led by Blue Cross Blue Shield of Michigan and Blue Care Network, with Priority Health, HAP, and national carriers also holding major shares. Add the no-fault auto system and workers’ compensation, and a single Michigan practice may bill a dozen payer types in a week. Our team keeps payer-specific notes for each one.
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Yes. We bill auto insurers under Michigan's no-fault fee schedule rules, coordinate with health plans when a patient's auto policy coordinates benefits or limits PIP coverage, and follow up on slow or disputed claims.
Yes. We bill fee-for-service Medicaid and the Medicaid health plans that serve Healthy Michigan Plan members, and we manage provider enrollment with each.
Most Michigan practices pay a percentage of collections. The rate depends on your specialty, claim volume, payer mix, and whether you need extras like credentialing or no-fault claim handling. We provide a custom quote after a free audit.
Yes. They are among the largest payers in Michigan, and our team follows their claim, authorization, and documentation policies closely.
Most Michigan practices are fully transitioned within a few weeks. We connect to your systems, review open AR, and keep claims moving throughout the switch so there is no gap in cash flow.
Yes. We handle enrollment with Medicare, Michigan Medicaid and its health plans, BCBSM, and other commercial networks, and we track each application until the provider is active.
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