McLaren Health Plan
Claim Payment Initiatives

Claim Payment Initiatives

McLaren Health Plan follows the claims reimbursement policies and procedures set forth by MDHHS and CMS. Reimbursement for Medicaid and Medicare is based on the prevailing State of Michigan Medicaid or Medicare fee schedule.

MHP accepts both paper (CMS 1500 and UB-04 claim forms) and electronic claims. All claims must be submitted and received by MHP no later than one year from the date of service to be eligible for reimbursement. Claims received that exceed this filing limit may be denied.

To facilitate transparency and improved communication regarding various claim payment initiatives, McLaren Health Plan has developed the following content to share current status updates on these projects. Using the information below, you can track progress and easily access key details.

We appreciate your cooperation and patience as we work to resolve claims efficiently.