Locations
Medical Billing Services by State
Medical billing follows the same claim formats everywhere, but each state runs its own Medicaid program, insurance regulator, workers' compensation system and sometimes auto-insurance rules. We bill remotely, so practices in many states can work with us; these pages explain what is different in each one.
- Remote billing, with no need for a team in your state
- Each state page links the official agencies we check
- Serving medical practices across the United States
Why billing changes from state to state
Medicare works the same way nationally, but even it is processed by regional contractors with their own coverage policies. Medicaid is run by each state, usually through managed care plans with their own enrollment, authorization and claim rules. Workers' compensation is a state system everywhere, and some states require no-fault or personal injury protection auto coverage that pays accident-related medical bills, as the New York and New Jersey pages explain.
Our state pages summarize the structures that matter most for billing in each state and link the official source for every state-specific rule, so you can see where each requirement comes from. Rules change, so we check the current version rather than rely on a summary.
States with a dedicated billing page
Choose your state to see its Medicaid structure, regulators and workers' comp rules.
Texas
Texas Medicaid managed care and TMHP fee-for-service claims, Novitas Medicare, SB 1264 balance-billing disputes and workers' comp non-subscribers.
Learn more about TexasCalifornia
Medi-Cal fee-for-service and managed care, delegated medical groups, the DMHC and CDI regulator split, and workers' comp under the OMFS.
Learn more about CaliforniaFlorida
Florida Medicaid through Statewide Medicaid Managed Care plans contracted by AHCA, and Medicare through First Coast Service Options.
Learn more about FloridaNew York
Medicaid through eMedNY and managed care, no-fault auto claims, Board-authorized workers' comp care and surprise-bill dispute resolution.
Learn more about New YorkPennsylvania
Medical Assistance through Physical HealthChoices and Community HealthChoices, the state prompt-pay regulation, workers' comp fee schedules and auto medical benefits.
Learn more about PennsylvaniaIllinois
HealthChoice Illinois managed care, IMPACT enrollment plus plan-by-plan contracting, IWCC fee schedule pricing and prompt-pay complaints.
Learn more about IllinoisOhio
Ohio's exclusive state-fund workers' comp with BWC-certified MCOs, Medicaid managed care with one pharmacy benefit manager, and HB 388.
Learn more about OhioGeorgia
Georgia Families care management organizations, Pathways to Coverage, Board workers' comp fee schedules and surprise-bill arbitration.
Learn more about GeorgiaNorth Carolina
NC Medicaid Standard Plans, Tailored Plans and Medicaid Direct, Medicaid expansion adults, Industrial Commission fee schedules and rural care.
Learn more about North CarolinaNew Jersey
NJ FamilyCare managed care, PIP auto claims under the DOBI fee schedule, the state workers' comp division and out-of-network arbitration.
Learn more about New Jersey
Frequently asked questions
Do you serve practices in states not listed here?
We serve medical practices across the United States. More state pages are being added.
Do you need staff in our state to bill for us?
No. Billing is done remotely through your practice management system, clearinghouse and payer portals. What matters is knowing each state's payer rules, which we research from official sources.
Why does each state page link to government sources?
State billing rules change, so we point to the agency or contractor that publishes each one, and we check the current version before applying it to your claims.
What if our practice has locations in more than one state?
Each location's claims follow the rules of the state and payers involved, and Medicaid enrollment is handled state by state. Multi-state groups are billed as one engagement, with each state's rules applied to its own claims.
Billing across state lines?
A free audit shows how your claims perform by state and payer, wherever your practice is located.