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Billing and Reimbursement


Woman with papersElectronic 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. 

DoctorsProvider Specific Information 
Related to billing and reimbursement for services to Medicaid, CSHCS, Healthy Michigan Plan, and MOMS beneficiaries. 

Hand WritingThird Party Liability 
Coordination of benefits, casualty, manual, and related links. 

Doctors CoatsList of Sanctioned Providers  
Lists providers excluded from Medicaid participation. 

Person writing in a checkbookCo-Payment Information 
Table listing for most Medicaid FFS beneficiaries 
File with arrowMDHHS - File Transfer 
Related reimbursement links for Medicaid providers (CHP, FQHC, HMO, hospitals, LHD, RHC, THC, nursing facilities, CMCF, HLTCU)
Medical tool and paperExplanation Codes 
Former MDHHS explanation codes are now obsolete. 
Legal ScalesFraud Abuse and Reporting Requirements 
Contains descriptions of fraud and abuse, information on reporting contacts and a link to the Medicaid Fraud/Abuse Online Complaint Form. 
Person holding a walking caneAdult Services Authorized Payments (ASAP)   
A paperless billing system for home help, adult foster care and home for the aged providers. 

Doctor writingNational 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. 

Elderly Man with caneMedicare Crossover 
A process where a provider or billing agent can submit one claim and have that claim be adjudicated by Medicare and Medicaid. 

New or Prospective Providers

Materials, training tools, and resources to assist newly enrolled or prospective providers.

Provider Alerts
Provider Training