Medical billing services · Philadelphia, PA
Medical billing services in Philadelphia, PA
Medxcode bills, codes and appeals for Philadelphia practices — solo clinics, group practices and specialty offices — working Pennsylvania Medical Assistance rules and the local commercial plans daily at 99% first-pass claim acceptance.
- 99%
- First-pass acceptance
- 42
- Average days in A/R
- 3.99%
- Starting service fee
Billing in Philadelphia is a local payer problem
Philadelphia practices submit to a payer mix led by Independence Blue Cross, Highmark and UPMC Health Plan, plus Pennsylvania Medical Assistance for managed Medicaid lives and Medicare Part B through the Pennsylvania MAC. Each of those carries its own prior-authorisation thresholds, timely filing windows, appeal formats and telehealth policy.
We track those rules per payer and per provider, so filing deadlines and enrollment dates are known in advance instead of discovered in an aging report. Claims are scrubbed against the edits that actually deny in PA, not a national template.
Payers we bill for Philadelphia practices
- Independence Blue Cross
- Highmark
- UPMC Health Plan
- Pennsylvania Medical Assistance
- Medicare Part B (PA MAC)
Services available to Philadelphia practices
Specialties we bill in Philadelphia
- Behavioral Health billing
- Family Practice billing
- Internal Medicine billing
- Pediatrics billing
- Geriatrics billing
- Urgent Care billing
- Emergency Medicine billing
- Hospitalist Medicine billing
- Cardiology billing
- Nephrology billing
- Gastroenterology billing
- Pulmonology billing
- Endocrinology billing
- Rheumatology billing
- Oncology billing
- Hematology billing
- Infectious Disease billing
- Neurology billing
Philadelphia billing questions
- Do you work with practices based in Philadelphia?
- Yes. We bill for practices across Philadelphia and the wider Pennsylvania market. Our team works remotely inside your practice-management system, so turnaround is the same whether you are downtown or in an outlying community.
- Which payers do you bill in Philadelphia?
- The dominant commercial plans in Pennsylvania, Medicare Part B through the state MAC, and Pennsylvania Medical Assistance managed-care plans, each with their own filing windows and appeal formats.
- How much do medical billing services cost in Philadelphia?
- Plans start at 3.99% of your monthly collections with no setup fee. You can model your own numbers on our cost calculator before speaking to anyone.
- How is our patient data protected?
- We operate HIPAA-aligned workflows and sign a Business Associate Agreement before any protected health information is exchanged. Access is limited to the staff assigned to your account.
Calculator
Estimate recoverable revenue for your Philadelphia practice
Medical billing revenue calculator
Estimate the collections you would recover by moving to a 99% first-pass, 24-hour submission billing workflow.
Total claims submitted each month across all providers.
Average allowed amount per claim.
Share of claims denied or rejected on first submission.
Projected additional annual collections
$182,892
Estimated annual revenue recovered by moving to a 99% clean-claim workflow
- Monthly billed charges
- $432,000
- Revenue lost to denials today
- $21,168 / month
- Projected monthly recovery
- $15,241
Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.
Services
Specialties