Medical Billing Services in Louisiana
Healthy Louisiana runs a 365-day timely-filing window from the date of service, and missing it forfeits collectible revenue with no appeal path. On the commercial side, Blue Cross Blue Shield of Louisiana dominates Louisiana's payer mix, which means fee-schedule accuracy and disciplined appeals are non-negotiable for practices in the state. Louisiana Revised Statutes 22:1821 requires insurers to pay clean electronic claims within 25 days and paper claims within 45 days, so prompt-pay tracking is part of every weekly A/R review we run for Louisiana accounts. MedPrecision's Louisiana workflow layers payer-specific scrubbers, MCO portal logins, and deadline-aware A/R follow-up so clean claims clear the first cycle and stalled ones never age out of appeal.
The Louisiana Billing Landscape
Louisiana expanded Medicaid in 2016, adding over 500,000 enrollees and fundamentally changing the state's payer landscape. The Healthy Louisiana managed care program contracts with Aetna Better Health, AmeriHealth Caritas Louisiana, Healthy Blue (BCBS), Louisiana Healthcare Connections (Centene), and UnitedHealthcare Community Plan. Blue Cross Blue Shield of Louisiana is the dominant commercial carrier, with significant market share across the state. Louisiana's prompt pay law under the Insurance Code requires clean claims to be paid within 30 days for electronic submissions, with interest penalties. The state's healthcare needs are shaped by high rates of chronic disease, particularly diabetes, hypertension, and obesity, driving demand for chronic care management billing expertise. Hurricane exposure and disaster recovery regularly disrupt practice operations and create billing continuity challenges. Ochsner Health System and LCMC Health are the dominant health systems, particularly in the New Orleans metro, while rural Louisiana depends on critical access hospitals and federally qualified health centers. Louisiana mandates telehealth parity for commercial plans, and Medicaid has maintained broad telehealth coverage. The state's unique parish-based governance can create billing complexities around regional Medicaid administration.
Who We Serve in Louisiana
Our Louisiana client mix skews toward solo practices, group practices, federally qualified health centers , plus rural health clinics and telehealth providers. We work with providers in New Orleans, Baton Rouge, Shreveport and across the rest of the state, all remotely.
Major Metros Served
Payer Landscape in Louisiana
Healthy Louisiana (Medicaid managed care) routes members through Healthy Blue, Louisiana Healthcare Connections, UnitedHealthcare Community Plan and 2 more plans, each with its own authorization rules and fee schedule. On the commercial side, Blue Cross Blue Shield of Louisiana, UnitedHealthcare, Aetna drive the bulk of Louisiana claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Louisiana run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Louisiana's prompt-pay statute: Louisiana Revised Statutes 22:1821 requires insurers to pay clean electronic claims within 25 days and paper claims within 45 days. Late payments are subject to penalties plus reasonable attorney fees.
Medicaid Program
Healthy Louisiana (Medicaid managed care)
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Louisiana Revised Statutes 22:1821 requires insurers to pay clean electronic claims within 25 days and paper claims within 45 days. Late payments are subject to penalties plus reasonable attorney fees.
Louisiana Billing Regulations & Compliance
The Louisiana Department of Insurance sets the rules our Louisiana billing workflows have to satisfy. Surprise billing in Louisiana: Federal No Surprises Act applies. Louisiana has limited additional state-level surprise billing protections. Telehealth parity: Louisiana requires commercial insurers to cover telehealth services under Act 442. Medicaid covers telehealth including audio-only.
State Insurance Regulator
Louisiana Department of Insurance
Surprise Billing Protection
Federal No Surprises Act applies. Louisiana has limited additional state-level surprise billing protections.
Telehealth Billing Parity
Louisiana requires commercial insurers to cover telehealth services under Act 442. Medicaid covers telehealth including audio-only.
Common Questions
Common questions about medical billing services in Louisiana.
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Get a Free Billing Audit arrow_forwardDoes MedPrecision handle Healthy Louisiana MCO billing?
Yes. We bill all Healthy Louisiana managed care organizations — including Healthy Blue, Louisiana Healthcare Connections, UnitedHealthcare Community Plan, and AmeriHealth Caritas — and stay current on each MCO's authorization requirements, fee schedules, and submission rules to lift your collections to 95%+.
How does MedPrecision handle Louisiana prompt pay law compliance?
Louisiana requires insurers to pay clean claims within 30 days for electronic submissions and 45 days for paper claims. Our team submits clean electronic claims on first pass and actively monitors payment timelines to escalate delayed payments and file complaints when payers miss deadlines.
How has Medicaid expansion affected billing volume for Louisiana practices?
Louisiana's Medicaid expansion significantly increased the number of insured patients, and many practices have seen higher claim volumes as a result. Our team helps you manage this growth by handling increased submissions, verifying eligibility accurately, and for timely filing across all Healthy Louisiana MCOs.
What specialties does MedPrecision support in Louisiana?
We support a wide range of specialties across Louisiana, including family practice, behavioral health, cardiology, urgent care, physical therapy, and more. Our billers are trained on specialty-specific coding for both Healthy Louisiana MCOs and commercial payers operating in the state.
What happens if a payer misses the Louisiana prompt-pay deadline?
Louisiana Revised Statutes 22:1821 requires insurers to pay clean electronic claims within 25 days and paper claims within 45 days. Late payments are subject to penalties plus reasonable attorney fees. We track every clean claim against these Louisiana-specific deadlines, flag stalled payments in our A/R reports, and escalate to the Louisiana Department of Insurance when a payer defaults. Medicaid claims run a 365-day timely-filing window, commercial claims run 90-180 days — we build follow-up cadences around both.
Services for Louisiana practices
Specialties we bill for
Services in Louisiana
- arrow_forward Medical Billing Services
- arrow_forward Revenue Cycle Management Services
- arrow_forward Medical Coding Services
- arrow_forward Denial Management Services
- arrow_forward Medical Billing Audit Services
- arrow_forward Prior Authorization Services
- arrow_forward Provider Credentialing Services
- arrow_forward Outsourced Medical Billing Services
Specialties in Louisiana
- arrow_forward Mental Health Billing Services
- arrow_forward Physical Therapy Billing Services
- arrow_forward Cardiology Billing Services
- arrow_forward Orthopedic Billing Services
- arrow_forward Family Practice Billing Services
- arrow_forward Urgent Care Billing Services
- arrow_forward Pediatrics Billing Services
- arrow_forward Telehealth Clinic Billing Services
Other Locations We Serve
- arrow_forward Medical Billing in California
- arrow_forward Medical Billing in Florida
- arrow_forward Medical Billing in New Jersey
- arrow_forward Medical Billing in New York
- arrow_forward Medical Billing in Texas
- arrow_forward Medical Billing in Alabama
- arrow_forward Medical Billing in Alaska
- arrow_forward Medical Billing in Arizona
- arrow_forward Medical Billing in Arkansas
- arrow_forward Medical Billing in Colorado
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your Louisiana practice's collections.