Medical Billing Services in Alabama
As a remote-first medical billing company serving Alabama practices statewide, MedPrecision pairs AL-specific payer expertise with AAPC-certified billing experts. Three clocks govern Alabama revenue. Alabama Medicaid generally requires a claim within one year of the date of service, though the Agency notes that some programs carry different filing limits. Commercial payers set their filing windows by contract, and that contract is the only place the number is reliably written — several of the largest publish no figure at all and point providers back to the participation agreement. And Section 27-1-17 of the Code of Alabama — captioned “Limitation Periods for Payment of Claims; Overdue Claims; Retroactive Denials, Adjustments, Etc.; Penalties”, not a named prompt-pay act — gives an insurer, health service corporation or health benefit plan 30 calendar days to pay a clean electronic claim and 45 calendar days to pay a clean written one — a protection that does not reach a claim filed more than 180 days after the service, nor claims to the Alabama Medicaid Agency or Medicare. Every Alabama account we manage is wired to those clocks: scrubber rules per payer, payer-portal follow-up, and appeal drafts queued the moment a denial lands so nothing ages past a filing or prompt-pay deadline. Statute text read from the Alabama Legislature's published Code of Alabama, and the Medicaid filing limit from the Alabama Medicaid Agency's published provider-billing FAQ, on 17 September 2026.
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The Alabama Billing Landscape
Alabama Medicaid pays for general medical services directly rather than through a risk-bearing health plan. The Alabama Coordinated Health Network coordinates care across seven regions, but the Medicaid Agency is explicit that delivery of medical services is not part of that program, so ordinary claims are adjudicated against the Agency's own manual and fee schedule with no plan-specific contract layer between you and payment. One population is handled differently: the Agency's Integrated Care Network, approved by CMS on 12 September 2018 and governed by Administrative Code Chapter 560-X-64, provides enhanced case management to most long-term-care beneficiaries through a primary care case management entity, with Alabama Select Network as the ICN provider. Prompt pay is governed by Section 27-1-17 of the Code of Alabama: 30 calendar days for a clean electronic claim, 45 calendar days for a clean written one, 21 calendar days to adjudicate once requested information arrives, and interest of 1.5 percent per month on anything overdue — with no statutory protection for a claim filed more than 180 days after the service, and none for Alabama Medicaid or Medicare claims. The same section bars a payer from reopening a paid claim after one year, or after eighteen months where the reason is coordination of benefits, and gives the provider a further six months to refile when it does. Rural health clinics and FQHCs are paid under methodologies that differ from a straight fee schedule, and which one applies turns on the clinic's designation and enrollment rather than on any statewide rule. Telehealth sits in a separate statute, Sections 34-24-700 to 707 enacted in 2022, which by its own terms applies only to the provision of telehealth medical services by physicians to individuals located in Alabama and says nothing about payment — so what a virtual visit is covered for, and at what rate, comes from the payer's policy or contract rather than from this article. Statute and program facts verified against the Alabama Legislature's published Code of Alabama and the Alabama Medicaid Agency on 17 September 2026.
Who We Serve in Alabama
Our Alabama client mix skews toward solo practices, rural health clinics, group practices , plus federally qualified health centers and telehealth providers. We work with providers in Birmingham, Montgomery, Huntsville and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Alabama
We publish one national rate card and bill Alabama practices on exactly the same terms as everywhere else — there is no regional markup and no quote-only tier below enterprise. You pay a percentage of what we actually collect, so if we do not collect, you do not pay.
| Practice size | Rate | Basis | Note |
|---|---|---|---|
| Solo practice | 7.0% | of monthly collections | Monthly minimum applies |
| Group practice | 6.0% | of monthly collections | Volume discounts available |
| Enterprise | Custom | tiered pricing | Scoped per engagement |
- No setup or implementation fee
- No per-claim charge
- No software fee and no markup on third-party costs — clearinghouse fees, postage and payer application fees are passed through at cost
- 12-month initial term, then month-to-month — 60 days' notice either way, no early-termination penalty
Payer Landscape in Alabama
Alabama Medicaid (general medical claims paid directly by the Alabama Medicaid Agency; the Alabama Coordinated Health Network provides care coordination in seven regions, not medical services; a separate Integrated Care Network, provider Alabama Select Network, case-manages most long-term-care beneficiaries) is the public payer our billing team codes against day-to-day. On the commercial side, Blue Cross Blue Shield of Alabama, Aetna, UnitedHealthcare drive the bulk of Alabama claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Alabama run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Alabama's prompt-pay statute: Section 27-1-17 of the Code of Alabama requires an insurer, health service corporation or health benefit plan to pay a clean electronic claim within 30 calendar days and a clean written claim within 45 calendar days, or to give notice in the same window that the claim is denied or pending. Once requested information is received the claim must be adjudicated within 21 calendar days. Overdue claims accrue interest of 1.5 percent per month, prorated daily, payable without action by the provider. The section does not reach claims filed more than 180 days after the service, claims against the Alabama Medicaid Agency, or Medicare claims other than Medicare+Choice. Verified against the Alabama Legislature's published Code of Alabama on 17 September 2026.
Medicaid Program
Alabama Medicaid (general medical claims paid directly by the Alabama Medicaid Agency; the Alabama Coordinated Health Network provides care coordination in seven regions, not medical services; a separate Integrated Care Network, provider Alabama Select Network, case-manages most long-term-care beneficiaries)
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Section 27-1-17 of the Code of Alabama requires an insurer, health service corporation or health benefit plan to pay a clean electronic claim within 30 calendar days and a clean written claim within 45 calendar days, or to give notice in the same window that the claim is denied or pending. Once requested information is received the claim must be adjudicated within 21 calendar days. Overdue claims accrue interest of 1.5 percent per month, prorated daily, payable without action by the provider. The section does not reach claims filed more than 180 days after the service, claims against the Alabama Medicaid Agency, or Medicare claims other than Medicare+Choice. Verified against the Alabama Legislature's published Code of Alabama on 17 September 2026.
Alabama Billing Regulations & Compliance
The Alabama Department of Insurance sets the rules our Alabama billing workflows have to satisfy. Surprise billing in Alabama: The federal No Surprises Act applies to Alabama claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Alabama Department of Insurance rather than assuming a state law covers the bill. Telehealth parity: Alabama's telemedicine law, Sections 34-24-700 to 34-24-707 of the Code of Alabama enacted by Act 2022-302, sets practice standards rather than payment rules: Alabama licensure to treat a patient located in Alabama, identity and consent requirements, an in-person visit or referral once a physician has treated the same unresolved condition by telehealth more than four times in twelve months (mental health services excepted), and a separate section, 34-24-704, governing the issuance of prescriptions. The article says nothing about what a telehealth visit pays: Section 34-24-707 states that it applies only to the provision of telehealth medical services by physicians to individuals located in Alabama. Coverage and rate therefore come from Alabama Medicaid policy or the payer's own contract, which is where they have to be confirmed rather than inferred from this statute. Statute text read from the Alabama Legislature's published Code of Alabama on 17 September 2026.
State Insurance Regulator
Alabama Department of Insurance
Surprise Billing Protection
The federal No Surprises Act applies to Alabama claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Alabama Department of Insurance rather than assuming a state law covers the bill.
Telehealth Billing Parity
Alabama's telemedicine law, Sections 34-24-700 to 34-24-707 of the Code of Alabama enacted by Act 2022-302, sets practice standards rather than payment rules: Alabama licensure to treat a patient located in Alabama, identity and consent requirements, an in-person visit or referral once a physician has treated the same unresolved condition by telehealth more than four times in twelve months (mental health services excepted), and a separate section, 34-24-704, governing the issuance of prescriptions. The article says nothing about what a telehealth visit pays: Section 34-24-707 states that it applies only to the provision of telehealth medical services by physicians to individuals located in Alabama. Coverage and rate therefore come from Alabama Medicaid policy or the payer's own contract, which is where they have to be confirmed rather than inferred from this statute. Statute text read from the Alabama Legislature's published Code of Alabama on 17 September 2026.
Common Questions
Common questions about medical billing services in Alabama.
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Get a Free Billing AuditHow does MedPrecision handle Alabama Medicaid billing?
Alabama Medicaid pays for general medical services itself rather than routing them through a risk-bearing health plan. The Alabama Coordinated Health Network coordinates care across seven regions, and the Medicaid Agency states plainly that delivery of medical services is not part of that program. There is one managed-care layer alongside it, and it is worth knowing about: the Agency's Integrated Care Network provides enhanced case management, education and outreach to most Medicaid long-term-care beneficiaries in both home- and community-based and institutional settings, supports the primary care case management entity model, was approved by CMS on 12 September 2018, is governed by Administrative Code Chapter 560-X-64, and names Alabama Select Network as its ICN provider. For ordinary medical claims, though, your claims go to the Alabama Medicaid Agency itself rather than to a health plan, and the rules you bill against are the Agency's provider manual, prior-authorization requirements and fee schedule rather than a plan-specific contract. We keep those edits and filing specifications current for every Alabama Medicaid account. Program structure verified against the Alabama Medicaid Agency's published ACHN and Integrated Care Network pages on 17 September 2026.
Do you support rural practices and Federally Qualified Health Centers in Alabama?
Yes. Rural health clinics and FQHCs are paid under methodologies that differ from a straight fee schedule, and which one applies depends on the clinic's designation and its Medicare and Alabama Medicaid enrollment. Our coders and A/R staff work to whichever applies to your clinic — encounter-based claims, reconciliation of supplemental payments, and the separate documentation those settings carry — and we confirm the applicable methodology against your current enrollment record before the first claim goes out.
What are Alabama's timely filing requirements and how do you verify compliance?
Alabama Medicaid generally requires claims to be filed within one year of the date of service, and the Agency notes that some programs carry different filing limits, so the provider billing manual for your program is the controlling reference rather than the general rule. Commercial payers in Alabama set their own windows by contract, and that contract is where the number has to be read — several of the largest publish none at all. Our tracking flags approaching deadlines payer by payer well in advance, so nothing is lost to untimely filing. Filing limit verified against the Alabama Medicaid Agency's published provider-billing FAQ on 17 September 2026.
What specialties does MedPrecision support for Alabama providers?
We serve a wide range of specialties common in Alabama practices, including family medicine, cardiology, behavioral health, physical therapy, urgent care, and dermatology. Our certified coders are trained in specialty-specific coding guidelines and Alabama payer requirements.
What happens if a payer misses the Alabama prompt-pay deadline?
Alabama does have a prompt-pay statute. Section 27-1-17 of the Code of Alabama requires an insurer, health service corporation or health benefit plan to pay for services rendered by Alabama providers within 30 calendar days of a clean electronic claim or 45 calendar days of a clean written one, and to give notice in the same window if the claim is being denied or pended. Once requested information arrives, the claim must be paid, denied or otherwise adjudicated within 21 calendar days. An overdue claim carries interest of 1.5 percent per month, prorated daily, payable without any further action by the provider. The section does not apply to a claim submitted more than 180 days after the service, to claims against the Alabama Medicaid Agency, or to Medicare claims other than Medicare+Choice plans. We track every clean claim against those windows, flag stalled payments in our A/R reports, and escalate to the Alabama Department of Insurance, which may fine a payer that establishes a pattern of overdue payments. Statute text read from the Alabama Legislature's published Code of Alabama on 17 September 2026.
How do I choose a medical billing company in Alabama?
Prioritize a billing company that already works with Alabama Medicaid and the major commercial payers in Alabama — payer-specific edits and timely-filing windows are where most AL revenue leaks start. Ask about AAPC-certified coders, transparent pricing, and denial-rate and days-in-A/R reporting before you sign. Because billing is delivered remotely, a company's Alabama payer experience matters more than a local office address.
Services for Alabama practices
Specialties we bill for
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Services in Alabama
Specialties in Alabama
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