Prompt-pay clocks, Medicaid managed care rosters, workers’ comp fee schedules and auto liability rules change the moment you cross a state line. Every page below is written against that state’s own statutes — not a national template.
Twenty-two states, twenty-two rulebooks. Each page is written against that state’s own prompt-pay statute, Medicaid managed care roster and workers’ comp fee schedule.
Medicaid MCO rosters plus BWC workers’ comp billing under one clean claim workflow.
TDI prompt-pay windows and the state’s large Medicaid managed care footprint.
HFS Medicaid and its managed care plans, where enrollment churn drives denials.
AHCA Medicaid plans alongside PIP auto claims that need separate handling.
Surprise-billing protections and Medicaid CMO rules that shape every appeal.
Medi-Cal plus delegated IPA risk, where the payer of record is rarely obvious.
AHCCCS managed care contracting and its plan-specific submission rules.
No-fault auto filing deadlines and a crowded Medicaid MCO market.
Apple Health managed care and L&I workers’ comp fee schedules.
A mutual 30-day window: payers and providers both work to the same clock.
AB 52 rewrites the prompt-pay regime — DOI compliance lands 1 Feb 2027.
A 1% per-day late penalty makes clean first-pass submission worth real money.
A 12-month ceiling on payer adjustments closes the recoupment window.
A public fee database turns documentation quality into direct leverage.
15% prompt-pay interest and no Medicaid MCOs to route around.
Escalating interest on late claims plus HSCRC rate-setting on the hospital side.
A formal multi-tier appeal ladder that most billers never climb past step one.
18% statutory interest on claims paid outside the prompt-pay window.
Three separate payment regimes depending on how the claim was submitted.
A 12-month retroactive denial window that has to be tracked, not absorbed.
The 45-day deficiency-notice rule: silence past the deadline means payment.
No-fault auto fee caps after Andary, and how to bill against them.
Managed-care heavy. Delegated risk and state comp schedules decide the rate.
Highest prompt-pay interest and the most formal appeal machinery.
Four things differ in every single state: how fast a payer must pay you, what interest they owe when they are late, which Medicaid plans hold your patients, and how auto and workers’ comp claims are priced. Our teams work one rulebook at a time.
Every state sets its own deadline and its own interest rate for late payment. We bill the clock, not the average.
Plan rosters change yearly. Eligibility checks are run against the current plan, not last year’s.
No-fault, PIP and workers’ comp claims price differently from commercial. They are worked separately.
Statute-cited appeals with the state’s own deadlines attached recover what a form letter cannot.
We license and credential nationwide. Tell us your specialty, your top three payers and your current A/R days — you will get a state-specific read on what is recoverable, free.
California
Arizona
Washington
Utah
Nevada
Ohio
Illinois
Missouri
Minnesota
Wisconsin
Indiana
Texas
Florida
Georgia
Maryland
North Carolina
Virginia
New York
Connecticut
New Jersey