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Delaware · DE

Billing, marketing, staffing and software for Delaware practices

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

Delaware and major cities
WilmingtonDoverBack to the full map

Delaware billing details

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

TopicWhat applies in DelawareSourceChecked
Medicare contractorNovitas Solutions (A/B MAC JL)CMS, A/B MAC Jurisdiction JLOct 20, 2026
Medicaid agencyDelaware Health and Social Services, Division of Medicaid and Medical Assistance (DMMA)
Delaware Medical Assistance Program (DMAP) program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Delaware Medicaid providersOpen the provider pageOct 20, 2026
Commercial prompt paymentA carrier must pay, deny, or request additional information on a clean claim no more than 30 days after receipt; if it requests information, it must act within 15 days of receiving it. The regulation applies to any entity providing health insurance in Delaware (insurers, health service corporations, HMOs, third-party administrators) except listed policy types such as accident-only, Medicare supplement, long-term care, disability income and workers' compensation. Interest is not automatic: the Insurance Commissioner may order a carrier that violated the 30-day rule to pay the claim plus interest at the maximum rate allowable to lenders under Delaware law.
18 Del. Admin. Code 1310 (Standards for Prompt, Fair and Equitable Settlement of Claims for Health Care Services), Sections 2.0, 3.0, 4.0, 6.1, 6.2, 8.0
archive.regulations.delaware.govOct 20, 2026
Medicaid timely filingDelaware Medicaid claims must be submitted no later than twelve months from the date of service, with limited exceptions and a shorter 100-day limit for point-of-sale pharmacy claims.dhss.delaware.govOct 20, 2026

Major cities in Delaware

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

WilmingtonDover
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.

Delaware practice questions

Who processes Medicare claims in Delaware?

Novitas Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Delaware (A/B MAC JL), according to CMS.

Which agency runs Medicaid in Delaware?

Delaware Health and Social Services, Division of Medicaid and Medical Assistance (DMMA) runs Medicaid in Delaware (the Delaware Medical Assistance Program (DMAP) program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Delaware?

A carrier must pay, deny, or request additional information on a clean claim no more than 30 days after receipt; if it requests information, it must act within 15 days of receiving it. The regulation applies to any entity providing health insurance in Delaware (insurers, health service corporations, HMOs, third-party administrators) except listed policy types such as accident-only, Medicare supplement, long-term care, disability income and workers' compensation. Interest is not automatic: the Insurance Commissioner may order a carrier that violated the 30-day rule to pay the claim plus interest at the maximum rate allowable to lenders under Delaware law.

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

Delaware Medicaid claims must be submitted no later than twelve months from the date of service, with limited exceptions and a shorter 100-day limit for point-of-sale pharmacy claims.

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

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

Which service should a practice in Delaware 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.

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Ask about your Delaware practice

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

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