RadiologyBillingSolutions is our top pick for radiology billing services in Georgia in 2026. It bills for radiology and nothing else, and it’s set up for a Medicaid market in the middle of a plan changeover. Zotec Partners, Ventra Health and Coronis Health are the other radiology-heavy names here, and iMagnum Healthcare is the one company on the list with an office in Georgia. The rest are broader billing companies that treat radiology as one specialty among several.
Georgia Medicare claims go through Jurisdiction J, run by Palmetto GBA, the same contractor that handles Alabama and Tennessee. Palmetto writes its own Local Coverage Determinations, so the documentation rules for a scan come from Palmetto, not a national default.
Medicaid is the bigger story. Georgia Families has run through three care management organizations: Amerigroup, CareSource and Peach State Health Plan. In December 2024 the state picked four plans for its next contract, CareSource, Humana, Molina and UnitedHealthcare, which means two of the three plans practices bill today are on their way out. We looked at 11 radiology billing companies working in or near Georgia and judged them on how ready they are for that switch.
Radiology Billing Solutions has worked only in radiology since 2010. The coders on the team bill imaging claims all day, every day: diagnostic CT, MRI, ultrasound and nuclear medicine, plus interventional cases where the 26/TC split and bundled guidance codes trip up generalist billers. Everything runs in-house, from coding and charge entry to prior authorization, denial appeals, A/R follow-up and the ACR and IAC accreditation paperwork imaging centers need for Medicare. The client list runs from single-location imaging centers to hospital radiology departments and interventional groups, and the track record is in writing: a 99% first-pass claim rate, a 25-day average A/R cycle and a 32% average drop in denials.
Take: RadiologyBillingSolutions is the only radiology-only biller on this list, and one of the few that publishes its numbers instead of asking you to take its word for it. It’s the same team behind our radiology billing services in Georgia.
Zotec Partners has billed for hospital-based specialties since 1998 from Carmel, Indiana. Radiology sits next to anesthesiology and emergency medicine in its core lineup, and most of its clients are hospitals, health systems and large groups.
Take: Zotec fits Atlanta-area hospital radiology groups better than a single outpatient center. Ask how it plans to handle the Georgia Families plan switch.
Ventra Health formed in 2021 and is based in Dallas. Its radiology billing comes from Advocate RCM, a radiology firm founded in 1998 that joined Ventra in January 2024.
Take: Ventra’s radiology team has deep roots, but it now sits inside a large company built around hospital-based specialties. Ask who would handle a Georgia account day to day.
iMagnum Healthcare started in 2017 and runs its U.S. operations from Katy, Texas, with an office in Atlanta and another in Baltimore. Radiology appears on its specialty list next to the other services it bills for.
Take: An Atlanta office is a real plus for Georgia practices. Radiology isn’t iMagnum’s main focus, though, so ask who on the local team works imaging claims.
Coronis Health was formed in 2015 and is based in Sykesville, Maryland. Its radiology team handles diagnostic and interventional coding, revenue audits and follow-up on underpaid claims.
Take: Coronis has a real radiology bench. Ask how many Georgia Medicaid claims it has worked, since the state’s plan mix is about to change.
ARIA is the billing service run by CompuGroup Medical, a healthcare software company founded in Germany in 1984 that has had a U.S. division since 2010. ARIA won Best in KLAS for ambulatory revenue cycle services tied to an EHR in 2024 and again in 2025.
Take: ARIA’s KLAS awards are for ambulatory billing tied to CGM’s own software. If your practice runs a different system, ask what that means for the service you’d actually get.
PracticeMax has billed for physician groups since 1984 from Scottsdale, Arizona, and pairs its billing service with its own practice management and EHR software.
Take: PracticeMax covers dozens of specialties. Ask whether imaging claims get their own team.
AnnexMed has done revenue cycle work since 2004 from Salt Lake City and offers a radiology billing service built for imaging centers.
Take: AnnexMed’s imaging-center service is relevant for outpatient groups. Nothing it publishes points to Georgia-specific payer experience, so ask.
Practolytics has offered billing and practice consulting since 2000 from Columbia, South Carolina, one state over. Its radiology page covers interventional radiology and teleradiology, and the service runs on AdvancedMD software.
Take: Practolytics is a neighbor, and Palmetto GBA handles Medicare for both South Carolina and Georgia under separate jurisdictions. Ask how much Georgia work it does today.
BillingParadise says it started in 2004 as a small billing company. It now covers eligibility checks, coding, billing, denials, A/R, credentialing and revenue reporting, with a focus on value-based care programs.
Take: BillingParadise is a general RCM vendor with radiology on its list. Ask how it will handle claims for members moving between Georgia Families plans.
Medical Billers and Coders was founded in 1999 and is based in Wilmington, Delaware. It works as a nationwide network of billers and coders and lists radiology among dozens of specialties.
Take: MBC’s network model gives it reach, but the coders on your account can change. Ask whether the same people stay on your radiology claims.
Worth knowing before you read a denial letter
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 Georgia, the bigger question for 2026 is which Medicaid plan the patient is even in.
Amerigroup, CareSource and Peach State Health Plan. The state's Medicaid site still lists these three as the plans members choose from, and each one runs its own imaging approval process.
CareSource, Humana, Molina and UnitedHealthcare, chosen in December 2024. UnitedHealthcare also won Georgia Families 360, which covers children in foster care. Amerigroup and Peach State were not selected.
During a changeover like this, the plan on a patient's card and the plan in the eligibility system don't always match. Check eligibility on the date of service, and send the appeal to whichever company actually issued the denial. RadiologyBillingSolutions verifies both on every Georgia Medicaid claim.
Start with the Medicaid switch, not the price sheet. A vendor that's a little cheaper but loses a month of Peach State claims in the changeover costs you more than it saves. Here's what we'd check:
Palmetto GBA runs Jurisdiction J for Georgia, Alabama and Tennessee. South Carolina is a separate jurisdiction (M) that Palmetto also runs, so practices near that line should confirm which jurisdiction a claim falls under rather than assume.
About 1.7 million Georgia Medicaid members are in managed care and roughly another million are in fee-for-service Medicaid, according to AIS Health’s plan directory. The same scan can be billed two different ways depending on the patient: fee-for-service claims go to the state, managed care claims go to the member’s plan.
The new Georgia Families contract came out of a long procurement and was open to protests, so the changeover timing can shift. Watch the state’s Georgia Families notices instead of assuming a date. A federal rule in effect since January 1, 2026 also requires Medicare Advantage, Medicaid managed care and ACA marketplace plans to decide standard prior auth requests within seven calendar days and urgent ones within 72 hours, with a specific reason for any denial. Use that when an imaging request stalls.
Bottom Line: Georgia’s payer environment leaves little room for a generalist approach; a Medicaid managed care market that’s changing plans, a fee-for-service population of roughly a million alongside it, and Palmetto’s Jurisdiction J rules on the Medicare side. RadiologyBillingSolutions is structured specifically for this complexity: a radiology-exclusive service model where every coder, workflow, and Georgia 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 Georgia, RadiologyBillingSolutions offers the clearest combination of specialization and documented performance on this list.
About this guide: Compiled from each company's own service pages and directory profiles, Georgia Department of Community Health and Georgia Families notices, AIS Health and Becker's coverage of the 2024 Medicaid contract awards, and CMS rulemaking. Where we couldn't confirm a company detail, we left it out rather than estimate it. Last reviewed October 20, 2026.
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