Medical billing services in Georgia
Georgia combines a fast-growing metro Atlanta market with rural communities where a single practice may be the main source of care for miles. That means many practices balance commercial plans, Medicare and a meaningful share of Medicaid and PeachCare for Kids patients.
We support Georgia providers remotely, whether you’re in Atlanta, Savannah, Augusta or a smaller town. We work inside the systems you already use, keep track of each care management organization’s requirements and give you a dedicated account manager who understands what Georgia billing involves.
GA
Practices we support in
- Atlanta
- Savannah
- Augusta
- Columbus
- Macon
And everywhere else in Georgia. We work fully remotely.
The Georgia billing landscape
What makes billing here different, and what we keep an eye on for you.
Medicare through Palmetto GBA
Palmetto GBA is the Medicare Administrative Contractor for Georgia, which is part of Jurisdiction J. We follow Palmetto’s billing guidance and local coverage policies and use its portal for eligibility and claim status.
Georgia Medicaid and Georgia Families
Many Georgia Medicaid and PeachCare for Kids members are enrolled in Georgia Families, which is served by care management organizations, while fee-for-service claims and provider enrollment run through the GAMMIS portal. Plan participation and program rules change, so we confirm current requirements with the Department of Community Health and each CMO.
Commercial and marketplace plans
Anthem Blue Cross and Blue Shield is a major commercial carrier in Georgia, alongside national insurers and a substantial number of marketplace plans. Marketplace members can change plans from year to year, so we verify coverage carefully.
Workers’ compensation and state rules
Georgia workers’ compensation claims follow a fee schedule and procedures set by the State Board of Workers’ Compensation. State prompt-pay rules also set deadlines for clean claims on state-regulated plans. We keep these in view and verify current requirements before relying on them.
Payer programs, contractors and plan lists change. We verify current requirements before we bill.
Our services in Georgia
Billing in Georgia: common questions
A free revenue audit for your Georgia practice
See where claims are stalling with your payers, and what we’d change first.