We provide comprehensive, end-to-end medical billing services for healthcare providers throughout North Carolina, including:
Our revenue cycle management approach reduces claim errors, improves first-pass acceptance, and strengthens financial performance for North Carolina practices.
Strict payer documentation and coding rules increase denials and rework.
Evolving NC Medicaid guidelines and managed care rules add billing complexity.
Payer delays and slow follow-up cycles can disrupt practice cash flow.
Incomplete enrollment with payers can delay approvals and reimbursement.
We support billing for NC Medicaid, which moved to managed care in 2021, placing most members in Standard Plans from WellCare, UnitedHealthcare, AmeriHealth Caritas, Healthy Blue and Carolina Complete Health, with Tailored Plans following for behavioral health and I/DD populations. Blue Cross and Blue Shield of North Carolina anchors the commercial market. We bill each plan type by its own rules.
