Medical Billing Built for Louisiana Healthcare Providers
Louisiana expanded Medicaid under the ACA in July 2016 via executive action under Governor John Bel Edwards, notably adopting expansion as a Southern state that had initially declined it — a genuinely distinctive part of its Medicaid history. Coverage is delivered through Healthy Louisiana, the state's Medicaid managed-care program, with plans including Healthy Blue (Blue Cross and Blue Shield of Louisiana's Medicaid plan), Louisiana Healthcare Connections, AmeriHealth Caritas Louisiana, Aetna Better Health of Louisiana, and UnitedHealthcare Community Plan. On the commercial side, Blue Cross and Blue Shield of Louisiana is the state's dominant carrier, and it also runs the Healthy Blue Medicaid plan — meaning the same brand shows up under different billing rules depending on whether the patient is commercial or Medicaid.
Whether you're in New Orleans, Baton Rouge, Shreveport or anywhere else in Louisiana — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and Louisiana Medicaid requirements.
Major Payers We Work With in Louisiana
Louisiana Medicaid
Louisiana Medicaid, expanded in 2016, is delivered through Healthy Louisiana managed-care plans including Healthy Blue, Louisiana Healthcare Connections, AmeriHealth Caritas Louisiana, Aetna Better Health of Louisiana, and UnitedHealthcare Community Plan — the correct plan is confirmed per patient rather than assumed.
HIPAA Compliance
Full HIPAA compliance for all LA providers. We stay current with all Louisiana billing regulations. View HIPAA Statement →
Every City in Louisiana — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across Louisiana.
75+ Specialties Served Across Louisiana
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in Louisiana.
Everything Your Practice Needs — Nothing You Don't
Louisiana Billing FAQ
Yes — we actively bill Healthy Louisiana claims across its managed-care plans, including Healthy Blue, Louisiana Healthcare Connections, and AmeriHealth Caritas Louisiana. We handle prior authorization, eligibility verification, and claim submission for Louisiana Medicaid patients as part of your standard service, with no separate fee.
Yes. Blue Cross and Blue Shield of Louisiana is the state's dominant commercial carrier and also runs the Healthy Blue Medicaid plan, so our Louisiana coding team bills it on both sides, alongside UnitedHealthcare, Aetna, and Cigna.
It can. Louisiana expanded Medicaid in 2016, which broadened eligibility for lower-income adults beyond the state's prior, narrower Medicaid criteria. We verify each patient's current eligibility and Healthy Louisiana plan rather than assuming.
All of our coders hold AAPC or AHIMA certification, and our compliance team tracks Louisiana-specific Medicaid and commercial payer rule changes as they happen. We also handle provider credentialing and re-credentialing with Louisiana payers so nothing lapses on your end.
We serve Louisiana practices statewide, from New Orleans, Baton Rouge, Shreveport, Metairie, and everywhere in between — not just the biggest metro area.