Medicaid runs by state
Every state administers its own Medicaid program with its own portal, timely-filing window, prior-auth list and fee schedule. A claim that is clean in Texas can be rejected outright in New York.
Coverage
Medical billing services in all 50 states
Revenue cycle management is remote work, so where your practice sits does not limit who can bill for you. What does matter is whether your billing team knows your state's Medicaid program, your regional payers and your licensing rules. We do.
Why state matters
Billing rules are not the same in every state
A biller who treats all 50 states as one market will cost you money. These are the differences we account for before your first claim goes out.
Licensing and enrollment
Provider enrollment, revalidation cycles and supervision requirements are set at state level. Getting this wrong delays your first payment by months, not days.
Regional payer mix
The Blue Cross plan in your state is a different company with different policies from the one next door. Regional plans often drive more of your revenue than the national names.
Balance-billing and telehealth law
State surprise-billing statutes and telehealth parity rules change what you may bill a patient and what a payer must cover. Both moved a lot in recent years.
Working in your time zone
Payer phone lines close on local time. Our AR team calls during your business hours, not whenever a queue happens to reach your claim.
Workers' comp and no-fault
Workers' compensation fee schedules and auto no-fault rules are state-specific and frequently mishandled. Both are recoverable revenue that often gets written off.
Find your state
States we serve
Start typing to filter. Do not see something you expected? Call us. The list is where we work today, not a limit.
Northeast
Southeast
Midwest
Southwest
West & Pacific
No state matches that search. Get in touch and we will confirm coverage directly.
A straight answer about coverage. We are licensed and able to bill in all 50 states, and our systems support every state Medicaid program. That is not the same as claiming deep local history everywhere. We are a small firm and we will tell you honestly on the first call how much work we have done with your specific payers. If we have not billed your state's Medicaid before, we will say so, and we will show you how we plan to get up to speed before you commit to anything.