Medtransic powers Michigan's healthcare providers with comprehensive medical billing services. From Detroit's major health systems to Grand Rapids' growing medical corridor, Michigan practices benefit from our expertise in Healthy Michigan Plan Medicaid, Blue Cross Blue Shield of Michigan, and Priority Health billing.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Michigan. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Michigan practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.
Why Partner with Medtransic in Michigan
Healthcare providers across Michigan choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.
98% First-Pass Acceptance Rate — Clean claims submitted within 24-48 hours, reducing rejections and accelerating payments
25% Average Revenue Increase — Our clients see significant revenue growth within 90 days of onboarding
45% Denial Rate Reduction — Proactive denial prevention with root cause analysis and targeted appeals
HIPAA-Compliant Operations — SOC 2 certified, fully HIPAA compliant with encrypted data handling
Dedicated Account Manager — A single point of contact who knows your practice, specialty, and payer mix
No Long-Term Contracts — Month-to-month flexibility with transparent pricing and no hidden fees
Why Michigan Practices Choose Medtransic
Healthcare providers across Michigan partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
Healthy Michigan Plan
Expert billing for Michigan's expanded Medicaid program and its Medicaid Health Plans.
BCBS Michigan Optimization
Maximize reimbursements from Blue Cross Blue Shield of Michigan, the state's dominant payer.
Auto No-Fault Medical
Specialized billing for Michigan's unique auto no-fault medical claims and personal injury protection.
Health System Integration
Seamless billing solutions for Michigan's large integrated health systems and physician networks.
See How Much Revenue Your Michigan Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Michigan has a 6-year statute of limitations for medical debt and relies primarily on federal No Surprises Act protections. The state has specific regulations for auto insurance medical billing due to its no-fault auto insurance system.
Statute of Limitations: 6 years for medical debt collections in Michigan.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
6-year statute of limitations
No-fault auto insurance medical billing
Federal No Surprises Act applies
Medical Billing Services We Offer in Michigan
Our full suite of revenue cycle management services is available to healthcare practices across Michigan. Each service is tailored to meet the specific needs of your practice and specialty.
Denial Management - Proactive denial prevention and aggressive appeals to recover lost revenue for Michigan practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Michigan payer requirements
Accounts Receivable Management - Systematic follow-up on outstanding claims to reduce days in AR and improve collections
Provider Credentialing - Complete payer enrollment and credentialing for Michigan insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Michigan and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Michigan telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Michigan. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Michigan with localized billing expertise.
Metro Detroit & Southeast Michigan
Metro Detroit's healthcare market is anchored by Henry Ford Health System, Beaumont Health (now Corewell Health East), and the Detroit Medical Center. The region's auto industry legacy means employer-sponsored plans from GM, Ford, and Stellantis represent a significant commercial payer segment alongside Medicaid Healthy Michigan plans serving a large low-income population.
Blue Cross Blue Shield of Michigan dominates the commercial market with over 60% market share, making BCBSM billing expertise essential for every practice in the region.
Key specialties in demand: Cardiology, orthopedics, oncology, neurology, pain management
West Michigan: Grand Rapids & Kalamazoo
West Michigan's healthcare landscape is shaped by Corewell Health (formerly Spectrum Health), Bronson Healthcare, and the expanding presence of Michigan Medicine outreach clinics. A strong faith-based healthcare tradition and manufacturing economy create a distinctive patient demographic with robust employer-sponsored insurance coverage.
Priority Health, headquartered in Grand Rapids, is a dominant regional payer whose unique plan structures and authorization requirements demand specialized billing knowledge.
Key specialties in demand: Family medicine, pediatrics, general surgery, orthopedics, behavioral health
Ann Arbor & Mid-Michigan
Ann Arbor is home to Michigan Medicine (University of Michigan Health), one of the top academic medical centers in the country, attracting patients from across the Midwest for specialty and tertiary care. Sparrow Health System and McLaren Health Care serve the broader mid-Michigan region with a mix of urban and rural patient populations.
The academic medical center's referral network generates complex billing patterns for surrounding independent practices managing shared patients and split care billing.
Key specialties in demand: Oncology, transplant medicine, neurosurgery, cardiology, rheumatology
Our Track Record in Michigan
Medtransic has a strong track record of delivering results for healthcare practices in Michigan.
225++ practices served across Michigan
60++ billing specialists dedicated to Michigan accounts
16++ years of experience in Michigan medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Michigan practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Michigan
How does Michigan's Healthy Michigan Plan (Medicaid expansion) affect billing?
The Healthy Michigan Plan expanded Medicaid eligibility to adults earning up to 138% of the federal poverty level, adding over 900,000 members to Michigan's Medicaid rolls. Coverage is administered through managed care plans including Molina, UnitedHealthcare Community Plan, Aetna Better Health, and Blue Cross Complete. Medtransic manages Healthy Michigan billing for each MCO, ensuring proper authorization and claims submission.
What is Michigan's prompt pay law and how does it protect providers?
Michigan's prompt pay law requires insurers to pay or deny clean electronic claims within 30 days and paper claims within 45 days. Insurers that fail to meet these deadlines must pay interest at 12% per year on the unpaid amount. Medtransic monitors all Michigan claim payment timelines and files regulatory complaints with the Michigan Department of Insurance and Financial Services when payers are non-compliant.
How does Blue Cross Blue Shield of Michigan's market dominance affect billing?
BCBSM holds over 60% of the commercial insurance market in Michigan, making it the single most important payer for nearly every practice in the state. BCBSM has its own unique billing requirements, including specific modifier rules, prior authorization processes, and the Provider Inquiry Tool portal. Medtransic maintains BCBSM-specialized billing staff who understand every aspect of BCBSM claims processing and appeals.
What does Michigan's surprise billing law (PA 143) require?
Michigan Public Act 143 protects patients from surprise out-of-network bills for emergency services and establishes a dispute resolution process for payment disagreements between providers and insurers. The law caps patient liability at in-network cost-sharing amounts. Medtransic ensures all applicable Michigan claims comply with PA 143 and navigates the dispute resolution process to secure fair reimbursement.
What are the timely filing deadlines for Michigan insurance claims?
Michigan commercial payer timely filing deadlines vary from 90 to 365 days depending on the contract, with BCBSM generally allowing 180 days for participating providers. Medicare requires filing within 12 months, and Michigan Medicaid MCOs typically require submission within 180 days. Medtransic submits clean claims within 24-48 hours of receiving encounter data to prevent any revenue loss from late filings.
How much do medical billing services cost in Michigan?
Medical billing outsourcing for Michigan practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most Michigan practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.
How do I get started with Medtransic in Michigan?
Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.
Get Started with Medical Billing Services in Michigan
Ready to optimize your Michigan practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands Michigan healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.