Medical billing services in Georgia
Billing, coding, credentialing and A/R follow-up for providers in Georgia.
Billing in Georgia: what is different
Georgia Families care management organizations serve most Medicaid and PeachCare for Kids members.
Key payers and contractors in Georgia
- Medicare Part A/B
- Palmetto GBA, Jurisdiction JJPortal: Palmetto GBA eServices
- Medicare DME
- CGS, DME MAC Jurisdiction CDME supplier claims only · Portal: myCGS
- Medicaid
- Georgia Medicaid (Georgia Families)Portal: GAMMIS
- Blue Cross Blue Shield
- Anthem Blue Cross and Blue Shield
- 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 Georgia providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- 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 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 Georgia: common questions
Do you bill Georgia Medicaid and its managed care plans?
Yes. We bill Georgia 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 Georgia?
Medicare Part A and B claims in Georgia 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 Georgia?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Georgia.
Neighboring states and key payers
Get a free billing audit for your Georgia 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.