Medical Billing Services in Mississippi
As a remote-first medical billing company serving Mississippi practices statewide, MedPrecision pairs MS-specific payer expertise with AAPC-certified billing experts. Mississippi Medicaid runs a 365-day timely-filing window from the date of service, and missing it forfeits collectible revenue with no appeal path. Blue Cross Blue Shield of Mississippi, UnitedHealthcare and the MississippiCAN coordinated care organizations set most of the fee-schedule and appeal rules a Mississippi practice works against, so fee-schedule accuracy and disciplined appeals decide how much of a charge survives. Mississippi Code 83-9-5 gives an insurer 25 days to pay a clean claim submitted electronically and 35 days for one submitted on paper, so prompt-pay tracking belongs in every weekly A/R review on a Mississippi account. Those clocks drive how an account is set up: scrubber rules per payer, CCO portal work, and appeal drafts queued the moment a denial lands so nothing ages past the timely-filing or prompt-pay window.
- Free audit
- No contract
- HIPAA-secure
- Cancel anytime
The Mississippi Billing Landscape
Mississippi's billing environment is shaped by a large Medicaid population and significant rural healthcare access challenges. Mississippi has not expanded Medicaid under the ACA — CMS's enrollment reporting still records the state as non-expansion — so the adult population a practice bills looks different from that in neighboring expansion states. Medicaid managed care runs through MississippiCAN, whose coordinated care organizations are Magnolia Health, Molina Healthcare and TrueCare. That roster changed on July 1, 2025, when TrueCare, a Mississippi-based provider-sponsored nonprofit, replaced UnitedHealthcare Community Plan; a payer setup that still lists UnitedHealthcare Community Plan as a MississippiCAN option is out of date. Blue Cross Blue Shield of Mississippi is the dominant commercial name in the state, and its fee schedule and appeal rules drive a large share of commercial A/R. The state's prompt-pay rule, Mississippi Code 83-9-5, is 25 days for a clean electronic claim and 35 days for paper, with 3% monthly interest on claims held past the deadline — worth stating precisely, because the 30-day and 45-day figures that circulate for Mississippi are both wrong. On the Medicaid side, the fee-for-service filing limit is 365 days from the date of service, but Medicare crossover claims run a separate 180-day clock from the Medicare paid date, which is where crossover-heavy practices lose revenue. Mississippi is also not a No-Surprises-Act-only state: 83-9-5(1)(i) makes a direct payment to an assigned provider payment in full, so the provider cannot balance-bill the insured above cost-sharing and noncovered items. Mississippi has experienced multiple rural hospital closures, placing additional pressure on remaining providers and increasing patient volume at surviving practices. The University of Mississippi Medical Center is the state's academic medical center and anchors referral patterns statewide. Practices in the Jackson metro area operate in a relatively competitive environment, while Delta and Gulf Coast communities face severe provider shortages. The state's high burden of chronic disease means billing teams must be proficient in chronic care management, preventive screening, and care coordination coding. Low Medicaid reimbursement rates make efficient billing operations essential for practice viability.
Who We Serve in Mississippi
Our Mississippi client mix skews toward solo practices, rural health clinics, federally qualified health centers , plus family practice groups and telehealth providers. We work with providers in Jackson, Gulfport, Southaven and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Mississippi
We publish one national rate card and bill Mississippi 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 Mississippi
MississippiCAN coordinated care, alongside fee-for-service Mississippi Medicaid routes members through Magnolia Health, Molina Healthcare, TrueCare, each with its own authorization rules and fee schedule. On the commercial side, Blue Cross Blue Shield of Mississippi, UnitedHealthcare, Aetna drive the bulk of Mississippi claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Mississippi run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Mississippi's prompt-pay statute: Mississippi Code 83-9-5 requires a clean claim to be paid within 25 days of receipt if submitted electronically and 35 days if submitted on paper. Claims held past the deadline accrue interest at 3% per month from the day after payment was due; that interest provision does not apply to Medicare Advantage plans. A claim submitted more than 30 days after the date of completion of service is not a clean claim under the statute.
Medicaid Program
MississippiCAN coordinated care, alongside fee-for-service Mississippi Medicaid
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Mississippi Code 83-9-5 requires a clean claim to be paid within 25 days of receipt if submitted electronically and 35 days if submitted on paper. Claims held past the deadline accrue interest at 3% per month from the day after payment was due; that interest provision does not apply to Medicare Advantage plans. A claim submitted more than 30 days after the date of completion of service is not a clean claim under the statute.
Mississippi Billing Regulations & Compliance
The Mississippi Insurance Department sets the rules our Mississippi billing workflows have to satisfy. Surprise billing in Mississippi: The federal No Surprises Act applies, and Mississippi has its own balance-billing protection as well. Under Mississippi Code 83-9-5(1)(i), where the insured directs benefits to be paid to a licensed health care provider, the insurer pays that provider directly and the payment counts as payment in full — the provider may not bill or collect anything above it from the insured except the deductible, coinsurance, copayment, or charges for equipment or services the insured requested that are noncovered benefits. Providers in the practice of dentistry are excluded. Disputes between a provider and an insured over assignment of benefits and billing may be resolved by the Commissioner of Insurance. Telehealth parity: Mississippi Medicaid covers telehealth. Mississippi Code 83-9-351 requires health insurance and employee benefit plans to cover telemedicine to the same extent as in-person care and caps telemedicine cost-sharing at the in-person amount. This is coverage parity, not payment parity — Mississippi does not require a payer to reimburse a telemedicine visit at the in-person rate. The originating site may bill a facility fee; the distant site may not, and plans may not limit coverage to provider-to-provider consultations. The section carries a sunset the Legislature has revisited, so confirm the operative text with the Mississippi Insurance Department before relying on it.
State Insurance Regulator
Mississippi Insurance Department
Surprise Billing Protection
The federal No Surprises Act applies, and Mississippi has its own balance-billing protection as well. Under Mississippi Code 83-9-5(1)(i), where the insured directs benefits to be paid to a licensed health care provider, the insurer pays that provider directly and the payment counts as payment in full — the provider may not bill or collect anything above it from the insured except the deductible, coinsurance, copayment, or charges for equipment or services the insured requested that are noncovered benefits. Providers in the practice of dentistry are excluded. Disputes between a provider and an insured over assignment of benefits and billing may be resolved by the Commissioner of Insurance.
Telehealth Billing Parity
Mississippi Medicaid covers telehealth. Mississippi Code 83-9-351 requires health insurance and employee benefit plans to cover telemedicine to the same extent as in-person care and caps telemedicine cost-sharing at the in-person amount. This is coverage parity, not payment parity — Mississippi does not require a payer to reimburse a telemedicine visit at the in-person rate. The originating site may bill a facility fee; the distant site may not, and plans may not limit coverage to provider-to-provider consultations. The section carries a sunset the Legislature has revisited, so confirm the operative text with the Mississippi Insurance Department before relying on it.
Common Questions
Common questions about medical billing services in Mississippi.
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your Mississippi practice.
Get a Free Billing AuditHow does MedPrecision handle MississippiCAN managed care billing?
We bill both fee-for-service Mississippi Medicaid and MississippiCAN managed care. The Mississippi Division of Medicaid contracts with three coordinated care organizations — Magnolia Health, Molina Healthcare and TrueCare — and that roster changed on July 1, 2025, when TrueCare, a Mississippi-based provider-sponsored nonprofit, replaced UnitedHealthcare Community Plan. A practice still carrying UnitedHealthcare Community Plan as a MississippiCAN option is submitting to a plan that no longer holds the contract. Each CCO publishes its own authorization rules, filing windows and claim-submission requirements, so we verify plan assignment before submission rather than assuming the fee-for-service rule applies. Roster confirmed against the Mississippi Division of Medicaid managed care pages, verified September 17, 2026.
Can you help my Rural Health Clinic with reimbursement in Mississippi?
Yes. We specialize in Rural Health Clinic billing and understand the prospective payment system, encounter-based reimbursement, and Mississippi-specific RHC filing requirements. We verify your clinic captures the full cost-based rate it is entitled to under federal and state guidelines.
What are Mississippi's timely filing requirements and how do you manage them?
Mississippi Medicaid's fee-for-service rule is 365 calendar days from the date of service, set out in the Division of Medicaid's provider billing handbook at section 1.12 and in Mississippi Administrative Code Part 200, Rules 1.6 through 1.8. Two carve-outs catch practices out: Medicare crossover claims for coinsurance or deductible must reach the Division within 180 days of the Medicare paid date, and where retroactive beneficiary eligibility prevented timely filing, the claim is due within 60 days of the eligibility determination. A denied claim resubmitted with the original transaction control number must be received within 365 days of the original submission, not of the service date. MississippiCAN plans set their own filing windows by contract and commercial payers are often shorter still, so we track deadlines per payer rather than applying one rule. Verified September 17, 2026.
Does MedPrecision support family practice billing in Mississippi?
Absolutely. Family practices are the backbone of Mississippi's healthcare system, especially in rural areas. We handle the full spectrum of family medicine billing including E/M coding, preventive services, chronic care management, and the Medicaid and commercial payer mix that Mississippi family practices typically encounter.
What happens if a payer misses the Mississippi prompt-pay deadline?
Mississippi Code 83-9-5 requires a clean claim to be paid within 25 days of receipt when it is submitted electronically and 35 days when it is submitted on paper — not the 45-day or 30-day figure that circulates in general prompt-pay summaries. If the claim is not denied for a valid and proper reason inside that window, interest runs at 3% per month from the day after payment was due, though that interest provision does not apply to Medicare Advantage or Medicare Advantage Prescription Drug plans. The statute also excludes from clean-claim status anything a provider submits more than 30 days after the date of completion of service, which is the detail most often missed. We track every clean claim against those deadlines, flag stalled payments in our A/R reports, and escalate to the Mississippi Insurance Department when a payer defaults. Medicaid claims run a 365-day timely-filing window and commercial claims commonly run 90-180 days. Statute text verified against the Mississippi Insurance Department's published accident-and-health filing requirements, September 17, 2026.
How do I choose a medical billing company in Mississippi?
Prioritize a billing company that already works with Mississippi Medicaid and the major commercial payers in Mississippi — payer-specific edits and timely-filing windows are where most MS 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 Mississippi payer experience matters more than a local office address.
Services for Mississippi practices
Specialties we bill for
Free Billing Audit · No obligation
Billing help for your Mississippi practice
Tell us the specialty and we will come back on what your Mississippi payer mix actually changes — filing windows, the state's prompt-pay clock, and which plans your claims are going to. Written findings in 3–5 business days.
Prefer to talk? Book a 15-minute callRequest received
A billing specialist will review your practice details and reach out within 1 business day. No confirmation email is sent — if you need to reach us sooner, call +1-872-297-2815.
Services in Mississippi
Specialties in Mississippi
Other Locations We Serve
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your Mississippi practice's collections.
- No contract
- No setup fees
- Reply within 1 business day