Claims
We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, HAP CareSource™ MI Health Link (Medicare-Medicaid Plan) offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status.
HAP CareSource MI Health Link accepts claims in a variety of formats, including online and paper claims.
Submit Claims Online
Providers have the option to submit claims through our secure, online HAP CareSource Provider Portal. You can submit claims and any necessary attachments, track claim payments and more. HAP CareSource MI Health Link offers this service at no cost.
We encourage you to submit claims online to take advantage of the following benefits:
- Faster claim processing
- Reduced administrative costs
- Reduced probability of errors or missing information
- Faster feedback on claim status
- Minimal staff training or cost
Refer to the Provider Manual for detailed information to submit claims.
HAP CareSource MI Health Link also partners with Availity to offer electronic claim submission and real-time transactions at no charge through the Availity Portal. You can use the Availity Portal Registration Guide to get signed up.
Traditional Providers, Community Partners and Delegates and Health Homes
HAP CareSource MI Health Link’s traditional providers, community partners and delegates and health homes all may submit claims through the HAP CareSource Provider Portal using online forms. Three types of claims may be submitted:
- Professional medical office claims
- Dental claims
- Institutional claims
Waiver Services Providers
HAP CareSource MI Health Link waiver services providers can also submit claims through the Provider Portal, but they do not use the same process as traditional providers, community partners and delegates and health homes. All claims for waiver services reimbursement or appeals for claim denials should be submitted electronically through our HAP CareSource Provider Portal.
Instructions for submitting claims and/or appeals for denial of claims can be found on the HAP CareSource Provider Portal.
If you are unable to log in to the HAP CareSource Provider Portal and access your service plan, use the CMS 1500 Health Insurance Claim form to expedite your claim payment. After you complete the paper claim form, you may either mail it or fax it for processing:
HAP Claims
P.O. Box 1186
Dayton, OH 45401-1186
You will use this paper claim process until you can log in to the HAP CareSource Provider Portal and access your service plan.
Get Paid Electronically
HAP CareSource MI Health Link has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:
- Electronic fund transfer (EFT) – preferred
- Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
- Paper Checks
*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.
Enrollment Instructions
Enroll with ECHO for payment and choose EFT as your payment preference for HAP CareSource MI Health link.
Questions? Call ECHO Customer Support at 1-888-834-3511.
Paper Claims
For the most efficient processing of your claims, HAP CareSource MI Health Link recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. Refer to the Provider Manual for instructions to submit paper claims.