Remote billing team for Florida practices

Medical Billing Services in Florida

Global Tech Billing handles claims, denials and A/R for independent Florida practices, working inside your existing EHR and practice management system. Our team knows the Florida Medicaid (AHCA) filing rules and the commercial and Medicare payers FL practices bill most.

Florida Medicaid (AHCA) billing: the deadline to plan around

Florida Medicaid is run by the Agency for Health Care Administration (AHCA) through a fiscal agent for fee-for-service claims. Most members are enrolled in Statewide Medicaid Managed Care plans.

12 months from the date of service

A clean claim must be received by Florida Medicaid or its fiscal agent within 12 months of the date of service. Claims for patients with third-party insurance other than Medicare must also be received within six months of the third-party payment or denial. Exceptions exist for specific cases such as eligibility delays and fiscal agent errors, and are submitted as exceptional claims.

Rules last checked against the program's published provider guidance in November 2026. Always confirm current requirements with the payer before relying on a deadline.

Payers and workflow notes for Florida

Payers FL practices commonly bill

  • Florida Blue (Blue Cross and Blue Shield of Florida)
  • Aetna, Cigna and UnitedHealthcare
  • Humana
  • Medicaid managed care plans and Medicare Advantage plans
  • Medicare, administered in Florida by First Coast Service Options (Jurisdiction N (JN))

Your actual payer mix and contracts are confirmed on the discovery call.

What we watch for

  • Florida's 12-month Medicaid window is long, but the six-month limit after a third-party payment or denial is the one that is easy to miss.
  • Send claims to Medicare or other insurance before Medicaid. Medicaid is the payer of last resort.
  • Claim voids can be submitted at any time, while adjustment requests must be received within 12 months of the original payment.
  • Late claims that meet an exception go through the exceptional claims process with supporting documentation, not through regular submission.

What our Florida billing service covers

Billing is done remotely by a dedicated team, so your practice can be anywhere in Florida. Pricing is custom to each practice and confirmed on a free discovery call.

Our workflows are HIPAA-compliant, and staff with system access work under business associate agreements with role-based access.

Florida medical billing questions

What is the Florida Medicaid claim filing limit?

A clean claim must be received by Florida Medicaid or its fiscal agent within 12 months of the date of service. Some exceptions can be filed as exceptional claims with supporting documentation.

Do you work with Florida Medicaid managed care plans?

Yes. Each managed care plan can have its own contract terms, so we confirm the plans your practice is contracted with on the discovery call and work to those rules.

Can you support practices anywhere in Florida?

Yes. Billing is done remotely in your existing systems, so a practice in Miami, Orlando, Tampa, Jacksonville or a smaller town can use the same team.

What about claims where another insurer pays first?

Bill the other insurer first. For third-party insurance other than Medicare, Florida Medicaid claims must be received within 12 months of service or six months of the third-party payment or denial.

Get billing support for your Florida practice

Tell us your specialty, provider count and billing software. We will review your claims and A/R on a free discovery call and give you a custom quote.

Request a free quote

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