Medical Billing Services in Montana
As a remote-first medical billing company serving Montana practices statewide, MedPrecision pairs MT-specific payer expertise with AAPC-certified billing experts. Blue Cross Blue Shield of Montana anchors Montana's commercial payer mix, and any practice that mishandles its fee schedule, modifier rules, or appeal deadlines bleeds revenue every quarter. Montana Medicaid routes members through a 365-day timely-filing window — a clock that disciplines our entire Montana claim queue. Montana Code Annotated 33-18-232 requires an insurer to pay or deny a claim within 30 days after receipt of a proof of loss — 60 days if it makes a reasonable request for additional information — giving providers a real lever when payers stall on clean submissions. Every Montana account we manage is wired to those clocks: scrubber rules per payer, payer portal automation, 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 Montana Billing Landscape
Montana expanded Medicaid in 2015 under the HELP Act (Health and Economic Livelihood Partnership), adding approximately 100,000 enrollees to a program that operates primarily as fee-for-service without managed care organizations. This direct FFS model simplifies some billing workflows but means practices deal directly with the state's fiscal agent for claims processing rather than with a plan's provider-relations desk. Blue Cross and Blue Shield of Montana is the dominant commercial payer, and it is a division of Health Care Service Corporation, a Mutual Legal Reserve Company — not of Premera, and not an independent Montana carrier; BCBSMT joined HCSC in 2013, which is why its provider-facing systems look like BCBS of Texas, Illinois, Oklahoma and New Mexico rather than like a regional plan (verified at bcbsmt.com and hcsc.com on 17 September 2026). PacificSource and UnitedHealthcare also write coverage in the state, and Allegiance Benefit Plan Management appears on Montana claims as a third-party administrator rather than as a carrier, which changes who you appeal to. Montana's prompt pay law gives an insurer 30 days after receipt of a proof of loss to pay or deny, 60 days where it has reasonably requested more information. The state's vast geography and low population density make it one of the most challenging states for healthcare access, and much of Montana carries a frontier designation. Critical access hospitals and rural health clinics, not large systems, are where most of the state's outpatient volume is billed. Billings Clinic and SCL Health (now Intermountain) are the largest health systems. Montana mandates telehealth coverage for commercial payers, and telehealth is essential for reaching patients in remote ranching and tribal communities. The state's tribal population served by Indian Health Service requires coordination of benefits expertise. Provider recruitment difficulties mean existing practices carry heavy patient loads, making efficient revenue cycle management essential.
Who We Serve in Montana
Our Montana client mix skews toward solo practices, rural health clinics, critical access hospitals , plus tribal health facilities and telehealth providers. We work with providers in Billings, Missoula, Great Falls and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Montana
We publish one national rate card and bill Montana 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 Montana
Montana Medicaid (fee-for-service with Medicaid expansion) is the public payer our billing team codes against day-to-day. On the commercial side, Blue Cross Blue Shield of Montana, PacificSource, Allegiance drive the bulk of Montana claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Montana run 365 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Montana's prompt-pay statute: Montana Code Annotated 33-18-232(1) requires an insurer to pay or deny a claim within 30 days after receipt of a proof of loss, extended to 60 days from receipt of the proof of loss where the insurer makes a reasonable request for additional information or documents. Subsection (2) adds 10 percent annual interest on the claim amount, calculated from the date the claim was due, and payable only where the interest owed exceeds $5. Subsection (3) bars a private cause of action under 33-18-201 or 33-18-242 based on compliance with this section. Verified against Montana Code Annotated 2025 on 17 September 2026.
Medicaid Program
Montana Medicaid (fee-for-service with Medicaid expansion)
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Montana Code Annotated 33-18-232(1) requires an insurer to pay or deny a claim within 30 days after receipt of a proof of loss, extended to 60 days from receipt of the proof of loss where the insurer makes a reasonable request for additional information or documents. Subsection (2) adds 10 percent annual interest on the claim amount, calculated from the date the claim was due, and payable only where the interest owed exceeds $5. Subsection (3) bars a private cause of action under 33-18-201 or 33-18-242 based on compliance with this section. Verified against Montana Code Annotated 2025 on 17 September 2026.
Montana Billing Regulations & Compliance
The Montana Commissioner of Securities and Insurance (CSI) sets the rules our Montana billing workflows have to satisfy. Surprise billing in Montana: Federal No Surprises Act applies; no additional state-specific surprise billing law. Telehealth parity: Montana requires commercial insurers to cover telehealth services under HB 63 (2021). Medicaid covers telehealth including audio-only services.
State Insurance Regulator
Montana Commissioner of Securities and Insurance (CSI)
Surprise Billing Protection
Federal No Surprises Act applies; no additional state-specific surprise billing law.
Telehealth Billing Parity
Montana requires commercial insurers to cover telehealth services under HB 63 (2021). Medicaid covers telehealth including audio-only services.
Common Questions
Common questions about medical billing services in Montana.
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your Montana practice.
Get a Free Billing AuditHow does MedPrecision handle Montana Medicaid fee-for-service billing?
Montana operates its Medicaid program primarily on a fee-for-service basis, which means each claim must meet specific state billing guidelines without MCO intermediaries. Our team is well-versed in Montana Medicaid's fee schedules, covered services, and prior authorization requirements, ensuring clean claims and timely reimbursement.
Can you help my Frontier or Rural Health Clinic with billing in Montana?
Yes. We specialize in Frontier and Rural Health Clinic billing and understand the cost-based reimbursement methodology, encounter rate structures, and Montana-specific filing requirements that these facilities depend on. We verify your clinic captures its full entitled reimbursement.
Does MedPrecision handle tribal health and IHS billing in Montana?
Absolutely. Montana has a significant tribal health presence, and billing for tribal facilities involves navigating IHS purchased/referred care, Medicare and Medicaid tribal provisions, and coordination of benefits between federal and state programs. Our team has experience managing these complex multi-payer tribal billing workflows.
How do you support telehealth billing for remote Montana practices?
Telehealth is essential in Montana given the vast distances between communities. We stay current on Montana Medicaid telehealth policies, commercial payer telemedicine rules, and the originating and distant site requirements specific to the state, verifying your virtual visits are properly billed and fully reimbursed.
What happens if a payer misses the Montana prompt-pay deadline?
Montana Code Annotated 33-18-232(1) requires an insurer to pay or deny a claim within 30 days after receipt of a proof of loss. If the insurer makes a reasonable request for additional information or documents, that becomes 60 days from receipt of the proof of loss. Subsection (2) sets the remedy: the claim amount plus 10 percent annual interest calculated from the date the claim was due, where due means 30 days after receipt of the proof of loss, or 60 days where a reasonable request for information was made. Interest is payable only where the amount of interest due on the claim exceeds $5, and subsection (3) blocks any private cause of action under 33-18-201 or 33-18-242 based on compliance with this section — the escalation route is the Commissioner, not litigation on the statute. We track every clean claim against these deadlines, flag stalled payments in our A/R reports, and escalate to the Montana Commissioner of Securities and Insurance (CSI) when a payer defaults. Montana Medicaid allows 12 months from the date of service; commercial claims run 90-180 days. Verified against Montana Code Annotated 2025 on 17 September 2026.
How do I choose a medical billing company in Montana?
Prioritize a billing company that already works with Montana Medicaid and the major commercial payers in Montana — payer-specific edits and timely-filing windows are where most MT 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 Montana payer experience matters more than a local office address.
Services for Montana practices
Specialties we bill for
Free Billing Audit · No obligation
Billing help for your Montana practice
Tell us the specialty and we will come back on what your Montana 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 Montana
Specialties in Montana
Other Locations We Serve
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your Montana practice's collections.
- No contract
- No setup fees
- Reply within 1 business day