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Electronic Billing
This link will provide important information and documents for all your electronic billing needs. Please view the B2B instructions and all Trading Partner information.
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Provider Specific Information
Related to billing and reimbursement for services to Medicaid, CSHCS, ABW, and MOMS beneficiaries.
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Third Party Liability
Coordination of benefits, casualty, manual, and related links.
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List of Sanctioned Providers
Lists providers excluded from Medicaid participation.
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Documentation EZ Link
Documentation EZ Link is a program being launched by MDCH to enable providers in to submit claim attachments through an electronic system.
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DCH - File Transfer
Related reimbursement links for Medicaid providers (CHP, FQHC, HMO, hospitals, LHD, RHC, THC) |
Explanation Codes & Explanation Code Crosswalk
Provides coding information for MDCH's paper Remittance Advice.
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Fraud Abuse and Reporting Requirements
Click here for descriptions of fraud and abuse, information on reporting contacts and a link to the New Medicaid Fraud/Abuse Online Complaint Form.
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MIAuthenticare
A paperless billing initiative for providers of adult foster care.
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Co-Payment Requirements
Table listing for most FFS and ABW beneficiaries
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National NPI Registry
The NPI Registry enables you to search for a provider's NPPES information. You may run simple queries to retrieve this read-only data. There is no charge to use the NPI Registry.
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Medicare Crossover
A process where a provider or billing agent can submit one claim and have that claim be adjudicated by Medicare and Medicaid.
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