Medical billing services in North Dakota
Billing, coding, credentialing and A/R follow-up for providers in North Dakota.
Billing in North Dakota: what is different
North Dakota Medicaid is mostly fee-for-service, with managed care for the expansion population.
Key payers and contractors in North Dakota
- Medicare Part A/B
- Noridian Healthcare Solutions, Jurisdiction JFPortal: Noridian Medicare Portal (NMP)
- Medicare DME
- Noridian, DME MAC Jurisdiction DDME supplier claims only · Portal: Noridian Medicare Portal (NMP)
- Medicaid
- North Dakota Medicaid
- Blue Cross Blue Shield
- Blue Cross Blue Shield of North Dakota
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with North Dakota providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with Noridian Healthcare Solutions through the Noridian Medicare Portal (NMP)
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in North Dakota: common questions
Do you bill North Dakota Medicaid and its managed care plans?
Yes. We bill North Dakota Medicaid fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in North Dakota?
Medicare Part A and B claims in North Dakota are processed by Noridian Healthcare Solutions (Jurisdiction JF), and we submit and track them through the Noridian Medicare Portal (NMP). DME supplier claims go to a different contractor, Noridian (DME MAC Jurisdiction D), through the Noridian Medicare Portal (NMP).
Can you credential new providers in North Dakota?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in North Dakota.
Neighboring states and key payers
Get a free billing audit for your North Dakota practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.