Best Revenue Cycle Management in New Hampshire
Mediknocx runs the full revenue cycle for New Hampshire physician practices, from eligibility checks to the final payment on an appealed claim. Our workflows are built around Anthem Blue Cross and Blue Shield, the state's largest health insurer, and the three Medicaid plans that manage most New Hampshire Medicaid members.
HIPAA Compliant
Your data stays secure
Faster Payments & Fewer Denials
Improve cash flow
Higher Reimbursement
Get the revenue you deserve
New Hampshire Billing Compliance Experts
State-specific payer knowledge
Get Your Free Revenue Assessment
Find out how much revenue your practice could be recovering with expert revenue cycle management support. No obligation, just real insights.
Revenue Cycle Management in New Hampshire for Healthcare Providers: The 90-Day Prompt Pay Line
New Hampshire's prompt pay law (RSA 420-J:8-a) requires commercial carriers to pay clean claims within 15 days if filed electronically, or 30 days on paper, with 1.5% interest per month on overdue claims. That's one of the faster clocks in the country, but it has a catch: a carrier isn't in violation for any claim submitted more than 90 days after the service. File late, and the interest protection is gone.
Medicaid adds a second short clock. AmeriHealth Caritas New Hampshire allows 120 days from the date of service for initial claims, and rejected claims must be fixed within that same window. Granite Advantage, the state's Medicaid expansion program with about 51,000 members, also faces federal work requirements starting January 1, 2027. For a practice, the math is simple: claims have to go out clean and fast, and eligibility has to be checked every visit.
Expertise
Built for local care models
Deadline Tracking
We flag at-risk claims early
Fewer Denials
Correct coding, less revenue loss
The Full Revenue Cycle We Manage in New Hampshire
- Patient Access & Eligibility Verification: Medicaid plan assignment, Granite Advantage status, and Anthem benefits confirmed before each visit.
- Charge Capture & Coding: CPT, ICD-10, and modifiers matched to the chart.
- Claims Submission: Clean claims sent well inside the 90-day commercial and 120-day Medicaid windows.
- Payment Posting: ERAs posted line by line, with late payments flagged for prompt pay interest.
- Denial Management & Appeals: Denials sorted by cause, corrected, and appealed on each payer's timeline.
- AR Follow-Up: Open claims worked by payer and age, starting with those closest to a deadline.
- Reporting: Monthly reports on collections, denial trends, and days in AR.
How It Works
From Audit toFaster Payments in 4 Steps
A simple, proven process to streamline your revenue cycle and maximize reimbursements in New Hampshire.
Free Audit
We review your recent New Hampshire claims, denials, and aging AR.
Custom Plan
A written plan covering your payer mix, staff handoffs, and timeline.
Seamless Transition
We connect to your practice management system with no gap in submissions.
Ongoing Reporting
Monthly reports on collections, denial rates, and AR aging, reviewed with your account manager.
Get Your FreeRevenue Cycle Audit Report
Are your claims going out inside New Hampshire's 90-day window? Call +1 434-201-9720 or email info@mediknocx.com for a free revenue cycle audit.
What Makes Our New Hampshire
Revenue Cycle Management Different
These are the parts of our work built specifically for New Hampshire payers.
One Owner for the Whole Cycle
A single team handles eligibility, coding, submission, posting, and appeals, so every claim has a clear owner from intake to payment. You work with one account manager, not three separate vendors.
Anthem Rule Set Built In
Anthem insures more Granite Staters than any other carrier, so its prior authorization lists, medical policies, and claim edits are built into your pre-submission checks before any claim goes out.
90-Day Submission Discipline
Commercial claims filed after 90 days lose prompt pay interest protection under RSA 420-J:8-a. We track submission age daily and push any claim nearing that line to the front of the queue.
Medicaid Plan Deadlines
AmeriHealth Caritas, NH Healthy Families, and WellSense each run their own filing, correction, and secondary-claim windows. Every open Medicaid claim is tracked against the rules of the member's assigned plan.
Monthly Performance Reviews
Each month you get collections, denial rates by payer, and AR aging in one report. Your account manager reviews it with you and explains which payers, codes, or providers moved the numbers.
Coverage Across 47 Specialties
Our billers and coders work across 47 specialties, so your claims go to people who already know that specialty's CPT families, modifier rules, and the records payers ask for on appeal.
RCM Support for All 47 Specialties in New Hampshire
Mediknocx manages revenue cycles for 47 medical specialties, from internal medicine to orthopedics and mental health, with billers assigned by specialty.
How Does Mediknocx Ensure Compliance
With New Hampshire Medical Billing Regulations?
No Surprises Act
We apply federal balance billing protections and good faith estimate rules for uninsured and self-pay patients before any patient statement goes out.
New Hampshire Timely Filing and Prompt Pay Law
Under RSA 420-J:8-a, carriers must pay clean claims within 15 days electronically or 30 days on paper, with 1.5% monthly interest when late. The protection doesn't apply to claims submitted more than 90 days after service.
New Hampshire Billing Transparency
RSA 151:12-a requires providers paid by a third party to send an itemized statement within 30 days of service, or a bill stating that an itemized version is free on request.
Payer-Specific Guidelines
We follow Anthem, AmeriHealth Caritas, NH Healthy Families, and WellSense policies. AmeriHealth Caritas, for example, requires claims with a primary insurer's EOB within 60 days of that EOB's date.
Healthcare Billing Services Across New Hampshire Cities
We work with practices in Manchester, Nashua, and Concord, along with independent clinics throughout the rest of the state.
- Manchester
- Nashua
- Concord
- Derry
- Dover
Nationwide Revenue Cycle Management
Mediknocx also manages revenue cycles for practices in California, New York, Pennsylvania, Ohio, Illinois, Virginia, Massachusetts, Connecticut, Rhode Island, and Louisiana.
Keep New Hampshire claims inside the windows that protect your revenue. Talk to a Mediknocx revenue cycle specialist at +1 434-201-9720 or info@mediknocx.com and schedule your free audit.
Frequently Asked Questions
Find answers to the most common questions about our revenue cycle management services in New Hampshire.
