Hard Copy Claim Submission
Send Medicaid Claims to:
Pro Care Health Plan, Inc.
P.O. Box 3160
Detroit, MI 48203
Important Information regarding mailed claims
- The standard HCFA 1500 Claim Form is required for all physicians services
- Your 5-digit provider number assigned by Pro Care is required in box 33 on the HCFA 1500 Form and box 51 on the UB 92 Form.
- Pro Care’s member number is required in box #1a on the HCFA and box # 60 on the UB 92.
- You must include the provider NPI number in box 33A
Electronic Claims Submission
Please submit your claims for payment electronically. This will enhance our ability to process your claims in a timely fashion. If you submit claims
electronically through your clearinghouse, the Pro Care electronic Payer ID is 70259.
Contact your system vendor or clearinghouse if you have any difficulty submitting electronic claims.
For the Billing Provider: in addition to your Federal Tax ID, when submitting electronic claims to Pro Care you must send either your Pro Care assigned
Provider ID or your Michigan Medicaid Provider ID.
| BILLING PROVIDER ID |
FORMAT |
HARD COPY CLAIM REFERENCE |
| Pro Care Provider ID |
6-9 digits |
HCFA = Box 33
UB = Box 51 |
| Michigan Medicaid Provider ID |
2 digit provider ID type then the 7 digit provider ID number |
HCFA = Box 33
UB = Box 51 |
| NPI Number |
10 digits |
HCFA = Box 33a
UB = Box 76 |
If you need assistance in identifying your Pro Care Provider ID, please do not hesitate to contact the Customer Services Division at 1-877-255-3055.