Medical Billing Services in New Mexico

Medical Billing for New Mexico Physicians

New Mexico’s healthcare market is shaped by Blue Cross Blue Shield of New Mexico, Presbyterian Health Plan (the state’s largest locally owned plan), and a Medicaid program (Centennial Care) that covers roughly one third of the population. The state’s large tribal health population and rural geography create unique billing requirements. Go Medical Billing serves NM practices from Albuquerque to Las Cruces and across rural and tribal communities.

New Mexico Billing Specifics

Presbyterian Health Plan

Presbyterian is uniquely dominant in New Mexico as a locally owned integrated health plan. We know their claims system and NM specific billing rules.

Centennial Care (Medicaid)

Centennial Care MCOs include Blue Cross Blue Shield NM, Presbyterian, and Western Sky Community Care (Centene). We handle all three plans.

Our Services

• Medical billing and coding with AAPC certified coders
• Credentialing and payer enrollment for Medicaid, Medicare, and commercial plans
• Accounts receivable recovery for aging and denied claims
• Prior authorization management including Medicaid MCO requirements
• Patient billing with clear statements and professional follow up
• Eligibility verification before every appointment

Pricing

Starting at 2.49% of net collections. Finding qualified billers in New Mexico is challenging. Our team removes that hiring burden entirely.

Call 888 701 6090 for a free New Mexico billing assessment.