Submitting Medicare Advantage claims 

As a provider outside of Michigan, you should submit claims directly to us when you provide services to a  Priority Health Medicare Advantage member with out-of-state coverage. 

How to: submit claims to Priority Health 

  1. We accept claims from out-of-state providers by mail or electronically. Paper claims should be mailed to: Priority Health Claims, P.O. Box 232, Grand Rapids, MI 49501. Electronic claims set up and payer ID information is available here.
  2. To expedite claims processing, always include the member ID number (found on the member's ID card) to identify the patient.
  3. Claims must be submitted within 12 months of the date of service. If multiple services are performed on the same day, include all services on one claim. 

For more information about billing and payment, including general claim requirements and service-specific billing information, visit the billing and payment section of our Provider Manual. 

Reminder: Make sure your remittance address is correct on your claims. This will help us ensure timely payment. To update the remittance address we have on file, you can submit an update through our provider portal, prism, or call our Provider Helpline at 800.942.4765 for assistance.