Medical Billing Services in Louisiana
Go Medical Billing serves LA practices from New Orleans to Baton Rouge and across the state. Our team knows your local payers, Healthy Louisiana, and Louisiana specific billing rules.
Medical Billing for Louisiana Physicians
Louisiana has about 13,000 physicians and a Healthy Louisiana managed care program that is in active transition. UnitedHealthcare exited the program effective April 1, 2026, leaving five MCOs: Aetna Better Health, AmeriHealth Caritas Louisiana, Healthy Blue (operated by BCBS Louisiana), Humana Healthy Horizons, and Louisiana Healthcare Connections (a Centene subsidiary). The UnitedHealthcare exit moved Medicaid members to the remaining plans, which means many Louisiana practices had to update their MCO mix and recredential members. Louisiana expanded Medicaid in 2016 under then-Governor Edwards, which added several hundred thousand newly eligible adults to the rolls. The commercial market is dominated by Blue Cross Blue Shield of Louisiana, which also operates Healthy Blue on the Medicaid side. Ochsner Health is the largest health system in the state, anchored in New Orleans and operating across Louisiana, Mississippi, and Alabama. Baton Rouge is anchored by Our Lady of the Lake (Franciscan Missionaries of Our Lady), Baton Rouge General, and the medical school presence of LSU Health Sciences. New Orleans is also home to LCMC Health, Tulane Health System, and Children's Hospital New Orleans.
Go Medical Billing is headquartered in Miramar, Florida, and serves physician practices in all 50 states. Whether you're a solo provider in Metairie or a multi-specialty group in New Orleans, our team handles your billing with LA specific payer knowledge and AAPC-certified coding accuracy.
Louisiana Billing Challenges
Every state has its own billing complexities. Here are the LA specific challenges our team navigates daily.
UnitedHealthcare's exit from Healthy Louisiana on April 1, 2026 forced member migration to the remaining five MCOs. Practices that had UHC patients had to coordinate with the new plans for ongoing prior auths and pending claims.
Healthy Blue (the Medicaid plan operated by BCBS Louisiana) overlaps with BCBS LA's commercial line. Practices billing both have to manage separate provider portals and contract terms under the same parent organization.
Louisiana has a higher concentration of for-profit hospital ownership than most states (HCA, Steward, Tenet) plus large Catholic systems (Ochsner, Our Lady of the Lake, Franciscan). Each operates distinct contracts and provider portals.
Louisiana's prompt-pay law allows for damages on top of 12 percent annual interest, which is stronger than most states. Practices should track payment delays and pursue interest claims when payers miss the deadlines.
Louisiana's Medicare MAC is Novitas Solutions (Jurisdiction H), shared with AR, CO, MS, NM, OK, and TX. LCDs are written for the whole jurisdiction. Cardiology and pain management policies sometimes differ from neighboring states in different MAC regions.
Notable Louisiana Health Systems
We work alongside these LA health systems and bill for physicians practicing within their networks.
Top Specialties in Louisiana
The most in-demand medical billing specialties in LA.
Louisiana Billing Facts You Should Know
UnitedHealthcare exited Healthy Louisiana effective April 1, 2026. The Medicaid managed care market is now down to five MCOs from the previous six.
Louisiana expanded Medicaid in 2016 under Governor John Bel Edwards. The expansion added several hundred thousand newly eligible adults and made Louisiana one of the first Southern states to adopt expansion.
Ochsner Health is the largest health system headquartered in Louisiana and operates one of the largest cardiac programs in the South, including a major heart transplant program.
Louisiana's prompt-pay law allows for damages on top of 12 percent annual interest for late payments, making it one of the more provider-friendly prompt-pay regimes in the country.
Louisiana Payer Environment
We know every major payer operating in Louisiana and their specific billing rules.
Blue Cross Blue Shield of Louisiana
Blue Cross Blue Shield of Louisiana holds the largest share of Louisiana's commercial insurance market. We process Blue Cross Blue Shield of Louisiana claims daily and know their LA specific fee schedules, prior authorization portal, provider enrollment process, and appeal timelines. We also work with Aetna, UnitedHealthcare (exiting April 2026), Humana, Cigna, and every other commercial payer operating in Louisiana.
Healthy Louisiana
Healthy Louisiana routes beneficiaries through managed care organizations: Aetna Better Health of Louisiana, AmeriHealth Caritas Louisiana, Healthy Blue (BCBS Louisiana), Humana Healthy Horizons in Louisiana, Louisiana Healthcare Connections (Centene). Each MCO has its own enrollment process, authorization requirements, fee schedules, and claims submission rules. We credential and bill with every Healthy Louisiana plan, handling the variation so your staff doesn't have to track each MCO's requirements.
Medicare (Novitas Solutions (Jurisdiction H))
Medicare Part B claims in Louisiana are processed by Novitas Solutions (Jurisdiction H). Each MAC has its own Local Coverage Determinations (LCDs) that affect what's covered. We apply Novitas Solutions (Jurisdiction H) specific policies to every LA Medicare claim to prevent medical necessity denials.
Louisiana Regulations
Louisiana prompt-pay law (La. R.S. 22:1832 to 22:1837) requires commercial insurers to pay clean claims within 25 days of electronic submission or 45 days for paper. Late payments accrue 12 percent annual interest plus damages.. Our team ensures your billing practices comply with both Louisiana state law and federal No Surprises Act requirements.
Get a Free Louisiana Billing Assessment
See how much revenue your LA practice is leaving on the table. No obligation.
Services for Louisiana Practices
Everything your practice needs to get paid, tailored to your state's payer market.
Medical Billing & Coding
AAPC-certified coders experienced in LA payer rules. We submit to Blue Cross Blue Shield of Louisiana, Healthy Louisiana, Medicare, and all LA commercial plans.
Credentialing & Enrollment
We handle Healthy Louisiana enrollment, Medicare credentialing through Novitas Solutions (Jurisdiction H), and all LA commercial payer applications with aggressive follow-up.
Accounts Receivable Recovery
Systematic follow-up on aging claims across Louisiana payers. We work every age bucket until every collectible dollar is recovered.
Prior Authorization
We manage auth requirements for Healthy Louisiana managed care plans and LA commercial payers, tracking deadlines and escalating delays.
Patient Billing
Clear statements and professional follow-up for Louisiana patients. Payment plans, billing inquiries, and overdue balance management.
Eligibility Verification
Real-time insurance verification against Blue Cross Blue Shield of Louisiana, Healthy Louisiana, Medicare, and all LA payers before every appointment.
Louisiana Cost Comparison
In Louisiana, a full-time medical biller costs $30K-$42K annually in salary alone. Add benefits (30%), payroll taxes, software subscriptions, clearinghouse fees, and office space, and the true cost reaches $45K-$63K or more per employee. At 2.49% of collections, Go Medical Billing provides an entire team of AAPC-certified coders, dedicated account managers, and A/R specialists for a fraction of what a single in-house biller costs in the New Orleans market.
$30K-$42K
In-House Biller Salary
+ benefits, software, space
2.49%
Go Medical Billing Rate
Full team, all services included
60-80%
Typical Cost Reduction
With better results
Specialty Billing in Louisiana
We combine LA payer expertise with specialty-specific coding for every major medical specialty. Open any specialty for its full billing playbook, including the 2026 LouisianaMedicare allowables for that specialty's CPT codes.
Louisiana Cities We Serve
We serve physician practices, urgent care centers, behavioral health clinics, surgical groups, and healthcare facilities across Louisiana. Whether you're in New Orleans or a rural community, our team knows your local payers.
Frequently Asked Questions
Ready to Fix Your Louisiana Billing?
Call 888-701-6090 for a free billing assessment specific to your LA practice and payer mix. We'll show you exactly where revenue is leaking.