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Maryland · MD

Billing, marketing, staffing and software for Maryland practices

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

Maryland and major cities
BaltimoreAnnapolisRockvilleFrederickBack to the full map

Maryland billing details

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

TopicWhat applies in MarylandSourceChecked
Medicare contractorNovitas Solutions (A/B MAC JL)CMS, A/B MAC Jurisdiction JLOct 20, 2026
Medicaid agencyMaryland Department of HealthOfficial provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Maryland Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for Maryland MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentMaryland requires insurers, nonprofit health service plans, and HMOs to pay a clean claim or send a notice of receipt and status within 30 days of receipt, with no separate electronic or paper deadline, and unpaid clean claims owe monthly interest of 1.5 percent (days 31 to 60), 2 percent (days 61 to 120), then 2.5 percent, with third-party administrators covered only to the extent consistent with ERISA.
Md. Code, Insurance Article §15-1005
mgaleg.maryland.govOct 20, 2026
Medicaid timely filingMaryland Medicaid fee-for-service claims submitted more than 12 months after the date of service or discharge automatically deny, except for retroactive eligibility (12 months from the eligibility decision date), State system errors, and claims first sent to Medicare or a third-party payer (120 days from the EOMB).health.maryland.govOct 21, 2026
Medicaid telehealthMaryland Medicaid pays for synchronous audio-video and audio-only telehealth plus certain asynchronous services with no geographic restrictions, and from June 1, 2025 lets Outpatient Mental Health Centers bill telehealth when both provider and patient are offsite.health.maryland.govOct 20, 2026

Major cities in Maryland

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

BaltimoreAnnapolisRockvilleFrederick
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.

Maryland practice questions

Who processes Medicare claims in Maryland?

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

Which agency runs Medicaid in Maryland?

Maryland Department of Health runs Medicaid in Maryland. The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Maryland?

Maryland requires insurers, nonprofit health service plans, and HMOs to pay a clean claim or send a notice of receipt and status within 30 days of receipt, with no separate electronic or paper deadline, and unpaid clean claims owe monthly interest of 1.5 percent (days 31 to 60), 2 percent (days 61 to 120), then 2.5 percent, with third-party administrators covered only to the extent consistent with ERISA.

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

Maryland Medicaid fee-for-service claims submitted more than 12 months after the date of service or discharge automatically deny, except for retroactive eligibility (12 months from the eligibility decision date), State system errors, and claims first sent to Medicare or a third-party payer (120 days from the EOMB).

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

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

Which service should a practice in Maryland 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 Maryland practice

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

RCMFinder Master Intake Form