Allentown is the largest city in the Lehigh Valley, a fast-growing region served by Lehigh Valley Health Network and St. Luke's University Health Network.
Medical Coder is an outsourced medical billing company serving Allentown practices of every size. We take over coding, claims, denials and A/R follow-up so your team can focus on patients.
Allentown Medical Billing Built Around Pennsylvania Payers
Most avoidable denials start with payer rules. For Allentown practices we work every major payer in Pennsylvania:
- Medicaid: Pennsylvania Medical Assistance, administered by the Department of Human Services (DHS), through HealthChoices physical health plans such as UPMC for You, Keystone First, AmeriHealth Caritas Pennsylvania and Highmark Wholecare.
- Medicare: Part A and Part B claims through Novitas Solutions (Jurisdiction L), plus Medicare Advantage plans.
- Commercial plans: Highmark Blue Cross Blue Shield, Independence Blue Cross, Capital Blue Cross, UPMC Health Plan, Geisinger Health Plan, Aetna and UnitedHealthcare.
- TRICARE and VA Community Care for military families and veterans.
Pennsylvania has payer rules of its own — see medical billing in Pennsylvania for how we handle them.
Billing Challenges for Allentown Practices
As the Lehigh Valley grows, practices see more patients from New Jersey and New York with out-of-state plans. We handle those claims along with Pennsylvania commercial and Medicaid plans.
What Our Allentown Medical Billing Services Include
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
- Electronic claim submission and payment posting
Healthcare in Allentown
Allentown's healthcare market includes major systems such as Lehigh Valley Health Network and St. Luke's University Health Network. Independent practices compete with these systems for patients and staff — outsourced billing gives you the same revenue cycle depth without building a billing department. We support practices across Allentown, Bethlehem, Easton, Whitehall, Emmaus, Macungie and the Lehigh Valley.
Specialties We Bill For in Allentown
We bill for 45+ specialties, including physical therapy, pain management, chiropractic, podiatry. See all specialties.
Why Allentown Practices Outsource Medical Billing
- Works inside your EHR — no new software for your team to learn.
- HIPAA-compliant and secure, with full ownership of your data.
- More collected per visit — accurate coding and underpayment checks on every claim.
- Less A/R over 90 days — systematic follow-up by payer and by deadline.
Get a Free Medical Billing Audit in Allentown
We will review your claims, denials and A/R at no cost and show you where revenue is being lost. Start with a medical billing audit, see how pricing works, or explore our Pennsylvania medical billing services and nearby pages for Reading and Bethlehem.