Medical Billing Services in
Alabama
We help Alabama clinics and healthcare groups improve cash flow with accurate coding, payer-aligned billing workflows and compliance built around Alabama Medicaid and major commercial plans.
HIPAA Compliant
Alabama Medicaid Ready
98% Clean Claim Rate
The Unique Billing Challenges
Alabama Practices Face
Alabama’s healthcare system includes large rural populations, substantial Medicaid utilization
and payer-specific rules that vary across regions. Providers need precise documentation,
strict PA workflows and payer-aligned submissions for consistent reimbursement.
Frequent denials from BCBS Alabama due to the modifier and coding rules
Eligibility inconsistencies in rural and multi-county areas
Medicare Advantage plan shifts affecting reimbursement cycles
Document requirements from Alabama Medicaid for specialty visits
Pre-authorization delays across high-volume outpatient services
Variation in payer behavior between North, Central and South Alabama
We keep your billing smooth and compliant across all regions.
Complete Billing Support
Built for Alabama Clinics
Medical
Billing
Clean claims, faster reimbursements, and billing accuracy.
Medical
Coding
Accurate ICD-10, CPT, and HCPCS coding with specialty-trained coders.
Billing
Audit
Identify hidden revenue leaks instantly
A/R
Follow-Up
Aggressive follow-up on 30/60/90+ day claims to reduce aging AR.
Credentialing &
Enrollment
Fast payer enrollments, CAQH updates, and NPI support.
State Licensing
Support
Hassle-free provider licensing and renewals across multiple states.
Denial
Management
Fix root causes, recover revenue, and prevent future denials.
Billing Platforms and Clearinghouses
We Work With in Alabama
We work smoothly inside your existing EMR, PMS, or
clearinghouse, no disruption, no retraining.
Common in Alabama
If your system isn’t listed, we likely support it.
Specialties We Serve
Across Alabama
We support high-demand specialties serving both urban and
rural Alabama
Alabama Focused Billing
Intelligence
Alabama clinics need billing workflows built around regional payer rules, Medicaid
programs and documentation expectations.
Experienced with BCBS Alabama, Alabama
Medicaid and major commercial plans
Accurate coding for outpatient and specialty-
focused services
Dedicated Alabama billing team for regional
payer support
Eligibility verification for rural and multi-county
patient populations
Faster issue resolution for Medicare
Advantage claim variations
Transparent reporting with payer-level denial
insights
Your practice receives predictable, stable monthly revenue.
Alabama Medicaid and
Medicare Rules
Alabama Medicaid Billing
Requirements
Prior authorization is needed for many diagnostic and outpatient services
Behavioral health and therapy visits often have frequency limits
Documentation must match the billed CPT code accurately
Timely filing limits vary between Medicaid programs
Out-of-network billing is rarely allowed
Alabama Medicare Rules
Clear guidance for Alabama Medicaid filing,
authorization, limits and documentation requirements
Processed by Palmetto GBA JH
Common issues include
Modifier 25
usage
Bundling and
unbundling
NCCI edit
conflicts
We fix these before submission.
Common Claim Denials in
Alabama
Denial Code
CO-197
CO-16
CO-109
PR-1
CO-45
CO-50
Issue
Authorization missing
Missing information
Not covered
Deductible
Fee schedule limit
Medical necessity
AL Reason
Familiar with BCBS AL and MA plans
Frequent across Medicaid claims
Plan-based limits
Medicare and MA patients
Alabama payer rules
Outpatient and therapy services
Fix
Submit PA with notes
Correct demographics
Verify diagnosis coverage
Confirm benefits
Adjust to the schedule
Add documentation
Fixing Alabama Denials
We correct errors fast, prepare appeals and track payer patterns to prevent repeat denials.
Major Alabama Payers
We Bill For
Payer Name
Blue Cross Blue Shield of Alabama
Alabama Medicaid
UnitedHealthcare AL
Aetna Alabama
Cigna Alabama
Humana AL
Medicare Part B (Palmetto GBA)
Type
Commercial
Medicare
Commercial or Medicare
Commercial
Commercial
Commercial or Medicare
Medicare
Notes
Modifier-driven rules
Strict documentation
Coding edits common
Precertification sensitive
Diagnosis linking issues
Detailed notes required
NCCI edit conflicts
Cities We Serve
in Florida
Huntsville
Birmingham
Montgomery
Mobile
Tuscaloosa
Hoover
Auburn
Dothan
Madison
Counties We Serve
in Alabama
Jefferson
Madison
Mobile
Tuscaloosa
Shelby
Montgomery
Lee
Morgan
Calhoun
Houston
Marshall
Etowah
Performance Highlights
Our billing engine is built for speed, precision and consistent financial
performance across Alabama’s payer landscape
98%+ Clean
Claim Rate
30 to 50
percent denial
reduction
Specialty-aligned
coding accuracy
HIPAA-Compliant
Workflow
Real-time RCM
reports
Our Billing Workflow
for Alabama Clinics
01
Eligibility Verification
& Medicaid Checks
02
Coding & Charge
Entry
03
Clean Claim
Review
04
Submission to
Clearinghouse
05
A/R Follow-Up
06
Denial
Management
07
Monthly Revenue
Reports
Ready to improve your Alabama
practice revenue
Let our billing experts optimize your claims, reduce denials and strengthen collections
What Alabama Providers
Say About Us
Dr. Emily S.
Dermatology
“They understand specialty coding better than most in-house teams.”
Laura P.
Urgent Care
“We recovered thousands in lost AR. Reporting is clean, simple, and accurate.”
Dr. Michael R.
Cardiology
“Collections improved within 60 days. Their denial management is the best we’ve seen.”
Dr. Sofia M
Behavioral Health
“Behavioral health denials dropped massively. Their team knows payer rules inside out.”
Dr. Emily S.,
Dermatology
“They understand specialty-specific coding better than most in-house coders.”
Laura P.,
Urgent Care
“We recovered thousands in lost A/R within weeks. Reporting is clean and accurate.”
Dr. Michael R
Cardiology
“Collections increased in the first month. Their denial correction is faster than any team we’ve used.”
FAQ for Alabama Providers
Yes, we help solo providers, clinics and rural care centers statewide.
Yes, including Alabama Medicaid, BCBS AL and major commercial insurers.
Yes, including primary care, therapy and specialty-based Medicaid billing.
Most practices see a reduction within 60 to 90 days.
Epic, Athena, Kareo, AdvancedMD, eClinicalWorks and more.
Yes, with structured follow-up cycles for Alabama payer timetables.
More than 2,0 including orthopedics, behavioral health and primary care.
Yes, including BCBS AL, Aetna, Cigna and Alabama Medicaid plans.
Credentialed providers go live within 3 to 5 days.
Address
4309 Schubert, Colleyville Texas, TX 76034
Phone Number
(737) 787 2147
Business Hours
Monday – Friday: 08.00 – 17.00 Saturday: 09.00 – 12.00
