Medical billing and credentialing services in Michigan
Michigan is a Blue Cross Blue Shield of Michigan market with a large Michigan Medicaid population and strong regional plans like Priority Health. We provide credentialing and billing support to practices across the state, working remotely.
Practices we support in Michigan
- Detroit
- Grand Rapids
- Ann Arbor
- Lansing
- Kalamazoo
- Statewide
Provider credentialing and payer enrollment in Michigan
Michigan physicians are licensed through the Department of Licensing and Regulatory Affairs, which supports the Board of Medicine. Medicaid enrollment runs through CHAMPS, the state's provider system. Commercial credentialing centers on Blue Cross Blue Shield of Michigan and Blue Care Network, then Priority Health, McLaren Health Plan and the Medicaid health plans such as Meridian and Molina. Blue networks and Medicaid plans each have their own application steps.
Michigan payer snapshot
The programs and plans most Michigan practices enroll with first.
- Medicaid
- Michigan MedicaidMichigan Department of Health and Human Services · enrollment via CHAMPS
- Blue plans
- Blue Cross Blue Shield of Michigan and Blue Care Network
- Other payers
- Priority Health, McLaren Health Plan, Meridian and Molina Healthcare of Michigan
- Medicare
- WPS Government Health AdministratorsPart A and B claims administrator for Michigan
- Licensing
- Michigan Department of Licensing and Regulatory Affairs, Board of Medicine
Medical billing and revenue cycle management in Michigan
Michigan billing leans heavily on BCBSM and Blue Care Network, with Michigan Medicaid and its health plans, Medicare and Medicare Advantage making up much of the remaining mix. Practices often hit denials from provider-to-network mismatches, missing referral or authorization details, and coverage that moves between fee-for-service and a Medicaid plan. Steady follow-up on aging claims keeps receivables healthy in Detroit, Grand Rapids and beyond.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
Websites, marketing and virtual assistants for Michigan practices
Patients in Detroit, Ann Arbor and Grand Rapids often search for in-network care, so pages that list accepted plans and services help. We build practice websites, tune local search and Google Business Profiles, and offer HIPAA-compliant medical virtual assistants for front-desk and verification work.
- Website design and development
A fast, accessible practice website with services, providers, locations and insurance accepted, built for every business, not only healthcare. Web development →
- Healthcare digital marketing
Local search, Google Business Profile and campaigns aimed at the patients and referral sources near your Michigan locations. Digital marketing →
- HIPAA-compliant medical virtual assistants
Trained remote staff for scheduling, eligibility, intake and follow-up, working inside your systems. Medical virtual assistants →
How Michigan practices start with Core MB
Core MB is based in Brooklyn, New York and works with practices in Michigan remotely. Nothing about the service depends on distance: payer portals, clearinghouses and your practice management system are the same wherever the office sits.
Tell us about the practice
Specialty, providers, locations and the payers you bill or want to join. One conversation is usually enough.
Receive a written proposal
Scope, timeline and responsibilities in plain language, whether you need one service or all five.
Onboard without disruption
Transitions run alongside your current setup, and credentialing progress is visible in your client portal from day one.
Michigan billing and credentialing questions
How do providers enroll in Michigan Medicaid?
Providers enroll through CHAMPS, the Community Health Automated Medicaid Processing System run by the Michigan Department of Health and Human Services. A valid Michigan license and NPI are needed. Medicaid health plans then require their own credentialing for managed care members.
Which payers should a new Michigan practice start with?
Blue Cross Blue Shield of Michigan and Blue Care Network are the usual priority because of their commercial reach, along with Medicare. Priority Health, McLaren Health Plan and Michigan Medicaid plans follow depending on your location and patient mix.
Do Michigan Medicaid health plans credential separately?
Yes, in general. CHAMPS enrollment makes you a Medicaid provider, but plans such as Meridian, Molina Healthcare of Michigan and McLaren Health Plan manage their own networks and credentialing. We track each application so providers are loaded correctly before billing begins.
Do we need to be near Brooklyn to work with Core MB?
No. Everything runs remotely: enrollment applications, payer follow-up, claims and reporting. Practices in Michigan get the same team, the same client portal and the same monthly reporting as a practice around the corner from our office.
Nearby states
Ready to get paid faster in Michigan?
Tell us about your practice and the payers you bill, and we will send a written quote.