Alabama Medicaid, Palmetto GBA, and the employer's workers' compensation carrier are three different payers. Fee-for-service Alabama Medicaid is billed to the Alabama Medicaid Agency. A managed-care member is billed to that member's plan, not to the fee-for-service payer ID. Enrollment with Alabama Medicaid does not enroll the provider with a commercial plan.
Alabama Medicaid, Palmetto GBA, and the employer's workers' compensation carrier are three different payers.
Fee-for-service Alabama Medicaid is billed to the Alabama Medicaid Agency. A managed-care member is billed to that member's plan, not to the fee-for-service payer ID. Enrollment with Alabama Medicaid does not enroll the provider with a commercial plan.
Medicare Part A and Part B for an Alabama practice go to Palmetto GBA, Jurisdiction J, the same contractor that handles Georgia and Tennessee. A Mississippi Medicare claim does not. Mississippi is Novitas, Jurisdiction H.
Alabama is not a no-fault auto state. A work injury is billed to the employer's workers' compensation carrier under Alabama Department of Labor rules. A motor-vehicle injury is billed to health insurance or the liability carrier, not to a personal-injury-protection payer.
The useful split on an Alabama day is which door the claim uses. Medicaid fee-for-service, a Medicaid plan, Medicare through Palmetto, and a workers' compensation carrier do not share a portal. Credentialing is a separate step from charge entry. A provider who is payable on Medicare is not automatically payable on Alabama Medicaid.
To Palmetto GBA, Jurisdiction J. Georgia and Tennessee use that same contractor. Mississippi uses Novitas, Jurisdiction H.
No. Alabama does not have a personal-injury-protection payer. Work injuries go to the employer's workers' compensation carrier.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
