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WY · Medical billing

Medical billing services in Wyoming

Billing, coding, credentialing and A/R follow-up for providers in Wyoming.

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Billing in Wyoming: what is different

Wyoming Medicaid is fee-for-service.

Key payers and contractors in Wyoming

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
Wyoming Medicaid (EqualityCare)
Blue Cross Blue Shield
Blue Cross Blue Shield of Wyoming
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 Wyoming 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 Noridian Healthcare Solutions through the Noridian Medicare Portal (NMP)
  • 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

Specialties we bill in Wyoming

FAQ

Medical billing in Wyoming: common questions

Do you bill Wyoming Medicaid?

Yes. Wyoming 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 Wyoming?

Medicare Part A and B claims in Wyoming 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 Wyoming?

Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Wyoming.

Free billing audit

Get a free billing audit for your Wyoming 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.