RadiologyBillingSolutions is our top pick for radiology billing services in Florida in 2026. It works only in radiology, and its process is built around the two things that trip up most Florida imaging claims: the state’s newly redrawn Medicaid managed care program and the outside company that reviews imaging requests for both Sunshine Health and Florida Blue. Zotec Partners, MBMS and Healthcare Administrative Partners are the other radiology-heavy names here, each with decades in the field. The rest are broader billing companies that handle radiology as one specialty among several.
Florida Medicare claims go through Jurisdiction N. The contractor is First Coast Service Options, which also covers Puerto Rico and the U.S. Virgin Islands and publishes its own Local Coverage Determinations, the rules that spell out when Medicare will pay for a given scan.
Medicaid is where Florida has changed the most. On February 1, 2025, the state launched a new version of its Statewide Medicaid Managed Care program and redrew its map from 11 numbered regions to nine lettered ones. Practices that billed Medicaid under the old setup had to relearn which plans they work with and where. We looked at 11 radiology billing companies working in or around Florida and judged them on how well they’re set up for that reality.
Florida asks a lot of a billing team. Most Medicaid patients are in managed care plans, the regions were redrawn in 2025, and the company that approves advanced imaging for Sunshine Health and Florida Blue isn’t either insurer. Radiology Billing Solutions is built for that kind of environment. It handles radiology and nothing else, so every coder on the team spends the day on imaging claims. Before a CT or MRI claim goes out, the team checks which plan the patient is in, whether that plan sends imaging requests to Evolent, and whether the code still needs approval at all. That last step matters in Florida right now, because Sunshine Health dropped the approval requirement for a long list of imaging codes on April 1, 2026, and a team working from last year’s list will chase approvals it no longer needs.
Take: Most of the denials Florida imaging practices fight are avoidable: a missing approval, a request sent to the wrong reviewer, or an appeal mailed to the insurer when Evolent made the call. RadiologyBillingSolutions catches those problems before a claim is filed instead of after the denial letter shows up, and for a practice that bills a mix of Medicaid, Florida Blue and Medicare, that difference adds up quickly. It’s the same team behind our radiology billing services in Florida.
Zotec Partners was founded in 1998 by T. Scott Law and is based in Carmel, Indiana. It focuses on hospital-based specialties, with radiology alongside anesthesiology and emergency medicine, and it has had an office in Florida, so it isn’t learning the state from scratch.
Take: Zotec is built for scale. That suits hospital-affiliated radiology groups, but an independent imaging center may find the model bigger than it needs.
MBMS has billed for radiology practices since 1986 from its home base in Newark, Delaware. Radiology is the whole business, and clients work with a dedicated account team of billing specialists and data analysts.
Take: MBMS has deep radiology roots. It doesn’t publish anything specific about Florida payers, so ask about its experience with Sunshine Health and Florida Blue.
Healthcare Administrative Partners has worked with radiology groups since 1995 out of Media, Pennsylvania, near Philadelphia. Beyond billing and coding, it offers practice analytics and help with MIPS, Medicare’s quality-reporting program.
Take: HAP’s recent client announcements are in states like Pennsylvania, Virginia, New Hampshire and Indiana. A Florida group should ask how many Florida practices it supports today.
AnnexMed has been in revenue cycle work since 2004. It’s headquartered in Salt Lake City, keeps offices in New York and Florida, and runs a radiology billing service for imaging centers.
Take: AnnexMed covers a wide range of specialties and has a Florida office. Ask how much of its Florida team works on imaging claims specifically.
Advanced Data Systems got its start in 1977 building patient databases for radiology practices, and it’s still based in Paramus, New Jersey. Today it pairs its own billing software with an outsourced billing service and also sells radiology information systems.
Take: ADS makes the most sense for a practice that wants its billing software and its billing service from the same company.
Coronis Health was formed in 2015 and is based in Sykesville, Maryland. It runs a dedicated radiology team that handles both diagnostic and interventional coding, along with audits and follow-up on unpaid or underpaid claims.
Take: Coronis brings scale and a real radiology team. As with most national firms here, its Florida-specific experience is the thing to pin down.
Practolytics has offered billing and practice consulting since 2000 from Columbia, South Carolina. It lists Florida among the states where its team knows the local commercial payers, and its radiology page covers interventional radiology and teleradiology.
Take: Practolytics bundles its service with AdvancedMD software, so a practice on a different system should ask how that would work.
Founded in 1999 and based in Wilmington, Delaware, Medical Billers and Coders describes itself as a nationwide network of billers and coders rather than one in-house team. It lists radiology among dozens of specialties and runs city pages for Florida markets like Tampa and Miami.
Take: Radiology is one specialty among many at MBC, and its Florida city pages are marketing pages, not proof of experience with Florida payers.
iMagnum Healthcare started in 2017 and runs its U.S. operations out of Katy, Texas, with additional offices in Atlanta and Baltimore. Radiology appears on its specialty page alongside the other specialties it bills for.
Take: iMagnum is a younger firm with a hospital-heavy client mix, and radiology sits on its specialty list rather than at the center of the business.
CureMD has been around since 1997 and is based in New York City. It’s mainly a software company, selling electronic health records and practice management tools, and it offers billing services on top of that platform.
Take: CureMD is strongest for practices willing to move onto its software. If you plan to keep your current system, ask how billing works without it.
Many insurers don't decide imaging requests themselves. They hire outside companies, called radiology benefit managers, to review requests for scans like CT, MRI and PET. In Florida, one of these companies sits behind two of the names a practice deals with most.
Sunshine Health contracts with Evolent to review high-tech outpatient imaging, including CT, MRI, PET and several cardiac imaging tests. Sunshine still runs the provider network and pays the claims, but the approval decision comes from Evolent. Florida Blue sends its imaging requests to the same company, although its member materials still use the older name, National Imaging Associates, or NIA. NIA became part of Evolent in January 2023, so a letter from NIA and a letter from Evolent are coming from the same place.
That matters when you appeal. The denial letter tells you who actually reviewed the request, and an appeal sent to the health plan's general mailbox when Evolent made the decision can sit there until the deadline passes. RadiologyBillingSolutions checks the reviewer on every Florida denial before it writes the appeal.
First Coast Service Options runs Jurisdiction N, which covers Florida, Puerto Rico and the U.S. Virgin Islands. Its Local Coverage Determinations set out what documentation Medicare expects before it pays for a scan. A billing team used to another contractor’s rules shouldn’t assume the same notes will hold up here.
Most Florida Medicaid recipients get their care through the Statewide Medicaid Managed Care program, which has three parts: Managed Medical Assistance, Long-Term Care and Dental. When the state launched the new version on February 1, 2025, it also replaced the old 11-region map with nine regions, labeled A through I, under a law passed in the 2022 legislative session. Any billing notes or plan lists from before 2025 should be checked against the current regions before they’re trusted.
On April 1, 2026, Sunshine Health removed prior authorization for a set of radiology and cardiac imaging codes it had managed through Evolent. The list includes several CT codes for the face, chest, arms and legs, MRI codes for the arm and the heart, and breast MRI codes 77046 through 77049. A team that keeps requesting approval for those codes is wasting staff time, and one that never noticed the change may be holding claims for no reason.
A federal rule that took effect January 1, 2026 requires Medicare Advantage plans, Medicaid managed care plans and plans sold on the ACA marketplace to decide standard prior authorization requests within seven calendar days and urgent ones within 72 hours, and to give a specific reason when they deny one. For Florida practices billing Sunshine Health or any other managed care plan, those deadlines are useful leverage when an imaging request stalls.
Bottom Line: Florida’s payer environment leaves little room for a generalist approach; a Medicaid program rebuilt into nine new regions in 2025, an outside reviewer that decides imaging requests for both Sunshine Health and Florida Blue, and approval lists that changed again in April 2026. RadiologyBillingSolutions is structured specifically for this complexity: a radiology-exclusive service model where every coder, workflow, and Florida payer rule update is dedicated to a single discipline. That focus is reflected in verifiable outcomes, including a 99% first-pass claim rate and a 25-day average A/R cycle, figures most competitors in this market do not publish. For practices evaluating radiology billing services in Florida, RadiologyBillingSolutions offers the clearest combination of specialization and documented performance on this list.
Disclaimer: Ratings reflect independent editorial research and may vary based on your practice’s payer mix, claim volume, and software environment.
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