Medical Billing Services in North Carolina

Medical Billing for North Carolina Physicians

North Carolina’s healthcare landscape is evolving rapidly. The state recently transitioned its Medicaid program to managed care, creating new billing complexities for every practice in the state. Blue Cross Blue Shield of North Carolina dominates the commercial market with over 50% share, and understanding their specific rules is essential for any NC practice. Go Medical Billing serves physicians from Charlotte to Raleigh and across the state.

North Carolina Billing Specifics

NC Medicaid Managed Care Transition

North Carolina launched its Medicaid managed care program (NC Medicaid Managed Care) through prepaid health plans including WellCare, AmeriHealth Caritas, Healthy Blue (Anthem/BCBS), Carolina Complete Health, and UnitedHealthcare Community Plan. This transition changed credentialing, authorization, and claims processes for every Medicaid provider in the state. We stay current on every plan’s requirements.

BCBS of North Carolina

BCBS NC controls the largest share of the commercial market. Their State Health Plan contract covers hundreds of thousands of state employees and their families. We know BCBS NC’s claims system, authorization requirements, and appeal processes in detail.

Services for NC Practices

• Medical billing and coding optimized for NC payer rules
• Medicaid managed care credentialing across all NC prepaid health plans
• BCBS NC claims management including State Health Plan
• A/R recovery with follow up on NC Medicaid transition backlog claims

Pricing

Starting at 2.49% of collections. NC billers cost $35,000 to $48,000 annually. Our full team costs less than one employee.

Call 888 701 6090 for a free North Carolina billing assessment.