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Washington · WA

Billing, marketing, staffing and software for Washington practices

RCM Finder supports medical practices in Washington 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 Washington, with sources.

Washington and major cities
SeattleSpokaneTacomaVancouverYakimaBack to the full map

Washington billing details

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

TopicWhat applies in WashingtonSourceChecked
Medicare contractorNoridian Healthcare Solutions (A/B MAC JF)CMS, A/B MAC Jurisdiction JFOct 20, 2026
Medicaid agencyHealth Care Authority
Apple Health program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Washington Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for Washington MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentUnder WAC 284-170-431, health carriers must pay 95 percent of each month's clean claims within 30 days of receiving written or electronic notice of the claim, with no separate electronic or paper deadline, and unpaid clean claims over 61 days old accrue simple interest of 1 percent per month.
WAC 284-170-431
app.leg.wa.govOct 20, 2026
Medicaid timely filingApple Health providers must submit a fee-for-service claim in ProviderOne within 365 days of the date the service was furnished to the eligible client, with other listed start dates such as a final fair hearing decision or court order and possible exceptions for delays like retroactive coverage.hca.wa.govOct 20, 2026
Medicaid telehealthThe Health Care Authority's Telemedicine Policy and Billing Guide, effective January 1, 2026, covers Apple Health telemedicine rules including client eligibility, originating and distant site requirements, audio-only services, store-and-forward, e-consults, and related procedure codes.hca.wa.govOct 20, 2026

Major cities in Washington

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

SeattleSpokaneTacomaVancouverYakima
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.

Washington practice questions

Who processes Medicare claims in Washington?

Noridian Healthcare Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Washington (A/B MAC JF), according to CMS.

Which agency runs Medicaid in Washington?

Health Care Authority runs Medicaid in Washington (the Apple Health program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Washington?

Under WAC 284-170-431, health carriers must pay 95 percent of each month's clean claims within 30 days of receiving written or electronic notice of the claim, with no separate electronic or paper deadline, and unpaid clean claims over 61 days old accrue simple interest of 1 percent per month.

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

Apple Health providers must submit a fee-for-service claim in ProviderOne within 365 days of the date the service was furnished to the eligible client, with other listed start dates such as a final fair hearing decision or court order and possible exceptions for delays like retroactive coverage.

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

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

Which service should a practice in Washington 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 Washington practice

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

RCMFinder Master Intake Form