When submitting electronic claims it is possible for Clearinghouses, Software Vendors, Billing Agents, and Service Bureaus to all handle electronic claims.  They are all classified differently and some can be considered multiple depending on the type of business that they complete.

BILLING AGENT INFORMATION

Only Billing Agents will be able to enroll within the Michigan Medicaid system.  A Billing Agent is the business authorized by MDCH to submit Medicaid HIPAA compliant transactions.  

Before any organization can receive a Billing Agent ID there is information that must be completed.  To receive a Billing Agent ID, the Billing Agent MUST be able to complete a HIPAA compliant transactions.  Michigan Medicaid will not allow testing for non-HIPAA compliant transactions. 

BILLING AGENT ID REQUEST

If you would like to become a Michigan Medicaid Billing Agent, please complete the Trading Partner agreement with the CHAMPS Provider Enrollment subsystem.  For more information please visit the  CHAMPS  or Provider Enrollment  webpage.

MICHIGAN MEDICAID APPROVED BILLING AGENTS

All providers listed below have been through the B2B Testing process and are approved Billing Agents by Michigan Medicaid.  The testing that a Billing Agent must go through makes sure they can submit basic criteria requirements. 

·           837 v 4010A1 Dental Approved Billing Agents  

·           837 v 4010A1 Institutional Approved Billing Agents

·           837 v 4010A1 Professional Approved Billing Agents  

For any Billing Agent related questions, please contact AutomatedBilling@michigan.gov .