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North Carolina · NC

Billing, marketing, staffing and software for North Carolina practices

RCM Finder supports medical practices in North Carolina 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 North Carolina, with sources.

North Carolina and major cities
CharlotteRaleighGreensboroWilmingtonAshevilleBack to the full map

North Carolina billing details

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

TopicWhat applies in North CarolinaSourceChecked
Medicare contractorPalmetto GBA (A/B MAC JM)CMS, A/B MAC Jurisdiction JMOct 20, 2026
Medicaid agencyNC Medicaid, Division of Health Benefits, NC Department of Health and Human Services
NC Medicaid program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for North Carolina Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for North Carolina MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentNorth Carolina requires insurers to pay, deny, or request more information on a claim within 30 days of receipt, with 18% yearly interest on late payments and no separate penalty beyond Department sanctions.
N.C.G.S. 58-3-225(b), (e)
ncleg.govOct 20, 2026
Medicaid timely filingNC Medicaid rule 10A NCAC 22B .0104 sets a 365-day filing limit that starts on the date of service (date of discharge for inpatient hospital stays).medicaid.ncdhhs.govOct 20, 2026
Medicaid telehealthClinical Coverage Policy 1H sets NC Medicaid rules for remote care, including live audio-video visits, phone and secure electronic messaging, and home monitoring of patient health data.medicaid.ncdhhs.govOct 20, 2026

Major cities in North Carolina

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

CharlotteRaleighGreensboroWilmingtonAsheville
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.

North Carolina practice questions

Who processes Medicare claims in North Carolina?

Palmetto GBA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in North Carolina (A/B MAC JM), according to CMS.

Which agency runs Medicaid in North Carolina?

NC Medicaid, Division of Health Benefits, NC Department of Health and Human Services runs Medicaid in North Carolina (the NC 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 North Carolina?

North Carolina requires insurers to pay, deny, or request more information on a claim within 30 days of receipt, with 18% yearly interest on late payments and no separate penalty beyond Department sanctions.

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

NC Medicaid rule 10A NCAC 22B .0104 sets a 365-day filing limit that starts on the date of service (date of discharge for inpatient hospital stays).

Do you work with practices outside the largest cities in North Carolina?

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

Which service should a practice in North Carolina 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 North Carolina practice

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

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