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Maine · ME

Billing, marketing, staffing and software for Maine practices

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

Maine and major cities
PortlandBangorAugustaBack to the full map

Maine billing details

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

TopicWhat applies in MaineSourceChecked
Medicare contractorNational Government Services (A/B MAC JK)CMS, A/B MAC Jurisdiction JKOct 20, 2026
Medicaid agencyDepartment of Health and Human Services, Office of MaineCare Services
MaineCare program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Maine Medicaid providersOpen the provider pageOct 20, 2026
Commercial prompt paymentMaine requires an insurer to pay or dispute a claim within 30 days after proof of loss is received and the loss is ascertained (24-A M.R.S. 2436(1)); the insurer may extend by notifying in writing that additional information is needed, then has 30 days after receiving it. Where a provider submits a claim to several potentially liable carriers at once, each carrier must pay or deny within 30 calendar days after receiving all information needed (sub 1-A). Undisputed overdue claims bear interest of 1.5 percent per month. The statute does not use the term clean claim (it defines 'undisputed claim' for provider claims), does not mention HMOs by name, and excludes long-term care insurance.
24-A M.R.S. §2436
legislature.maine.govOct 21, 2026
Medicaid telehealthMaineCare lets enrolled, licensed providers deliver many covered services by telehealth when the member is eligible and the care is medically appropriate and comparable in quality, and claims use the in-person procedure code with the GT modifier.maine.govOct 20, 2026

Major cities in Maine

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

PortlandBangorAugusta
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.

Maine practice questions

Who processes Medicare claims in Maine?

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

Which agency runs Medicaid in Maine?

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

How quickly must insurers pay a claim in Maine?

Maine requires an insurer to pay or dispute a claim within 30 days after proof of loss is received and the loss is ascertained (24-A M.R.S. 2436(1)); the insurer may extend by notifying in writing that additional information is needed, then has 30 days after receiving it. Where a provider submits a claim to several potentially liable carriers at once, each carrier must pay or deny within 30 calendar days after receiving all information needed (sub 1-A). Undisputed overdue claims bear interest of 1.5 percent per month. The statute does not use the term clean claim (it defines 'undisputed claim' for provider claims), does not mention HMOs by name, and excludes long-term care insurance.

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

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

Which service should a practice in Maine 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 Maine practice

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

RCMFinder Master Intake Form