Mississippi medical billing company

Medical Billing Services in Mississippi

Billing, coding, credentialing and denial management for Mississippi practices, with Medicare claims through Novitas Solutions (Jurisdiction JH) and Mississippi Medicaid handled by people who know the rules.

Free Mississippi billing audit (737) 600-8899

Serving all of MississippiHIPAA-compliant processesNo long-term contracts

Medical billing services for practices in Mississippi

JHMedicare jurisdiction (Novitas Solutions)

95%+Clean-claim target

Overview

Medical billing for Mississippi practices

Mississippi is a largely rural state with a high Medicaid share, and many practices rely on a small group of payers. Blue Cross & Blue Shield of Mississippi carries most commercial lives, Novitas Solutions processes Medicare Part B under Jurisdiction H, and the Division of Medicaid runs MississippiCAN managed care through three coordinated care organizations.

Mississippi has not expanded Medicaid, so practices carry more uninsured and self-pay balances than practices in neighboring Louisiana or Arkansas. That makes clean first-pass claims and steady follow-up even more important. SFA Solutions works with Mississippi practices remotely, from Jackson and the Gulf Coast to the Delta, and submits most clean claims within 24 hours.

Mississippi at a glance

Medicare contractor	Novitas Solutions, Jurisdiction JH
Medicaid timely filing	365 days from the date of service for fee-for-service claims (Miss. Admin. Code Title 23, Part 200, Rule 1.6); Medicare crossover claims follow separate 180 day rules tied to the Medicare paid date
NP practice authority	Reduced
Cities we serve	Jackson, Gulfport, Southaven, Biloxi, Hattiesburg, Olive Branch, Tupelo, Meridian, Oxford

Payers and rules

What Mississippi billing involves

These are the programs and rules our team works with for Mississippi claims.

Medicare

Novitas Solutions · JH

Mississippi Part B claims are processed by Novitas Solutions in Jurisdiction JH. Medicare's filing limit is 12 months from the date of service, and appeals start with a redetermination within 120 days of the initial decision.

Mississippi Medicaid

Mississippi Medicaid (Division of Medicaid); MississippiCAN managed care; Mississippi CHIP

Portal: MESA (Mississippi Medicaid provider portal) for enrollment, claims, EDI and remittance advice; Gainwell Technologies is the fiscal agent

Medicaid managed care

MississippiCAN and CHIP are administered by three coordinated care organizations: Magnolia Health, Molina Healthcare and TrueCare. Each CCO offers both a MississippiCAN plan and a CHIP plan.

Timely filing

365 days from the date of service for fee-for-service claims (Miss. Admin. Code Title 23, Part 200, Rule 1.6); Medicare crossover claims follow separate 180 day rules tied to the Medicare paid date.

Commercial and Medicare Advantage

Blue Cross & Blue Shield of Mississippi is by far the largest commercial carrier, with UnitedHealthcare, Cigna and Aetna serving many employers. Humana, UnitedHealthcare and Aetna hold large Medicare Advantage enrollment.

Prompt pay law

Mississippi's prompt pay requirements for health insurers are in Miss. Code Ann. 83-9-5, amended by House Bill 683 in 2002 to require prompt payment of clean claims, with penalties for late payment. Confirm current day counts in the statute before relying on a deadline.

Nurse practitioners

Reduced practice

Mississippi NPs must have at least one collaborative physician for each practice site under a board-approved collaborative agreement. NPs can enroll under their own NPI, but payers often ask for collaborating physician details, so keep those documents current before credentialing.

Credentialing

Providers enroll with Mississippi Medicaid through the MESA portal, and an active Medicaid ID is needed before Magnolia, Molina or TrueCare will finish network credentialing. Each CCO then runs its own contracting and loading process. Blue Cross & Blue Shield of Mississippi and most national carriers use CAQH ProView, so keep your attestation current every 120 days.

Common problems

Billing challenges Mississippi practices face

Three CCOs plus fee-for-service

Patients can move between Magnolia Health, Molina Healthcare, TrueCare and fee-for-service Medicaid, and each has its own authorization rules and payer ID. Billing the wrong one creates denials that eat into filing time. We verify eligibility and plan assignment before each visit.

High uninsured and self-pay balances

Without Medicaid expansion, more working-age patients in Mississippi are uninsured. Clear patient statements and consistent follow-up matter as much as insurance billing. We handle patient statements and give you reporting on self-pay aging.

Collaborative agreements for NPs

Mississippi NPs bill under their own NPI, but credentialing files usually need collaborating physician details. A lapsed or missing agreement can hold up enrollment for weeks. We track agreement documents alongside each provider's enrollment.

Services

Our services in Mississippi

Questions

Mississippi medical billing questions

What is the timely filing limit for Mississippi Medicaid?

Fee-for-service Mississippi Medicaid claims must be submitted within 365 days of the date of service. Medicare crossover claims follow separate 180 day rules tied to the Medicare paid date. MississippiCAN CCOs set their own limits, so check each plan's provider manual.

Which managed care plans serve Mississippi Medicaid?

MississippiCAN and CHIP are run by three coordinated care organizations: Magnolia Health, Molina Healthcare and TrueCare. Each offers both a MississippiCAN plan and a CHIP plan. Practices usually need separate contracts with each CCO they want to serve.

Who is the Medicare contractor for Mississippi?

Novitas Solutions is the A/B Medicare Administrative Contractor for Mississippi under Jurisdiction H (JH). Novitas processes Part B claims and redeterminations, and enrollment changes go through PECOS.

Can SFA Solutions bill for my Mississippi practice remotely?

Yes. We work inside your existing EHR or practice management system remotely and handle charge entry, claim submission, denials and A/R follow-up for Mississippi practices. We can typically begin within 24 hours of receiving system access.

Free audit

Get a free billing audit for your Mississippi practice

We will review your recent claims and denials against Mississippi payer rules and show you what can be recovered.

Nearby states

Louisiana Arkansas Tennessee Alabama All states

Primary sources

Payer rules change. Last reviewed against the primary sources above on October 7, 2026. Confirm current rules with the payer before relying on them.

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