We take on billing and credentialing for practices across Georgia, at 4-8% of collections and with no long-term contract. Georgia Families, Medicare and private insurance claims, from Atlanta, Savannah, Augusta to smaller towns.
Georgia Medicaid runs through the Georgia Families managed care program, where each plan has its own authorization and claims rules. Georgia did not adopt full ACA expansion; instead it launched Pathways to Coverage in 2023, a limited expansion with work and reporting requirements that practices need to track for eligibility.
Georgia's prompt-pay law is one of the faster ones: 15 working days for electronic claims and 30 calendar days for paper. Medtransic bills Georgia Families plans, Medicare and commercial payers such as Anthem Blue Cross Blue Shield of Georgia, from Atlanta to Savannah and rural Georgia.
Claims to Georgia Families, Medicare and the commercial plans your patients carry
Specialty-trained coders who know the payers and paperwork of your field
Questions about a claim go to the same person each time
One rate, 4-8% of collections, and no long-term contract
Billing for Georgia Families plans and PeachCare for Kids
Everything we do is HIPAA compliant, and your practice has a dedicated account manager
See where your Georgia practice is losing revenue - request a free assessment or call 888-777-0860.
The work we run for practices billing Georgia Families plans and Pathways to Coverage patients:
Behavioral health and therapy lead the list for Georgia because that is the work we specialize in.
Metro Atlanta's healthcare market is anchored by Emory Healthcare, Piedmont Healthcare, WellStar Health System and Grady Memorial Hospital. A growing Medicaid managed care population and many uninsured patients make collections a real part of billing here.
Atlanta draws patients from across Georgia and neighboring states, so practices see both metro commercial plans and rural Medicaid referrals.
Specialties: Cardiology, oncology, orthopedics, neurology, infectious disease
Savannah's healthcare market is anchored by St. Joseph's/Candler Health System and Memorial Health University Medical Center (HCA), serving coastal Georgia and the Low Country border with South Carolina. Tourism and the military, including Hunter Army Airfield, bring commercial plans, TRICARE and Georgia Medicaid alongside Medicare.
Patients from South Carolina's Beaufort and Hilton Head Island communities mean many Savannah practices enroll with payers in both states.
Specialties: Cardiology, orthopedics, family medicine, military medicine, geriatrics
Macon is the healthcare hub for central Georgia, home to Atrium Health Navicent (formerly Medical Center of Central Georgia) and Coliseum Health System. It serves a largely rural surrounding area with high Medicaid enrollment and many uninsured patients.
Referrals from surrounding rural counties make coordination with other providers a routine part of billing here.
Specialties: Primary care, family medicine, general surgery, OB/GYN, behavioral health
Georgia Families is the state's Medicaid managed care program, and each plan has its own prior authorization requirements, enrollment process and fee schedule. The plan line-up changes through state contracting, so check the Georgia Department of Community Health's current plan list before you credential.
Georgia's Surprise Billing Consumer Protection Act (HB 888) protects patients from surprise out-of-network bills for emergency services and sets up arbitration for payment disputes between providers and insurers. It limits what the patient owes to in-network cost-sharing.
Georgia Medicaid fee-for-service claims are due within 6 months after the month of service, so the clock runs from the end of the month, not the date of service. For Medicare, the limit is 12 months after the date of service, set by 42 CFR 424.44. Georgia Families plans and commercial plans set their own limits in their provider contracts.
O.C.G.A. 33-24-59.5 requires payment within 15 working days for electronic claims and 30 calendar days for paper claims. Late payments carry 12% annual interest.
Pathways to Coverage, launched in 2023, is Georgia's limited Medicaid expansion for adults who meet work and reporting requirements. It is separate from full ACA expansion, so eligibility needs checking at each visit.
Our coverage doesn't stop at the Georgia border - nearby states we also serve:
Want a second look at your Georgia practice's billing? Contact Medtransic for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form, and let us handle the billing so you can focus on your patients.