Claims go out daily, fully scrubbed against Louisiana Medicaid and MCO edits. Fewer simple errors means fewer claims bouncing back from Healthy Louisiana plans.
Certified coders assign ICD-10, CPT, and HCPCS codes that match the documentation. Chronic conditions like diabetes and hypertension are common in Louisiana patient panels, and accurate risk coding makes a measurable difference with Medicare Advantage plans.
We verify coverage before every visit through MEVS and payer portals. Between the Healthy Blue exit and the 2027 eligibility changes, this step will catch more problems next year than any other.
Each Healthy Louisiana plan keeps its own authorization list. Our team submits requests and follows up daily so scheduled procedures stay on the calendar.
Every denial is categorized by root cause and payer. After a plan exit, we also catch claims still being sent to the plan that left.
Aging claims get worked weekly. Balances get resolved well before filing deadlines, including runout claims for plans that are winding down.
Clear statements and a support line that answers help Louisiana patients understand what they owe. Fewer confused calls, faster payments.
We handle Louisiana Medicaid enrollment, Healthy Louisiana plan credentialing, Medicare enrollment through PECOS, and commercial applications. If you aren't contracted with all four remaining plans, now's the time.
One team handles everything from scheduling to final payment. It's simpler, and simpler is usually cheaper.
Every remittance is posted and reconciled against your contracted rate. Underpayments get flagged and appealed, not written off.
New Orleans draws specialty patients from across the Gulf South, plus a steady stream of tourists. When a claim falls out of network, we build a fair-market case and negotiate directly, including federal independent dispute resolution where the No Surprises Act applies.
Monthly reports show collections and denial rates by provider and by plan. Practices with locations across a parish line or two find the location view especially handy.
All billing runs on secure, HIPAA-compliant systems with role-based access. Your signed business associate agreement is in place from day one.
12+
Years of Experience
50+
Medical Specialties
50+
Happy Clients
Most Louisiana practices pay a percentage of monthly collections, so our fee grows only when your revenue does. Your rate depends on specialty, volume, and the services you need. We quote it after a free audit.
Flag every Healthy Blue patient on your January schedule and re-verify coverage at check-in. Then make sure you're credentialed with the plans those patients are likely to land in. We can handle both steps for you.
Yes. We bill Aetna Better Health, AmeriHealth Caritas Louisiana, Humana Healthy Horizons, and Louisiana Healthcare Connections, plus fee-for-service Louisiana Medicaid. Credentialing with plans you haven't joined yet is included.
Yes. Our team works remotely, so claim submission and follow-up continue even when your building is closed.
We work inside most EHR and practice management systems used by Louisiana practices, so your staff keeps the software it already knows.
Most practices transition within a few weeks. We set up payer connections, review open AR, and run alongside your current process until the handoff is done.
Efficiency & precision in healthcare financial management with Cures Medical Billing, your trusted partner for smarter, faster, and more accurate billing solutions.
