Documentation EZ Link Training

Documentation EZ Link Training Seminar Slide Presentation
Slides used during EZ Link training seminars.

Documentation EZ Link Technical Specifications
Technical details of accessing EZ Link (for IT staff)

Documentation EZ Link Virtual Printer Installation
Instructions and technical specifications for the EZ Link Virtual Printer (for IT staff)

Documentation EZ Link Organization Creation and User Administration
Detailed step-by-step guide showing how to create an EZ Link organization and how to manage users.

Documentation EZ Link User Registration
Detailed step-by-step guide showing new users how to register for EZ Link.

Step by Step for Sending Consent Forms
Quick Steps for Sending Consent Forms 

Step by Step for Sending Claim Attachments  
Quick Steps for Sending Claim Attachments      

Step by Step for Sending CSHCS Documentation
Quick Steps for Sending CSHCS Documentation

Documentation Fax Cover Letters

Institutional Provider: Word Document         PDF

Professional/Dental Providers: Word Document       PDF

Consent Forms Approval for Institutional and Professional  Word Document        PDF

Documentation EZ Link: Claim Attachments via Fax

Claim Submissions

1. Submit the claim electronically with "EZLINK" as the first text in the remarks section.
2. Fill out the applicable Institutional or Professional cover letter. (available on the MDCH website - www.michigan.gov/medicaidproviders)
   • Make sure to include:
     • Recipient ID (eight characters)
     • Provider Type & ID (two digit provider type followed by ID #)
     • From date of service (mm/dd/yyyy)
     • Number of attached pages (including the cover letter)
   • All documentation must:
     • Be unique to only one recipient
     • Be clear and legible
     • Contain the number of pages identified on the cover letter
3. Fax the cover letter and associated documentation to Documentation EZ Link at:
   • Professional/Dental Providers: 866-584-8081
   • Institutional Providers: 866-472-4799
   • Consent Forms Approval for Institutional and Professional:   866-229-6675 
4. Once received, the documentation is filed for use in processing only electronic claims.

Electronic Billing

• When the provider electronically bills MDCH they must submit the required documentation at that time through Documentation EZ Link.
• The invoice must show "EZLINK" as the first text in the remarks section (Loop 2300, segment NTE)

Documentation Will Be Returned If:

·         The required information is not filled out on the cover letter.

·         The documentation is for more than one recipient.

·         The documentation is not legible