Iowa
Medical Billing Services in Iowa
Iowa practices can hand us their billing and credentialing, at 4-8% of collections with no long-term contract. IA Health Link, Medicare and commercial plans, billed for Des Moines, Cedar Rapids, Davenport and the rest of the state.
Key takeaways
- 01Iowa Medicaid runs through IA Health Link with three plans: Iowa Total Care, Wellpoint (formerly Amerigroup) and Molina.
- 02Iowa requires clean claims paid within 30 days, with 10% annual interest after that (Iowa Code 507B.4A).
- 03Quad Cities practices bill across the Iowa-Illinois line, so two states' payer rules often apply in one practice.
Why Clinics in Iowa Partner With Us
Iowa Payer Billing
Each payer billed to its own rules, starting with IA Health Link
Coders Matched to Your Specialty
The coder on your account works in your field, not across every specialty at once
Dedicated Account Manager
A single point of contact who knows your Iowa practice
No Long-Term Contract
A fee of 4-8% of collections, and no long-term contract holding you in
What Care Teams in Iowa Get From Our Billing
IA Health Link Billing. Billing for Iowa Total Care, Wellpoint and Molina under IA Health Link
HIPAA Compliant. A HIPAA compliant team, and a dedicated account manager who knows your practice
See How Much Revenue Your Iowa Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Claims Support Across Iowa, Region by Region
Des Moines & Central Iowa
Des Moines is Iowa's largest healthcare market, anchored by UnityPoint Health-Des Moines and MercyOne Des Moines Medical Center. Agriculture and insurance employers mean many patients carry commercial coverage.
Many insurers have offices in Des Moines, and practices bill a wide range of commercial plans.
Cardiology / orthopedics / oncology / primary care / dermatology
Iowa City & Eastern Iowa
Iowa City is home to University of Iowa Health Care, which draws patients from across Iowa and neighboring states. That brings academic practice plan rules, resident supervision and out-of-state insurance coordination into billing.
UnityPoint Health-Cedar Rapids also serves the eastern Iowa corridor alongside independent practices.
Oncology / neurology / transplant medicine / orthopedics / pediatrics
Quad Cities & Western Illinois Border
The Quad Cities metro spans Iowa and Illinois, across Davenport, Bettendorf, Rock Island and Moline, with UnityPoint Health-Trinity among the systems serving it. Billing Illinois Medicaid and commercial plans is routine here, so practices enroll with payers in both states.
Manufacturing employers bring employer-sponsored coverage and workers' compensation claims.
Family medicine / general surgery / orthopedics / cardiology / behavioral health
What Providers Ask About Medical Billing in Iowa
IA Health Link delivers Iowa Medicaid through three plans: Iowa Total Care, Wellpoint and Molina. Each plan has its own claims portal, prior authorization process and provider enrollment, so a practice enrolls and bills with each one separately.
Iowa Code 507B.4A requires insurers to pay or deny a clean claim within 30 days, whether it is filed on paper or electronically. Late payments carry 10% annual interest; self-funded employer plans fall under federal law instead.
The No Surprises Act, a federal law in force since January 2022, protects Iowa patients from most surprise out-of-network bills. Balance billing is barred for most emergency care and for out-of-network care at in-network facilities. Quad Cities practices also see patients on Illinois-regulated plans, which Illinois law covers too.
Medicare allows 12 months from the date of service (42 CFR 424.44). Commercial plans and Medicaid health plans set their own filing limits in their provider contracts, so each one has to be checked rather than assumed.
Dedicated Billing for Iowa Providers
From eligibility checks to final payment, we handle your billing so you can focus on patients.
Claims Management. Claim submission and follow-up until each claim is paid or closed
Denial Management. Denied claims worked and appealed
Patient Billing. Clear patient statements and payment plans
Credentialing. Payer enrollment at $150 per application, per provider, usually 60 to 90 days with each payer, in our experience
Want a Second Look at Your Billing?
Get a free, no-obligation review of your practice's billing.
- Where claims are being denied, and why
- Which unpaid claims can still be recovered
- What billing would cost at 4-8% of collections
Specialties We Support Across Iowa
Our focus is mental health, behavioral health and therapy practices, and we bill for other Iowa specialties as well.
- Occupational Therapy
- Behavioral Health
- Mental Health
- Psychology
- Physical Therapy
- ABA Therapy
- Psychiatry
- Speech Therapy
- Substance Use Treatment
- Oncology
- Orthopedics
- Primary Care
Partner With Us in Iowa's Independent Providers
Let us handle your medical billing so you can focus on patient care