Medical Billing Services in Washington

Medtransic provides cutting-edge medical billing services to Washington State's innovative healthcare market. With major health systems like Providence, Virginia Mason Franciscan, and UW Medicine, plus Apple Health Medicaid managed care, Seattle and statewide practices need billing partners who match the Pacific Northwest's progressive healthcare approach.

Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Washington. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Washington practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.

Why Partner with Medtransic in Washington

Healthcare providers across Washington choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.

Why Washington Practices Choose Medtransic

Healthcare providers across Washington partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.

Apple Health Medicaid

Expert billing for Washington's Apple Health (Medicaid) managed care across all five regions and participating health plans.

Tech-Enabled Billing

Advanced analytics and automation aligned with Washington State's technology-forward healthcare community.

Balance Billing Law

Full compliance with Washington's Balance Billing Protection Act and surprise billing dispute resolution.

Multi-System Support

Seamless billing for practices affiliated with Providence, Virginia Mason, UW Medicine, and MultiCare systems.

See How Much Revenue Your Washington Practice Is Leaving on the Table

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Washington Medical Billing Regulations

Washington has comprehensive surprise billing protections under the Balance Billing Protection Act (2019). The law prohibits balance billing for emergency services and establishes a dispute resolution process. Washington also has strong healthcare price transparency requirements.

Statute of Limitations: 6 years for medical debt collections in Washington.

Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.

Surprise Billing Protection: Washington has enacted surprise billing protections for patients.

Medical Billing Services We Offer in Washington

Our full suite of revenue cycle management services is available to healthcare practices across Washington. Each service is tailored to meet the specific needs of your practice and specialty.

Medical Specialties We Support in Washington

Medtransic provides specialty-specific billing expertise for healthcare practices across Washington. Our coders are trained in the unique coding and billing requirements of each medical specialty.

Medical Billing by Region in Washington

Medtransic serves healthcare providers across every part of Washington with localized billing expertise.

Seattle Metro & Puget Sound

The Seattle-Tacoma metro area is the Pacific Northwest's largest healthcare market, anchored by UW Medicine, Virginia Mason Franciscan Health, Swedish Medical Center, and Providence. The region's tech-driven economy with employers like Amazon, Microsoft, and Boeing generates exceptionally strong employer-sponsored commercial insurance coverage with high reimbursement rates.

Premera Blue Cross and Regence BlueShield dominate the commercial market, while the region's progressive healthcare policies support a broad scope of covered services including behavioral health parity.

Key specialties in demand: Oncology, neurology, orthopedics, psychiatry, dermatology

Eastern Washington: Spokane & Tri-Cities

Eastern Washington's healthcare market is served by Providence Sacred Heart Medical Center and MultiCare Deaconess Hospital in Spokane, covering a vast rural territory with significant healthcare access challenges. Lower reimbursement rates and provider shortages define the economic landscape for practices east of the Cascades.

Rural health clinic and critical access hospital billing expertise is essential for practices serving the agricultural communities and small towns across eastern Washington.

Key specialties in demand: Family medicine, internal medicine, rural health, emergency medicine, general surgery

Our Track Record in Washington

Medtransic has a strong track record of delivering results for healthcare practices in Washington.

Frequently Asked Questions About Medical Billing in Washington

How does Washington Apple Health (Medicaid) managed care billing work?

Washington Apple Health is the state's Medicaid program, operating through managed care organizations including Molina Healthcare, Community Health Plan of Washington, Amerigroup, Coordinated Care, and UnitedHealthcare Community Plan. Each MCO has unique authorization requirements and claims submission processes. Medtransic maintains dedicated Apple Health specialists who manage the billing complexities of each MCO for our Washington providers.

What is Washington's Balance Billing Protection Act (BBPA) and how does it affect practices?

Washington's BBPA (HB 1065/SB 5526) is one of the strongest surprise billing protections in the country, prohibiting balance billing for emergency and certain non-emergency out-of-network services. The law caps patient responsibility and establishes an arbitration process for payment disputes. Medtransic ensures all applicable Washington claims comply with the BBPA and pursues fair reimbursement through arbitration when needed.

How does Washington's behavioral health parity mandate affect billing?

Washington has some of the strongest behavioral health parity laws in the nation, requiring insurers to cover mental health and substance use disorder services at the same level as medical/surgical services. The state's Mental Health Parity Act goes beyond federal requirements in several areas. Medtransic ensures our Washington behavioral health providers receive proper parity-compliant reimbursement and challenges parity violations through appeals.

What are Washington's prompt pay requirements?

Washington law requires insurers to pay or deny clean claims within 30 days of receipt for electronic submissions and 45 days for paper claims. Insurers that miss these deadlines must pay interest at 1% per month on the unpaid amount. Medtransic monitors all Washington claim payment timelines and files complaints with the Office of the Insurance Commissioner when payers are non-compliant.

What are the timely filing deadlines for Washington insurance claims?

Washington commercial payer timely filing deadlines typically range from 90 to 365 days depending on the payer contract. Medicare requires filing within 12 months, and Apple Health MCOs generally require submission within 365 days of the date of service. Medtransic submits clean claims within 24-48 hours to ensure timely filing compliance for all our Washington providers.

How much do medical billing services cost in Washington?

Medical billing outsourcing for Washington practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most Washington practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.

How do I get started with Medtransic in Washington?

Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.

Get Started with Medical Billing Services in Washington

Ready to optimize your Washington practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands Washington healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.