Medical billing for Iowa practices

Medical Billing Services in Iowa

Iowa Health Link plans are not Illinois HealthChoice plans. Iowa Medicaid is managed through Iowa Health Link. The member's managed-care organization is the payer. Fee-for-service Iowa Medicaid is a different submission. A member who also has Illinois coverage is billed on the program that shows as primary.

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What a claim follows in Iowa

Iowa Health Link plans are not Illinois HealthChoice plans.

Iowa Health Link

Iowa Medicaid is managed through Iowa Health Link. The member's managed-care organization is the payer. Fee-for-service Iowa Medicaid is a different submission. A member who also has Illinois coverage is billed on the program that shows as primary.

WPS, Jurisdiction 5

Medicare Part A and Part B for an Iowa practice go to WPS Government Health Administrators, Jurisdiction 5, with Kansas, Missouri, and Nebraska. Illinois, Wisconsin, and Minnesota use National Government Services, Jurisdiction 6.

Workers' compensation

Iowa is not a no-fault state. A work injury is billed to the employer's carrier under the Iowa Division of Workers' Compensation. It is not an Iowa Health Link claim.

The Mississippi River is a Medicare line as well as a Medicaid line. An Iowa practice and an Illinois practice do not send Part B to the same contractor. The Jamaica office can bill either one. The enrollment has to match the practice.

Nearby states

Iowa billing questions

What is Iowa Health Link?

Iowa's Medicaid managed-care program. The member's plan is the payer. It is not HealthChoice Illinois.

Where does an Iowa Medicare claim go?

WPS Government Health Administrators, Jurisdiction 5. Illinois uses National Government Services, Jurisdiction 6.

Does an Iowa practice change the fee?

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.