Massachusetts has one of the highest insured rates in the country thanks to its healthcare mandate that predated the ACA. The payer market is led by Blue Cross Blue Shield of Massachusetts, Tufts Health Plan, Harvard Pilgrim (now Point32Health), and the state’s MassHealth Medicaid program. With some of the highest healthcare costs and most complex regulatory requirements in the nation, Massachusetts billing demands specialized knowledge. Go Medical Billing serves MA practices from Boston to the Berkshires.
MassHealth (Medicaid)
MassHealth covers over 2 million Massachusetts residents through managed care organizations including BMC HealthNet Plan, Tufts Health Together, Fallon Health, and others. We handle MassHealth billing and credentialing across all MCOs.
BCBS MA and Point32Health
BCBS MA and Point32Health (Harvard Pilgrim + Tufts) are the dominant commercial carriers. Each has its own claims system and rules. We process claims for all Massachusetts payers daily.
Starting at 2.49% of collections. Boston billers cost $48,000 to $65,000. We deliver a full team for a fraction of one hire.
Call 888 701 6090 for a free Massachusetts billing assessment.
