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Radiology Billing Services in Washington

Built for Noridian’s ten-state Jurisdiction F rules and Washington’s five-plan Apple Health Medicaid program, we keep Washington radiology groups paid accurately and on time.

Radiology Billing Built For Washington's Realities

From Seattle to Spokane, Washington radiology groups bill against a ten-state Medicare jurisdiction, a five-plan Medicaid program, and a dominant commercial payer renegotiating hospital rates statewide.

Jurisdiction F Medicare rules shared with nine other states

Apple Health Medicaid spread across five managed care plans

Compact-based licensure for out-of-state physicians

30 business days to pay or deny a clean claim

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 %

What Makes Washington Radiology Billing Different

Four regulatory layers shape every claim we file for Washington radiology practices.

Jurisdiction F Medicare Rules

Noridian Healthcare Solutions processes Medicare Part A and B claims for Jurisdiction F, covering Washington alongside Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, and Wyoming. A coverage update out of any of those nine other states applies just as directly to a radiology group in Spokane. We track Noridian’s bulletins so Washington claims match the standard actually enforced across all ten states.

A Five-Plan Medicaid Program

Washington’s Apple Health Medicaid program runs through five managed care organizations: Coordinated Care, Community Health Plan of Washington, Molina Healthcare, UnitedHealthcare Community Plan, and Washington Wellpoint. Each plan sets its own prior authorization rules, and federal eligibility and renewal changes are phasing in through 2027. A billing team working from last year’s rules is tracking a program that keeps shifting underneath it.

Compact-Based Licensure

Washington joined the Interstate Medical Licensure Compact in 2016 under SHB 2452, giving physicians licensed in other member states an expedited path to a Washington license. That shortens the runway for a radiology group bringing in out-of-state coverage, but only if credentialing and payer enrollment are built around the compact timeline rather than the standard one.

30-Day Prompt Pay Standard

Under WAC 284-83-325, insurers must pay or deny a clean claim within 30 business days of receipt. If the claim remains unpaid 45 business days after that original receipt, the insurer owes interest at 1 percent per month on the outstanding balance. We build Washington claims clean on the first pass so they clear inside that window.

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.

Where Washington Radiology Billing Breaks Down

A ten-state Medicare jurisdiction, a five-plan Medicaid program in federal transition, and a 30-day prompt pay clock all add friction most billing teams aren’t built to absorb.

Before RBS

Apple Health claims filed the same way across five different plans

Jurisdiction F denials reworked from scratch every time

Compact licensure timelines left unplanned and unused

Clean claims slipping past the 30-business-day clock

Monthly interest penalties absorbed instead of collected

After RBS

Apple Health claims matched to each plan's specific rules

Jurisdiction F appeals built on tracked Noridian bulletins

Compact licensure timelines planned into every new hire

Every clean claim timestamped against the 30-day clock

Monthly interest tracked and collected, not written off

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

Serving Radiology Practices Across Washington

From Seattle and Tacoma to Spokane, Vancouver, and Everett, we bill for radiology groups and their hospital partners across the state.

Seattle & King County

Cities
  • Seattle
  • Bellevue
  • Renton
Counties
  • King County

Tacoma & the South Sound

Cities
  • Tacoma
  • Puyallup
  • Lakewood
Counties
  • Pierce County

Spokane & Eastern Washington

Cities
  • Spokane
  • Spokane Valley
  • Cheney
Counties
  • Spokane County

Vancouver & Southwest Washington

Cities
  • Vancouver
  • Camas
  • Battle Ground
Counties
  • Clark County

Everett & Snohomish County

Cities
  • Everett
  • Lynnwood
  • Marysville
Counties
  • Snohomish County

Yakima & Central Washington

Cities
  • Yakima
  • Wenatchee
  • Union Gap
Counties
  • Yakima County
  • Chelan County

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.

Built for Washington's Largest Commercial Payer

Premera Blue Cross holds the largest share of Washington’s commercial health insurance market of any single carrier. Premera and MultiCare, one of the state’s largest hospital systems, spent months renegotiating reimbursement rates in 2026 before reaching a preliminary deal in late July to keep roughly 100,000 households in network. A practice that can’t bill cleanly against Premera is exposed to however the next round of that fight ends.
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Frequently Asked Questions

What Medicare Administrative Contractor handles Washington radiology claims?

Noridian Healthcare Solutions processes Medicare Part A and B claims for Jurisdiction F, which also covers Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, and Wyoming. We track Noridian’s specific billing bulletins rather than generic national Medicare guidance.
Washington’s Apple Health Medicaid program is administered through five managed care organizations, each with its own prior authorization rules and claim formats. Federal eligibility, renewal, and retroactive coverage changes are also phasing in through 2027. We track each plan’s current rules rather than treating Apple Health as one uniform payer.
Yes. Washington joined the Interstate Medical Licensure Compact in 2016, giving physicians licensed in other member states an expedited path to practice in Washington. We plan credentialing and payer enrollment around that faster compact timeline rather than the standard licensure process.
Under WAC 284-83-325, an insurer must pay or deny a clean claim within 30 business days of receipt, and owes interest at 1 percent per month if the claim is still unpaid 45 business days after that. We track every claim’s clock so that interest gets collected instead of waived.
Yes. Premera Blue Cross holds the largest share of Washington’s commercial health insurance market and recently renegotiated hospital reimbursement rates with MultiCare, one of the state’s largest systems. We build claims to Premera’s specific requirements rather than treating it as a generic commercial payer.

Get Washington Radiology Billing That Keeps Up

From Jurisdiction F appeals to Apple Health’s five-plan structure, let’s talk about what’s actually slowing down your reimbursements.

Jurisdiction F and Noridian-specific claim review

Apple Health claims matched to each plan's current rules

Compact licensure timelines built into onboarding

Clean-claim tracking against the 30-business-day clock

Commercial billing built for Premera's specific requirements

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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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