Get the free Michigan Medicaid Dental Electronic Claims Payer Profile

This document provides information regarding the electronic claims submission process for Michigan Medicaid dental providers, including payer ID, registration requirements, and contact information.

How to fill out michigan medicaid dental electronic

How to fill out Michigan Medicaid Dental Electronic Claims Payer Profile

1. Obtain the Michigan Medicaid Dental Electronic Claims Payer Profile form.
2. Fill in the provider's Medicaid ID number in the designated field.
3. Provide the dental office's name, address, and contact information accurately.
4. Enter the billing provider's National Provider Identifier (NPI) number.
5. Specify the type of services offered by the dental practice.
6. Indicate the preferred method of electronic claims submission.
7. Review the profile for accuracy and completeness.
8. Submit the completed form as per the guidelines provided by Michigan Medicaid.

Who needs Michigan Medicaid Dental Electronic Claims Payer Profile?

1. Dental providers who wish to bill Michigan Medicaid for dental services.
2. Providers who are transitioning to electronic claims submission for efficient processing.
3. Any dental practice that serves Medicaid recipients and wants reimbursement for services.

People Also Ask about

What are the guidelines for Medicaid in Michigan?

To qualify for Medicaid in Michigan, your household income must be at or below 133% of the federal poverty level. Today's income limits for Michigan Medicaid are roughly $18,000 for an individual, $24,000 for a couple, or $36,000 for a family of four.

How to find the payer ID?

The payer ID is generally five characters, but it may be longer. It may also be alpha, numeric, or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.

Does Michigan Medicaid accept paper claims?

In addition to information about how to submit claims and check payments, HAP CareSource™ offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. HAP CareSource accepts claims in a variety of formats, including online and paper claims.

What is Medicaid in Michigan called?

Medicaid (also called Medical Assistance, or MA) is health insurance for people with low income. In Michigan, there is traditional Medicaid (TM) and the Healthy Michigan Plan (HMP).

What is the payer ID for Medicaid claims in Michigan?

For professional and facility claims with all service dates prior to Jan. 1, 2024, please submit your claims to MI Health Link using payer ID 38224.

Does Medicaid cover dental in Michigan?

Michigan Medicaid will cover medically necessary dental procedures, so there is no time like right now to get the dental care you need. If you are a resident in Michigan and are on Medicaid, there are a couple of things you need to know about your coverage and how to find a dentist that accepts Medicaid.

For pdfFiller’s FAQs

What is Michigan Medicaid Dental Electronic Claims Payer Profile?

The Michigan Medicaid Dental Electronic Claims Payer Profile is a document or format used by dental providers to submit claims electronically to the Michigan Medicaid program for dental services rendered to eligible beneficiaries.

Who is required to file Michigan Medicaid Dental Electronic Claims Payer Profile?

Dental providers who wish to submit claims electronically to Michigan Medicaid are required to file the Michigan Medicaid Dental Electronic Claims Payer Profile.

How to fill out Michigan Medicaid Dental Electronic Claims Payer Profile?

To fill out the Michigan Medicaid Dental Electronic Claims Payer Profile, providers must gather necessary information such as provider details, NPI number, Medicaid identification numbers, and any other required identifiers, and enter them accurately according to the guidelines provided by Michigan Medicaid.

What is the purpose of Michigan Medicaid Dental Electronic Claims Payer Profile?

The purpose of the Michigan Medicaid Dental Electronic Claims Payer Profile is to streamline the electronic claims submission process, ensuring that dental providers can efficiently submit claims while complying with Medicaid regulations.

What information must be reported on Michigan Medicaid Dental Electronic Claims Payer Profile?

The Michigan Medicaid Dental Electronic Claims Payer Profile must report information such as the provider's NPI, Medicaid provider ID, contact information, and any specific electronic claim submission requirements set forth by the Michigan Medicaid program.