We do insurance billing and credentialing for New Hampshire practices. Billing is 4-8% of collections, with no long-term contract. NH Medicaid, Medicare and commercial insurance work for Manchester, Nashua, Concord and other communities.
New Hampshire's ACA Medicaid expansion is branded the Granite Advantage Health Care Program, established in 2018. Medicaid Care Management runs through three plans, AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan, under contracts that run from 1 September 2024 to 31 August 2029.
New Hampshire insurers must pay clean claims within 15 calendar days if filed electronically and 30 days on paper. Medtransic bills the Medicaid plans, Medicare and commercial payers such as Anthem Blue Cross Blue Shield of New Hampshire.
We bill NH Medicaid as well as the commercial insurers common in New Hampshire
Your claims are coded by people who work in your specialty every day
A single point of contact who knows your New Hampshire practice
The cost is 4-8% of collections, and there is no long-term contract
Billing for AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan
We work HIPAA compliant, and you get a dedicated account manager rather than a ticket queue
Questions about your New Hampshire claims? Ask for a free assessment or call 888-777-0860.
Billing support built for Granite Advantage, the three Medicaid plans and New Hampshire's commercial payers:
Mental health, behavioral health and therapy practices come first for us. We also take on the specialties listed after them.
Manchester is New Hampshire's largest city and healthcare hub, home to Elliot Health System and Catholic Medical Center. Boston is close enough that many patients see specialists in Massachusetts, so practices enroll and bill across the state line.
Anthem Blue Cross Blue Shield of New Hampshire plans are part of everyday billing for southern New Hampshire practices.
Specialties: Primary care, cardiology, orthopedics, oncology, behavioral health
Concord is New Hampshire's capital, and the state government workforce brings state employee health plan claims. The Lakes Region's seasonal visitors add out-of-state insurance claims in summer and ski season.
Seasonal peaks mean billing capacity and out-of-state payer enrollment need to scale.
Specialties: Family medicine, internal medicine, orthopedics, urgent care, behavioral health
New Hampshire's North Country is a sparsely populated mountain and timber region served by Speare Memorial Hospital in Plymouth, Littleton Regional Healthcare and Androscoggin Valley Hospital in Berlin. Skiing and the White Mountains bring seasonal urgent care and injury claims, while year-round residents travel far for tertiary care.
Some residents cross into Vermont and Maine for care, and critical access hospital rules apply to the region's small community hospitals.
Specialties: Emergency medicine, orthopedics, family medicine, rural health, urgent care
NH Medicaid Care Management runs through three plans: AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan, under contracts from 1 September 2024 to 31 August 2029. Each plan has its own authorization rules, enrollment and claims process.
RSA 420-J:8-a requires insurers to pay clean claims within 15 calendar days if filed electronically and 30 calendar days if filed on paper. Self-funded employer plans fall under federal law (ERISA) instead.
New Hampshire patients are protected by the federal No Surprises Act, which bars balance billing for most emergency care and for out-of-network care at in-network facilities. New Hampshire also has its own balance billing law for certain situations.
New Hampshire Medicaid requires initial claims within one year of the earliest date of service. 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.
In addition to New Hampshire, we support providers across these neighboring states:
Want a second look at your New Hampshire 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.