Medical Billing Services in West Virginia

Medical Billing for West Virginia Physicians

West Virginia’s healthcare market is shaped by Highmark Blue Cross Blue Shield (the dominant carrier), the Public Employees Insurance Agency (PEIA) which covers state workers, and a Medicaid program that covers a significant share of the population. West Virginia has one of the highest chronic disease burdens and Medicare utilization rates in the country. Go Medical Billing serves WV practices from Charleston to Morgantown and across Appalachian communities.

West Virginia Billing Specifics

Highmark BCBS West Virginia

Highmark WV is the dominant carrier. We know their WV specific claims system and billing rules.

PEIA

The Public Employees Insurance Agency covers over 200,000 state employees and dependents. PEIA has its own fee schedules and claims processes distinct from commercial carriers.

West Virginia Medicaid

WV Medicaid managed care runs through Aetna Better Health, The Health Plan, and UniCare. We credential and bill with all WV Medicaid 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. West Virginia’s billing workforce is limited. Outsourcing gives you a full team without the hiring headaches.

Call 888 701 6090 for a free West Virginia billing assessment.