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SERVING AK

Medical Billing Services in Alaska

As a remote-first medical billing company serving Alaska practices statewide, MedPrecision pairs AK-specific payer expertise with AAPC-certified billing experts. Alaska Medical Assistance gives providers one year from the date services were rendered to submit a claim, and requires every third-party resource except the Indian Health Service to be billed first — so a claim parked while another payer is chased is a claim burning its own filing clock. Alaska Statute 21.36.495 gives a health care insurer 30 calendar days from receipt of a clean claim to pay or deny it, and the same 30 days to send notice of the basis for a denial or of the specific information it needs; where that notice never arrives the claim is presumed clean and interest runs at 15 percent a year. Alaska Medicaid's fiscal agent, Conduent State Healthcare, runs a daily adjudication cycle and a weekly payment cycle, and a correction submitted online is adjudicated the same day — but the money still moves on the weekly cycle, and the agency does not publish which day of the week that falls on. Every Alaska account we manage is wired to those clocks: scrubber rules per payer, portal follow-up against the weekly remittance, and appeal drafts queued the moment a denial lands. Statute text read from the Alaska State Legislature's published statutes, and the filing, adjudication and payment-cycle facts from the Alaska Medical Assistance Health Enterprise provider FAQ, on 17 September 2026.

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2,221
Professionally Active Physicians
Professionally active MDs and DOs in Alaska, May 2026 · Source
207,612
Medicaid & CHIP Enrollment
Alaska Medicaid and CHIP enrollment, May 2026 reporting period (preliminary) · Source

The Alaska Billing Landscape

Alaska Medicaid is billed directly. Claims go to Alaska Medical Assistance through the state's Health Enterprise portal rather than to a managed-care plan, the fiscal agent runs a daily adjudication cycle and a weekly payment cycle, and an online submission returns its control number and its edits immediately. That makes the correction loop short for a practice that works it and expensive for one that does not, because providers must also bill every third-party resource other than the Indian Health Service before Medicaid, and the one-year filing clock keeps running while that happens. Prompt pay sits in Alaska Statute 21.36.495 and is counted in calendar days, not working days: 30 calendar days to pay or deny a clean claim, 30 calendar days to give notice of a denial or of the information needed, and, where that notice is missing, a presumption that the claim was clean plus interest at 15 percent a year. Telehealth is governed by Alaska Statute 21.42.422, which requires coverage of telehealth delivered by an Alaska-licensed provider and bars a prior in-person contact requirement, but sets no rate — geography makes telehealth central here, and the contract rather than the statute decides what it pays. Tribal health organizations and the Indian Health Service are part of the delivery system, and the state's own billing rules single the Indian Health Service out of the third-party billing requirement, which puts coordination of benefits at the centre of the Alaska workflow rather than at its edges. Statute and program facts verified against the Alaska State Legislature and the Alaska Medical Assistance provider portal on 17 September 2026.

Who We Serve in Alaska

Our Alaska client mix skews toward solo practices, rural health clinics, tribal health facilities , plus group practices and telehealth providers. We work with providers in Anchorage, Fairbanks, Juneau and across the rest of the state, all remotely.

Solo Practices Rural Health Clinics Tribal Health Facilities Group Practices Telehealth Providers

Major Metros Served

Anchorage Fairbanks Juneau Wasilla Sitka

What billing costs in Alaska

We publish one national rate card and bill Alaska 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
Full pricing, worked examples and flat-fee packages
Payer Intelligence

Payer Landscape in Alaska

Alaska Medical Assistance (claims billed directly to the state's fiscal agent through the Health Enterprise portal rather than to a managed-care plan) is the public payer our billing team codes against day-to-day. On the commercial side, Premera Blue Cross Blue Shield of Alaska, Moda Health, Aetna drive the bulk of Alaska claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Alaska run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Alaska's prompt-pay statute: Alaska Statute 21.36.495 requires a health care insurer to pay or deny a claim within 30 calendar days of receiving a clean claim, and to give notice within 30 calendar days of the basis for a denial or of the specific information needed to adjudicate. Where that notice is not given the claim is presumed clean and interest accrues at 15 percent a year until payment; where information is requested, payment is due 15 calendar days after it arrives or 30 days after the claim was received. Interest of one dollar or less is not owed. Verified against the Alaska State Legislature's published statutes on 17 September 2026.

Medicaid Program

Alaska Medical Assistance (claims billed directly to the state's fiscal agent through the Health Enterprise portal rather than to a managed-care plan)

Key Commercial Payers

Premera Blue Cross Blue Shield of AlaskaModa HealthAetnaUnitedHealthcare

Timely Filing Deadlines

Medicaid365 days
Commercial Payers90-180 days

Prompt Pay Law

Alaska Statute 21.36.495 requires a health care insurer to pay or deny a claim within 30 calendar days of receiving a clean claim, and to give notice within 30 calendar days of the basis for a denial or of the specific information needed to adjudicate. Where that notice is not given the claim is presumed clean and interest accrues at 15 percent a year until payment; where information is requested, payment is due 15 calendar days after it arrives or 30 days after the claim was received. Interest of one dollar or less is not owed. Verified against the Alaska State Legislature's published statutes on 17 September 2026.

Compliance

Alaska Billing Regulations & Compliance

The Alaska Division of Insurance sets the rules our Alaska billing workflows have to satisfy. Surprise billing in Alaska: The federal No Surprises Act applies to Alaska claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Alaska Division of Insurance rather than assuming a state law covers the bill. Telehealth parity: Alaska Statute 21.42.422 requires a health care insurer offering a group or individual market plan in the state to cover benefits provided through telehealth by a provider licensed in Alaska, and bars it from requiring prior in-person contact before payment for a covered service. It is a coverage requirement, not a payment-parity mandate. Its definition of health care insurer reaches insurers, hospital and medical service corporations, fraternal benefit societies, health maintenance organizations, the Comprehensive Health Insurance Association, multiple employer welfare arrangements, church plans and governmental plans, excluding a non-federal governmental plan that has opted out under 42 U.S.C. 300gg-21(a)(2). Verified against the Alaska State Legislature's published statutes on 17 September 2026.

State Insurance Regulator

Alaska Division of Insurance

Surprise Billing Protection

The federal No Surprises Act applies to Alaska claims. Whether any additional state-level protection applies depends on the plan type and the rule in force; confirm the current position with the Alaska Division of Insurance rather than assuming a state law covers the bill.

Telehealth Billing Parity

Alaska Statute 21.42.422 requires a health care insurer offering a group or individual market plan in the state to cover benefits provided through telehealth by a provider licensed in Alaska, and bars it from requiring prior in-person contact before payment for a covered service. It is a coverage requirement, not a payment-parity mandate. Its definition of health care insurer reaches insurers, hospital and medical service corporations, fraternal benefit societies, health maintenance organizations, the Comprehensive Health Insurance Association, multiple employer welfare arrangements, church plans and governmental plans, excluding a non-federal governmental plan that has opted out under 42 U.S.C. 300gg-21(a)(2). Verified against the Alaska State Legislature's published statutes on 17 September 2026.

Common Questions

Common questions about medical billing services in Alaska.

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How does MedPrecision handle Alaska Medicaid fee-for-service billing?

Alaska Medicaid claims go to Alaska Medical Assistance through the state's Health Enterprise portal rather than to a managed-care plan, and the state's fiscal agent, Conduent State Healthcare, runs a daily adjudication cycle with a weekly payment cycle. Online submission returns a claim control number immediately and surfaces edits at once, and an adjustment or void filed online shows its adjudication result straight away — so a correction re-enters adjudication the day you make it, even though payment still waits for the weekly cycle. We work to Alaska's fee schedules, its prior-authorization rules, and its requirement that every third-party resource other than the Indian Health Service be billed before Medicaid. Process verified against the Alaska Medical Assistance Health Enterprise provider FAQ on 17 September 2026.

Do you support remote and frontier practices in Alaska?

Yes, and the remote model is the point of it: no office, no local payroll, and the same coverage whether the practice sits in Anchorage or off the road system. Work is delivered inside your practice management system and the payer portals, so distance changes nothing about the workflow. What does change between settings is the payer mix and the coding, and we build the account around whichever applies to yours rather than around a template.

Can MedPrecision handle Indian Health Service and tribal health billing?

Yes. Tribal health and Indian Health Service billing runs its own coordination-of-benefits sequence: Alaska Medical Assistance requires providers to bill every other third-party resource before Medicaid, and expressly excepts the Indian Health Service from that requirement, which reverses the order billers apply everywhere else. We build that sequence and the referred-care authorization steps into the account rather than handling them as exceptions after a denial. Requirement verified against the Alaska Medical Assistance Health Enterprise provider FAQ on 17 September 2026.

How do you handle telehealth billing for Alaska's remote patient population?

Alaska Statute 21.42.422 requires a health care insurer offering a group or individual market plan in the state to cover benefits delivered through telehealth by a provider licensed in Alaska, and bars it from requiring prior in-person contact before it pays for a covered service. Note what that is and is not: a coverage requirement, not a payment-parity mandate, so the rate still comes from your contract. We code telehealth encounters to the payer's current policy and confirm the Alaska licensure requirement before the visit rather than after the denial. Statute text read from the Alaska State Legislature's published statutes on 17 September 2026.

What happens if a payer misses the Alaska prompt-pay deadline?

The Alaska provision is Statute 21.36.495, and it runs on calendar days rather than working days. A health care insurer must pay or deny within 30 calendar days of receiving a clean claim, and must give notice within 30 calendar days of the basis for a denial or of the specific information it needs to adjudicate. If that notice is not given, the claim is presumed clean and interest accrues at 15 percent a year from the day after the notice was due until payment. If notice is given and information requested, payment is due 15 calendar days after the information arrives or 30 days after the claim was received. Interest of one dollar or less is not owed. We track every clean claim against those dates, flag stalled payments in our A/R reports, and escalate to the Alaska Division of Insurance when a payer defaults. Alaska Medicaid runs a one-year filing window from the date services were rendered; commercial windows are contractual and have to be read out of each agreement rather than assumed — we build follow-up cadences around both. Statute text read from the Alaska State Legislature's published statutes on 17 September 2026.

How do I choose a medical billing company in Alaska?

Prioritize a billing company that already works with Alaska Medicaid and the major commercial payers in Alaska — payer-specific edits and timely-filing windows are where most AK 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 Alaska payer experience matters more than a local office address.

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