Louisiana flag

Radiology Billing Services in Louisiana

Louisiana Medicaid just lost an MCO entirely: UnitedHealthcare’s Healthy Louisiana contract ends December 31, 2025, with roughly 400,000 members reassigned to Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Humana, or Louisiana Healthcare Connections. RBS rebuilt its Louisiana process around that MCO exit, Jurisdiction H’s seven-state Medicare rules, and the fact that Louisiana isn’t part of the interstate licensing compact at all.

Louisiana Just Lost a Medicaid Plan. Has Your Biller Noticed?

Louisiana didn’t tweak a policy, it watched UnitedHealthcare walk away from Healthy Louisiana Medicaid entirely. As of January 1, 2026, roughly 400,000 reassigned members now sit with one of five remaining MCOs. Add Jurisdiction H’s seven-state Medicare footprint and the fact that Louisiana skipped the interstate licensing compact, and a claim built on last year’s assumptions starts breaking fast.

Confirm every Healthy Louisiana claim is billed to a current MCO, never United

Track Jurisdiction H's Louisiana-specific Medicare guidance apart from six sister states

Apply Louisiana's 30-day claim deadline and its doubled-benefit late penalty correctly

Verify a radiologist's standalone Louisiana license before billing an out-of-state read

Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8- 8 %
Avg. Denial Reduction
0 %

Four Reasons Louisiana Claims Get Denied Now

A Medicaid exit this large hides a lot of ways a clean claim goes sideways. Here’s exactly where it costs you.

Seven States, One Medicare Contract

Novitas Solutions runs Jurisdiction H, a Medicare contract spanning seven states: Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas, one of the widest MAC footprints nationwide. Rules built for a seven-state mix don’t always fit Louisiana’s own claim patterns. RBS reads Jurisdiction H’s Louisiana-specific guidance directly, instead of assuming a region-wide default applies.

UnitedHealthcare Exits Medicaid in 2026

UnitedHealthcare’s contract with Healthy Louisiana ends December 31, 2025, with roughly 400,000 members automatically reassigned to one of five remaining MCOs: Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Humana, or Louisiana Healthcare Connections. A claim still billed to UnitedHealthcare after the cutover has nowhere to land. RBS verifies which current MCO actually covers a patient first.

No Compact, No Shortcut License

Louisiana has not joined the Interstate Medical Licensure Compact, unlike most neighboring states. Out-of-state radiologists reading Louisiana studies can’t use an expedited compact license; they need a standalone license from the Louisiana State Board of Medical Examiners. Treating Louisiana like a compact state is a credentialing mistake that delays payment. RBS confirms actual licensure status first.

One Carrier, A Doubled Penalty

Blue Cross and Blue Shield of Louisiana has long controlled roughly two-thirds of the state’s commercial market, by far the largest single carrier. Louisiana Revised Statute 22:1821 requires insurers to pay a claim within 30 days or face double the benefits owed plus attorney fees, steeper than most states impose. Humana, absorbing former UnitedHealthcare members, runs its own rules. RBS tracks both.

Complete Radiology Revenue Cycle Management

Certified CIRCC and CPC coders handle every CPT code, modifier, and global billing rule specific to diagnostic and interventional radiology — maximizing reimbursement on every encounter across all modalities and payer types.

What Changes When RBS Takes This Off Your Plate

Radiology billing isn’t generalist RCM. The TC/PC splits, the review clocks, the LCD churn are specialty-specific. Here’s the shift practices see once RBS steps in for a Louisiana group navigating a freshly-exited Medicaid MCO, a state outside the interstate licensing compact, and a state where 7.7% of residents still carry no insurance at all (America’s Health Rankings, 2024).

Before RBS

Staffing costs run $60K to $90K a year, hard to justify for a small group

Denial rates sit at 20 to 35%, often tied to a Medicaid MCO transition

One staff member's day off and claims processing grinds to a halt

A radiologist without a standalone Louisiana license delays every claim

A missed UnitedHealthcare-to-MCO handoff sends the claim back unpaid

After RBS

Performance-based pricing, RBS earns only when your practice collects

98%+ first-pass clean claim rate, checked against active Louisiana payers

365 days a year, 24/7 revenue cycle coverage, with zero staffing gaps

AI-OCR reads every superbill, EOB, and ERA the moment it arrives

Every claim billed against Louisiana's current MCO roster, not last year's

Precision RCM & Coding Built for Radiology

Generic billing is the fastest way to a denied radiology claim. RBS delivers specialty-specific revenue integrity built for imaging’s TC/PC splits and modifier rules, so you capture every dollar you’re owed.

Diagnostic Radiology

CT Scan

MRI & MRA

Nuclear Medicine

PET / PET-CT

Ultrasound

Interventional Radiology

Teleradiology

Mammography

DEXA / Bone Density

Hospital Radiology

Radiation Oncology

Coverage Confirmed for Every Payer You Work With

From national carriers to regional Medicaid plans, coverage is checked against the exact payer, plan, and product type on file — never a generic match. Every result reflects current payer policy, not outdated data from months ago.
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana

From New Orleans to Shreveport, Billed on Current Facts

A denial along the Gulf Coast and a denial in North Louisiana rarely share a cause: different referral patterns, different distance to specialists, different local payer mix. RBS bills each Louisiana area the way its own provider network actually works, not a single statewide guess.

Greater New Orleans

Cities
  • New Orleans
  • Metairie
  • Kenner
Counties
  • Orleans Parish
  • Jefferson Parish

Baton Rouge Area

Cities
  • Baton Rouge
  • Denham Springs
  • Zachary
Counties
  • East Baton Rouge Parish
  • Livingston Parish

Acadiana

Cities
  • Lafayette
  • Lake Charles
  • New Iberia
Counties
  • Lafayette Parish
  • Calcasieu Parish

Northwest Louisiana

Cities
  • Shreveport
  • Bossier City
  • Minden
Counties
  • Caddo Parish
  • Bossier Parish

Northeast Louisiana

Cities
  • Monroe
  • Ruston
  • West Monroe
Counties
  • Ouachita Parish
  • Lincoln Parish

Florida Parishes

Cities
  • Hammond
  • Covington
  • Slidell
Counties
  • Tangipahoa Parish
  • St. Tammany Parish

Wired Into Every System You Already Run

Your EHR, RIS, and PACS stay exactly as they are. We plug our coding workflow directly into what you already use — no migration, no new login for your radiologists, no disruption to how your team already works.

Louisiana Runs on Rules Built for Louisiana. So Does Every Other State We Bill.

A claims team working off last year’s Medicaid roster misses that UnitedHealthcare is already gone from Healthy Louisiana and 400,000 members have moved. Our specialists train on Louisiana’s actual, current payer structure, not a generic script, so a stale-MCO mismatch is never the reason a claim gets denied.
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Frequently Asked Questions

Which Medicare contractor processes radiology claims in Louisiana?

Novitas Solutions, under Jurisdiction H, which also covers Arkansas, Colorado, Mississippi, New Mexico, Oklahoma, and Texas, not Louisiana alone.
Its Healthy Louisiana contract ended December 31, 2025, with roughly 400,000 members automatically reassigned to Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Humana, or Louisiana Healthcare Connections.
No. Out-of-state radiologists need a standalone license from the Louisiana State Board of Medical Examiners rather than an expedited compact license.
Louisiana Revised Statute 22:1821 requires insurers to pay a claim within 30 days or face double the benefits owed plus attorney fees.
Every claim is checked against the Medicaid MCO actually on file for that patient today, never the UnitedHealthcare plan that exited.

Whichever Louisiana Office Files It, RBS Gets It Paid

Somewhere in your outstanding claims right now, there’s a clean scan sitting unpaid because it was billed to a Medicaid MCO that no longer exists, or a radiologist’s license wasn’t verified the way Louisiana actually requires it. Across the practices we review, that adds up to 5 to 10% of collectible revenue, aging quietly by the day. RBS finds it, recovers it, and builds a process that stops it from recurring. Start with a free audit, no commitment, just a clear answer on what’s actually recoverable before you decide anything.

No setup fee. No monthly minimum.

Cancel anytime.

Response within 24 hours.

Pay only a percentage of what we collect for you.

Free claims and A/R audit before you commit to anything.

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What Our Clients Say?

Rebecca Lawson

★★★★★

Radiology Practice Manager

Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.

Dr. Christopher Bennett

★★★★★

Medical Director, Diagnostic Imaging Center

Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.

Dr. Andrew Whitaker

★★★★★

Radiologist & Imaging Center Owner

Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.

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