Michigan practices get billing at 4-8% of collections, credentialing on request, and no long-term contract. Healthy Michigan Plan, no-fault auto, Medicare and private insurance claims, from Detroit, Grand Rapids, Ann Arbor to smaller towns.
Michigan's ACA Medicaid expansion is branded the Healthy Michigan Plan, run alongside traditional Medicaid managed care; the Michigan Department of Health and Human Services publishes the current plans by county. Michigan also has a no-fault auto insurance system: injuries from car accidents are billed to auto insurers under personal injury protection (PIP) rules rather than to health insurance.
The 2019 no-fault reform tied auto-injury reimbursement to a Medicare-linked fee schedule. Michigan law requires clean health claims to be paid within 45 days, with 12% annual interest after that.
Michigan Medicaid claims, plus Medicare and the major private plans in Michigan
Coding done by specialty-trained staff familiar with your type of practice
A single point of contact who knows your Michigan practice
You keep the option to leave: no long-term contract, and billing at 4-8% of collections
Billing for Michigan Medicaid health plans and the Healthy Michigan Plan
A dedicated account manager for each practice, working under HIPAA compliant procedures
A free billing assessment is the easiest place to start: call 888-777-0860 or send us a note.
Each of these services is set up for the Healthy Michigan Plan and the no-fault auto-injury pathway:
The nine practice types at the top of this list are our specialty. The rest we bill for as well.
Metro Detroit's healthcare market is anchored by Henry Ford Health, Beaumont Health (now Corewell Health East) and the Detroit Medical Center. Employer plans from GM, Ford and Stellantis are a large commercial segment, alongside Healthy Michigan Plan coverage for many low-income patients.
Blue Cross Blue Shield of Michigan plans are part of everyday billing for practices in the region.
Specialties: Cardiology, orthopedics, oncology, neurology, pain management
West Michigan's healthcare market is shaped by Corewell Health (formerly Spectrum Health), Bronson Healthcare and Michigan Medicine outreach clinics. A manufacturing economy means many patients carry employer-sponsored coverage.
Priority Health, headquartered in Grand Rapids, is a major regional payer with its own plan rules and authorization requirements.
Specialties: Family medicine, pediatrics, general surgery, orthopedics, behavioral health
Ann Arbor is home to Michigan Medicine (University of Michigan Health), which draws patients from across the Midwest for specialty and tertiary care. McLaren Health Care also serves the wider mid-Michigan region.
The academic center's referral network means surrounding independent practices often share patients and split care.
Specialties: Oncology, transplant medicine, neurosurgery, cardiology, rheumatology
The Healthy Michigan Plan covers adults with incomes up to 138% of the federal poverty level through Medicaid health plans. Plans differ by county, so check the Michigan Department of Health and Human Services list for the counties you serve.
MCL 500.2006 requires a clean claim to be paid within 45 days, with 12% annual simple interest after that. No-fault auto insurance claims follow their own payment rules under Michigan's no-fault law.
The federal No Surprises Act has applied in Michigan since January 2022. Out-of-network providers cannot balance bill a patient for most emergency services, or for care given at an in-network hospital, hospital outpatient department or ambulatory surgical center.
Michigan Medicaid fee-for-service allows 12 months from the date of service. Medicare allows 12 months from the date of service (42 CFR 424.44). Commercial plans, Medicaid health plans and auto insurers each set or follow their own deadlines, so auto-accident patients need to be identified at intake.
Care for auto-accident injuries is billed to the patient's auto insurer under personal injury protection, not to the health insurer. Since the 2019 reform, drivers choose among PIP coverage levels and auto-injury bills are paid under a Medicare-linked fee schedule, so each patient's PIP coverage needs checking before billing.
Our coverage doesn't stop at the Michigan border - nearby states we also serve:
Want a second look at your Michigan practice's billing? Contact Medtransic for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form, and let us handle the billing so you can focus on your patients.