Medical billing services in Minnesota
Billing, coding, credentialing and A/R follow-up for providers in Minnesota.
Billing in Minnesota: what is different
Minnesota delivers most public program coverage through managed care plans.
Key payers and contractors in Minnesota
- Medicare Part A/B
- National Government Services, Jurisdiction J6Portal: NGSConnex
- Medicare DME
- CGS, DME MAC Jurisdiction BDME supplier claims only · Portal: myCGS
- Medicaid
- Minnesota Medical Assistance and MinnesotaCarePortal: MN–ITS
- Blue Cross Blue Shield
- Blue Cross and Blue Shield of Minnesota
- 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 Minnesota providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with National Government Services through NGSConnex
- 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 Minnesota: common questions
Do you bill Minnesota Medical Assistance and MinnesotaCare and its managed care plans?
Yes. We bill Minnesota Medical Assistance and MinnesotaCare 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 Minnesota?
Medicare Part A and B claims in Minnesota are processed by National Government Services (Jurisdiction J6), and we submit and track them through NGSConnex. DME supplier claims go to a different contractor, CGS (DME MAC Jurisdiction B), through myCGS.
Can you credential new providers in Minnesota?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Minnesota.
Neighboring states and key payers
Get a free billing audit for your Minnesota 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.