Medical billing services in Alabama
Billing, coding, credentialing and A/R follow-up for providers in Alabama.
Billing in Alabama: what is different
Alabama Medicaid has historically relied mostly on fee-for-service and care coordination rather than full-risk managed care.
Key payers and contractors in Alabama
- Medicare Part A/B
- Palmetto GBA, Jurisdiction JJPortal: Palmetto GBA eServices
- Medicare DME
- CGS, DME MAC Jurisdiction CDME supplier claims only · Portal: myCGS
- Medicaid
- Alabama Medicaid
- Blue Cross Blue Shield
- Blue Cross and Blue Shield of Alabama
- 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 Alabama providers
- Medicaid enrollment and revalidation with the state, plus credentialing with any managed care or behavioral health plan that applies
- Medicare enrollment through PECOS and claims with Palmetto GBA through Palmetto GBA eServices
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s coverage and plan before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Alabama: common questions
Do you bill Alabama Medicaid?
Yes. Alabama Medicaid pays most claims directly through the state, so we bill it fee-for-service and follow its prior authorization and documentation rules.
Who processes Medicare claims in Alabama?
Medicare Part A and B claims in Alabama are processed by Palmetto GBA (Jurisdiction JJ), and we submit and track them through Palmetto GBA eServices. DME supplier claims go to a different contractor, CGS (DME MAC Jurisdiction C), through myCGS.
Can you credential new providers in Alabama?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Alabama.
Neighboring states and key payers
Get a free billing audit for your Alabama 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.