In an effort to continuously collaborate with our provider network, we want to ensure that your claims are received and processed in a timely and efficient manner. Therefore, effective immediately please follow the criteria below when submitting claims to Trusted HP - Michigan.
Electronic Claims Submission
Trusted HP - Michigan Medicaid is currently accepting claims through Emdeon. Please submit your claims for payment electronically. This will enhance our ability to process your claims in a timely manner. Please use the following Payer ID when submitting claims electronically through the clearinghouse: Payer ID #70259
Contact your system vendor or clearinghouse if you have any difficulty submitting electronic claims.
Specialty physician claims should include a referral form or prior authorization number(s) for payment.
For the Billing Provider: In addition to your Federal tax ID; when submitting electronic claims to Trusted HP - Michigan, you must enter either your Trusted HP - Michigan assigned Provider ID Number or your NPI Number.
Trusted HP - Michigan Provider IDFormat: 6-9 digits
CMS Claim Reference: Box 33b
UB Claim Reference: Box 57
NPI NumberFormat: 10 digits
CMS Claim Reference: Box 33a
UB Claim Reference: Box 56
If you have any questions, concerns or need additional information please contact Trusted HP - Michigan Customer Services Department at 1-844-427-2671.
Claims Submission Requirements:
Trusted HP - Michigan requires the standard CMS 1500 or UB 04 Claim Form. Member ID number must be accurate and indicated in box 1a of the CMS 1500 and in box 60 of the UB04 claim form.
Submit Trusted HP - Michigan Plan Claims to:
Trusted HP - Michigan (Medicaid)
P.O. Box 830850
Birmingham, AL 35283-0850
Trusted HP - Michigan Providers sign up for electronic funds transfer and electronic remittance advice
Get paid faster and reduce administrative paperwork with electronic funds transfer (EFT) and electronic remittance advice (ERA).
Send us an email at HPR@trustedhpmi.com
When you enroll in EFT, Harbor claims payments are deposited directly in the bank account(s) of your choice. The funds are delivered within one day of the ERA.
EFT payment transactions are reported with file format CCD+, which is the recommended industry standard for EFT payments. The CCD+ format is a NACHA Automated Clearinghouse (ACH) corporate payment format with a single, 80-character addendum record capability. The addendum record is used by the originator to provide additional information about the payment to the recipient. This format is also referenced in the ERA (835 data file). Contact your financial institution if you would like to receive this information.
Fees may be associated with EFT payments. Consult with your financial institution for specific rates.
The ERA replaces the paper version of the explanation of remittance (EOR). Trusted HP - Michigan Plan delivers 5010 835 versions of all ERA remittance files that are compliant with the Health Insurance Portability and Accountability Act (HIPAA).
Trusted HP - Michigan Plan uses Availity ® and Change Healthcare (Formerly Emdeon) as the central gateway for delivery of 835 transactions. You can access your ERA through your clearinghouse or through the secure provider tools available at the Availity Web Portal.
If you have questions Contacts Us.
Need to file a grievance or appeal?
We understand there may be times you do not agree with a claims decision made. Please use one of these forms to submit your request.