Wyoming
Medical Billing Services in Wyoming
Medical billing in Wyoming at 4-8% of collections, with credentialing as well and no long-term contract. Wyoming Medicaid, Medicare and commercial plans, billed for Cheyenne, Casper, Laramie and the rest of the state.
Key takeaways
- 01Wyoming Medicaid claims must be submitted and finalized within 12 months of the date of service.
- 02Wyoming law requires insurers to accept or reject and pay a health claim within 45 days (W.S. 26-15-124).
- 03Medicare claims for Wyoming are processed by Noridian Healthcare Solutions (Jurisdiction F).
Why Providers in Wyoming Bill With Us
Wyoming Payer Billing
Wyoming Medicaid and commercial claims, each sent the way that payer requires
Coders Matched to Your Specialty
The coder on your account works in your field, not across every specialty at once
Dedicated Account Manager
One named person to call about your account, not a shared inbox
No Long-Term Contract
The cost is 4-8% of collections, and there is no long-term contract
What Medical Groups in Wyoming Rely on Us For
Wyoming Medicaid Billing. Billing for Wyoming Medicaid and Wyoming's commercial payers
HIPAA Compliant. We work HIPAA compliant, and you get a dedicated account manager rather than a ticket queue
See How Much Revenue Your Wyoming Practice Is Leaving on the Table
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Billing Support Throughout Wyoming in Every Region
Cheyenne & Southeast Wyoming
Cheyenne is Wyoming's capital and largest city, anchored by Cheyenne Regional Medical Center and UCHealth facilities. State employees and military personnel from F.E. Warren Air Force Base bring state employee plans, TRICARE and commercial insurance.
Denver is close enough that many Cheyenne residents travel there for complex specialty care, which brings Colorado providers into referrals.
Primary care / family medicine / cardiology / orthopedics / military medicine
Casper & Central Wyoming
Casper is Wyoming's second-largest city and the healthcare hub for central Wyoming. Oil, gas and coal employers provide employer-sponsored coverage in good years, but energy price swings bring cycles of coverage loss.
Patients come from across a large region for hospital care, so claims arrive from many towns and payers.
Emergency medicine / orthopedics / general surgery / family medicine / cardiology
Jackson Hole & Northwest Wyoming
Jackson Hole combines year-round tourism with a resort community. St. John's Medical Center serves concierge patients, outdoor recreation injuries and international visitors alongside the local workforce.
Ski and adventure sports injuries bring orthopedic claims from many out-of-state and international insurance plans.
Orthopedics / emergency medicine / sports medicine / urgent care / family medicine
What Practices Ask About Our Billing in Wyoming
Wyoming Medicaid is administered by the Wyoming Department of Health, and claims must be submitted and finalized within 12 months of the date of service. Rural health clinics bill under their own encounter-based method, and care for Eastern Shoshone and Northern Arapaho members can involve Indian Health Service coordination through Wind River.
Wyoming has the smallest population of any state, so practices deal with critical access hospital rules, air ambulance claims from remote rescues and many out-of-state plans carried by visitors to Grand Teton and Yellowstone.
W.S. 26-15-124 requires insurers to accept or reject and pay a health insurance claim within 45 days of receipt. Self-funded employer plans fall under federal law (ERISA) instead.
Wyoming patients are protected by the federal No Surprises Act, in effect since January 2022. It bars balance billing for most emergency care and for out-of-network care at in-network facilities.
Wyoming Medicaid claims must be submitted and finalized within 12 months of the date of service. Medicare allows 12 months (42 CFR 424.44), processed by Noridian (Jurisdiction F), and TRICARE claims must be filed within one year. Commercial plans, including the out-of-state plans visitors carry, set their own limits in their contracts.
The Billing We Run for Wyoming Health Systems
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 Wyoming
Mental health and therapy practices in Wyoming are our main focus, and we also bill for the fields after them.
- Psychiatry
- Mental Health
- ABA Therapy
- Psychology
- Substance Use Treatment
- Behavioral Health
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Primary Care
- Internal Medicine
- Orthopedics
Bring Medtransic to Wyoming and Collect More
Let us handle your medical billing so you can focus on patient care