Medical Billing Services in Michigan for Medicaid, BCBSM & No-Fault Claims

12 months from the date of service. Michigan Medicaid claims are submitted through CHAMPS, and claims older than one year are considered only for documented policy exceptions.

Under MCL 500.2006, health plans must pay a clean claim within 45 days of receiving it. A clean claim paid late earns simple interest at 12% a year.

Wisconsin Physicians Service (WPS) processes Medicare Part A and Part B claims for Michigan as the Jurisdiction 8 Medicare Administrative Contractor, which also covers Indiana.

CHAMPS is Michigan Medicaid’s online system for provider enrollment, eligibility checks and claim submission, run by the Michigan Department of Health and Human Services.

Since July 2, 2021, payments for auto-accident treatment are capped by a fee schedule tied to Medicare, starting at 200% of the Medicare rate, with lower caps for services after July 2022 and July 2023. Providers need to bill and check payments against the cap that applies to each date of service.

Yes. We bill no-fault claims with the documentation auto insurers require, check every payment against the fee schedule, and appeal underpayments and denials.

Medical billing and claim submission, Michigan no-fault billing, denial management, A/R recovery, coding and billing audits, provider credentialing, revenue cycle management, remote patient monitoring billing, medical transcription and appointment scheduling. You can choose full revenue cycle management or only the services you need.

Most billing companies charge a percentage of collections. eBillingWorks pricing starts at 2.49% and depends on your specialty, claim volume, payer mix and services. You get a written quote after a free audit.

Yes. We bill BCBSM, Priority Health, Medicaid Health Plans, Medicare Advantage and other commercial plans, and track each payer’s rules and deadlines.

Yes. We handle CHAMPS enrollment and revalidation, Medicare enrollment, Medicaid Health Plan and commercial credentialing, and CAQH upkeep.

The most common reasons are eligibility or plan changes, missing prior authorizations, coding or modifier errors, credentialing gaps, late filing and missing documentation on no-fault claims.

No. Our team works inside your existing EHR and practice management system.

Yes. We plan the switch with you and work your existing unpaid claims, starting with those closest to their filing deadline, while new claims flow through our process.

Yes. We work with practices across Michigan, from Detroit and Ann Arbor to Grand Rapids, Lansing and Traverse City.

Yes, when the billing company signs a Business Associate Agreement and protects patient data. We sign a BAA with every client.

We review a sample of your recent claims, denials and aging A/R, then give you a short written summary of what’s working, where money is being lost and what to fix first. There’s no obligation.