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Vermont · VT

Billing, marketing, staffing and software for Vermont practices

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

Vermont and major cities
BurlingtonMontpelierRutlandBack to the full map

Vermont billing details

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

TopicWhat applies in VermontSourceChecked
Medicare contractorNational Government Services (A/B MAC JK)CMS, A/B MAC Jurisdiction JKOct 20, 2026
Medicaid agencyDepartment of Vermont Health Access
Vermont Medicaid program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Vermont Medicaid providersOpen the provider pageOct 20, 2026
Commercial prompt paymentHealth plans, including health insurers and HMOs, must pay, deny in writing, or (in limited grace-period cases) pend a claim within 30 days of receipt, with no separate paper deadline, and interest accrues at 12 percent per year on late claims; the statute does not use the term clean claim.
18 V.S.A. § 9418
legislature.vermont.govOct 20, 2026
Medicaid timely filingVermont Medicaid primary claims must be received by the fiscal agent within 180 days of the begin date of service, and inpatient claims and claims with other insurance primary follow different limits.vtmedicaid.comOct 20, 2026
Medicaid telehealthThe Vermont Medicaid telehealth page says real-time audio-video telemedicine and medically appropriate audio-only services (billed with modifier 93) are covered, using place of service 10 or 02.dvha.vermont.govOct 20, 2026

Major cities in Vermont

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

BurlingtonMontpelierRutland
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.

Vermont practice questions

Who processes Medicare claims in Vermont?

National Government Services is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Vermont (A/B MAC JK), according to CMS.

Which agency runs Medicaid in Vermont?

Department of Vermont Health Access runs Medicaid in Vermont (the Vermont 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 Vermont?

Health plans, including health insurers and HMOs, must pay, deny in writing, or (in limited grace-period cases) pend a claim within 30 days of receipt, with no separate paper deadline, and interest accrues at 12 percent per year on late claims; the statute does not use the term clean claim.

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

Vermont Medicaid primary claims must be received by the fiscal agent within 180 days of the begin date of service, and inpatient claims and claims with other insurance primary follow different limits.

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

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

Which service should a practice in Vermont 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 Vermont practice

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

RCMFinder Master Intake Form