Washington practices, Noridian rules first

Cardiology billing services in Washington

Sources checked: 2026-09-30. Sources and review scope.

Cardiology billing services in Washington start with your Medicare contractor, Noridian, for jurisdiction JF. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We bill cardiology only, remotely from Texas, at 3% of collections with no contract.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in Washington: the Seattle skyline with the Space Needle and Mount Rainier — Washington Medicare claims go to Noridian

01Medicare

How Noridian pays cardiology in Washington

CMS lists Noridian for Medicare jurisdiction JF, which includes Washington, Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, and Wyoming.

Medicare local coverage determinations are made by the contractor for its jurisdiction. Requirements may differ across jurisdictions, so we check the current applicable policy rather than assume a decision transfers.

We check each Washington claim against applicable Noridian guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.

Checked against Noridian

Claim 34714Stress echo · POS 11

Diagnosis supported by Noridian policyChecked
Symptoms and prior results in the noteChecked
Global, 26 or TC matches the siteChecked
Report signed before billingChecked
Claim statusPaid

Noridian policy, checked before sending

02Payers

The Washington payers we bill

Commercial payer examples include Premera Blue Cross, Regence BlueShield, Kaiser Permanente, UnitedHealthcare, and Aetna. Apple Health includes managed-care and fee-for-service pathways; confirm the member's current program and plan rather than assume one route for every claim.

Washington's Balance Billing Protection Act describes protections for qualifying emergency services and non-emergency services by out-of-network providers at in-network hospitals or ambulatory surgical centers. The protection depends on the service and coverage. We check whether it applies before determining patient billing or pursuing a payment dispute.

No balance bill sent

Claim 34742Hospital-based echo · 93306 · POS 22

CheckedSetting and plan type
BilledPatient owes only in-network share
PaidPlan payment pursued to the end

State rules checked by setting

03Your city

Cardiology practices we serve in Seattle, Spokane, Tacoma, Everett

We're built for independent practices of 1 to 10 cardiologists with imaging in the office. That means echo and vascular labs, a nuclear camera, monitors and device checks.

Medicare physician fee schedule locality is tied to the applicable ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location rather than infer a rate from a county, city, or statewide average.

Paid at your locality

Claims 34751, 34752Echo 93306 · POS 11

Seattle localityClaim 34751

93306

Posted against the King County rate

Payment checkMatched

Rest of WashingtonClaim 34752

93306

Posted against the rest of state rate

Payment checkMatched

Same code, local rate checked

04Switching

Switching from a local biller

Leaving a local biller, or a biller who left? The switch runs on a 60-day plan. Your claims keep moving from day one, and we work the old A/R in parallel.

Your dedicated biller learns your payers, your EHR and your doctors, and stays with your practice. You talk to someone who knows cardiology. Mon to Fri, 9 to 5 Central.

Your first 60 days with us

Claims keep moving

Your switchFirst 60 days

Day 1New claims sent dailyStarted
Weeks 1 to 8Old A/R worked in parallelOngoing
Day 60Your biller fully on the accountDone
Your claimsMoving

Old A/R worked alongside new claims

05Questions

FAQ

Do you bill Apple Health plans?

Yes. We bill Apple Health managed care plans and the state's fee-for-service program.

Do we need to change our EHR?

No. We work in the system you already have.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Review context: Checked official CMS, Washington HCA, and Washington OIC sources on September 30, 2026. This is an administrative source check, not a clinical review, a claim-level coverage determination, legal advice, or a payment guarantee. CMS's current fee-schedule page links a ZIP-to-carrier/locality file updated August 13, 2026; its separate Locality Key table is labeled 2024. No blanket statewide locality or payment assertion is made here. Washington balance-billing protection is limited to covered circumstances; confirm the member's coverage, service setting, plan, and authorization for each claim.

CMS, A/B MAC Jurisdiction F (JF): contractor and state/jurisdiction listing for Part A and Part B. CMS reports the new JF contract is in implementation, with Noridian listed as outgoing and incoming contractor.
CMS, Local Coverage Determinations: defines an LCD as a Medicare contractor coverage determination within its jurisdiction.
CMS, Fee Schedules: explains the ZIP-to-carrier/locality crosswalk and links to the current file. CMS Locality Key is explicitly a 2024 table.
Washington HCA, Managed Care: provides provider guidance for Apple Health managed-care clients.
Washington HCA, Apple Health Managed Care: describes member managed-care options.
Washington OIC, Balance Billing Protection Act—Insurer Responsibilities: describes insurer/provider claim and dispute responsibilities under the Act.
Washington OIC, Balance Billing Protection Act Arbitration: describes covered emergency and out-of-network services at in-network hospitals/ASCs and claim/payment disputes.

06Get in touch

Send us your last 90 days of claims

We review them by study and by payer, free, with no strings.

Talk to our team Explore pricing

3% of collectionsNo setup feeNo contract

Free, no strings

Your 90-day Washington reviewLast 90 days

Every claim, by studyIncluded
Balance-billing rules checked by settingIncluded
Checked against Noridian policyIncluded