Sources checked: . Sources and review scope.
Cardiology billing services in Alabama start with Palmetto GBA for Original Medicare and the patient's commercial plan for other coverage. Alabama Medicaid adds program-specific provider rules. We bill cardiology only, from Texas, at 3% of collections with no contract.
3% of collectionsNo setup feeNo contract
Alabama shares Medicare jurisdiction JJ with Georgia and Tennessee, and Palmetto GBA processes those claims. Its local coverage policies name the diagnoses and note content behind echo, nuclear and monitoring claims. A study that pays under one contractor can be denied under another.
We check the applicable policy before filing. If documentation appears incomplete, we flag it for the practice to review before submission. Only the treating clinician can determine or change clinical documentation.
Blue Cross and Blue Shield of Alabama is the state's Blue Cross Blue Shield company. We compare each payment with the practice's current contract and flag lines that appear short. Network status and terms depend on the member's product and provider agreement.
Medicare Advantage plans from UnitedHealthcare, Humana and others have their own coverage and authorization requirements, separate from Palmetto's rules.
How we post paymentsAlabama Medicaid has multiple programs, including the Alabama Coordinated Health Network and Integrated Care Network. We check current member eligibility and applicable program instructions for each service.
Medicare Advantage plans from UnitedHealthcare, Humana and others have their own coverage and authorization requirements, separate from Palmetto's rules.
How we post paymentsAlabama Medicaid includes the Alabama Coordinated Health Network and Integrated Care Network programs. The state provider resources describe the programs and billing requirements.
We verify each member's program, eligibility and applicable billing instructions rather than assume a single route for every Alabama Medicaid claim.
Medicaid and Medicare Advantage have different coverage and billing instructions; we verify the member's program and plan requirements.
Program requirements
Member eligibility and billing instructions verified
Plan requirements
Coverage checked for this member and service
Changing billers doesn't have to stall your cash. New claims start going out right away, and we work older A/R in parallel. The full transition follows a 60-day plan.
Your biller stays with your account and learns your payers and doctors. You talk to someone who knows cardiology. Mon to Fri, 9 to 5 Central, the same clock as your office.
Your first 60 days with usWe bill the state directly under Alabama Medicaid's rules, after checking eligibility for the date of service.
Yes. We bill it like any commercial plan and post each payment against your contract.
Nothing up front. You pay 3% of collections, with no setup fee, contract or per-claim charges.
Checked on September 30, 2026. This administrative source check is not a clinical or credentialed coding review, legal opinion, payer-contract audit, or guarantee of coverage or payment.
We review them by study and by payer, free, with no strings.
3% of collectionsNo setup feeNo contract