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Iowa · IA

Billing, marketing, staffing and software for Iowa practices

RCM Finder supports medical practices in Iowa remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in Iowa, with sources.

Iowa and major cities
Des MoinesCedar RapidsDavenportSioux CityBack to the full map

Iowa billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in IowaSourceChecked
Medicare contractorWisconsin Physicians Service GHA (A/B MAC J5)CMS, A/B MAC Jurisdiction J5Oct 20, 2026
Medicaid agencyDepartment of Health and Human Services (Iowa HHS)
Iowa Medicaid program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Iowa Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for Iowa MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentInsurers must accept and pay, or deny, a clean claim for health care benefits within 30 days after receiving it, and have 30 days from receipt to request additional information needed to make it a clean claim. If a clean claim is not paid within 30 days, interest accrues at 10 percent per annum from the 31st day. Applies to insurers under Iowa Code chapters 509, 514 and 514A, HMOs and other entities providing health insurance or benefits subject to state regulation, and excludes liability, workers' compensation, auto/homeowners medical payment, disability income and long-term care insurance.
Iowa Code 507B.4A(2); Iowa Admin. Code 191-15.32 (Prompt payment of certain health claims)
legis.iowa.govOct 20, 2026
Medicaid timely filingIowa Medicaid gives providers 365 days from the date of service to submit a claim.hhs.iowa.govOct 20, 2026
Medicaid telehealthIowa Medicaid covers telehealth visits by phone or video for services on its approved telehealth list, billed with place of service code 02 or 10.hhs.iowa.govOct 20, 2026

Major cities in Iowa

We support practices in these cities and everywhere else in Iowa, remotely.

Des MoinesCedar RapidsDavenportSioux City
How we work

Remote by design

No office visit needed

We support practices in every state remotely, so you do not need a local office to work with us.

Rules checked for your state

Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.

One service or all four

Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.

Iowa practice questions

Who processes Medicare claims in Iowa?

Wisconsin Physicians Service GHA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Iowa (A/B MAC J5), according to CMS.

Which agency runs Medicaid in Iowa?

Department of Health and Human Services (Iowa HHS) runs Medicaid in Iowa (the Iowa Medicaid program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Iowa?

Insurers must accept and pay, or deny, a clean claim for health care benefits within 30 days after receiving it, and have 30 days from receipt to request additional information needed to make it a clean claim. If a clean claim is not paid within 30 days, interest accrues at 10 percent per annum from the 31st day. Applies to insurers under Iowa Code chapters 509, 514 and 514A, HMOs and other entities providing health insurance or benefits subject to state regulation, and excludes liability, workers' compensation, auto/homeowners medical payment, disability income and long-term care insurance.

How long do I have to file a Medicaid claim in Iowa?

Iowa Medicaid gives providers 365 days from the date of service to submit a claim.

Do you work with practices outside the largest cities in Iowa?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Des Moines.

Which service should a practice in Iowa start with?

Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.

What should I send first?

A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.

Free consultation

Ask about your Iowa practice

We will reply with the details that apply to Iowa and a suggested first step.

RCMFinder Master Intake Form