Shoreline Healthcare Technologies is a proud Maine-based company that offers end to end revenue cycle management services to physicians and Medical billing companies in Alaska. Our goal is to help them manage their business in a way where they can focus on patient care and operations, not paperwork! By providing great services at reduced costs, we have been able to keep our customers since our inception in 2015. Explore our case studies to see how we’ve helped practices overcome complex billing challenges and improve cash flow.

As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry. We offer timesaving, cost-effective revenue cycle management services to your Alaska based practice. Ready to outsource your billing needs? We’ll guide you through your receivable account to make sure that your claims are paid.

Best In the Industry

Shoreline Healthcare Technologies in Alaska exceeds customer expectations and we are proud of our history, but more importantly we are focused on the future. We have grown in recent years by continuing to invest in technology and people while maintaining a commitment to excellent service and innovation. We have the best customer service and one of the highest success rates for reimbursement, so you know your money will be going where it belongs - back into your pocket.

Alaska Billing Challenges we solve

Overcoming Geographic & Connectivity Barriers

The remote clinics and tribal health centers of Alaska struggles with internet interruptions, staff shortages, and limited access to billing support, leading to delayed claims and revenue loss. Shoreline’s Cloud-Based Billing Platform enables providers in remote villages to submit, track, and correct claims in real time even on low-bandwidth networks. Our Virtual Billing Workforce act as an extension of your office, ensuring claim submissions and follow-ups continue uninterrupted, regardless of weather or staff turnover. Providers in remote regions have reported up to 35% faster claims turnaround and 20% fewer delayed payments after adopting Shoreline’s remote-compatible workflows.

Streamlining Complex Enrollment and Waiver-Based Billing

Some programs in Alaska like behavioral health, home-and community-based services, and waiver programs requires individual provider enrollment, EVV compliance, and multi-payer coordination slowing down the billing cycles. We handle individual Medicaid enrollments, revalidations, and credentialing to ensure every clinician is properly linked to their billing NPI. Our team have experience in working with the Alaska’s waiver programs, SUD, and have a deeper understanding of the BH billing rules including required modifiers, unit documentation, and EVV verification. We integrate with Alaska’s MMIS and third-party verification tools to confirm patient coverage instantly.

Coordinating Tribal and Multi-Payer Billing Workflows

Alaska’s healthcare landscape involves Tribal Health Organizations (THOs), ANTHC, SEARHC, IHS, and private insurers making coordination of benefits complicated for Medicaid claims. At Shoreline we use Integrated Multi-Payer Billing Engine which automatically sequences payers (IHS → Tribal → Medicaid → Private) to avoid denials for payer-of-last-resort errors.Our Custom claim profiles ensure that encounters billed to Tribal programs meet Alaska Medicaid’s documentation and modifier standards.

We at Shoreline Healthcare Technologies provide personalized support tailored to the unique needs of Alaskan providers. Our team of experts understands the intricacies of the Alaska billing landscape and offers guidance to help practices navigate these challenges effectively with our cloud-based RCM solutions for an optimized Revenue Cycle Management.

Comprehensive Medical Billing Services for Alaska

Specialized Services tailored to meet Alaska Medicaid rules and regulations

🩺 Services	📍 Alaska Specialization	📈 Typical Improvement	⏱️ Turnaround Time
Alaska Medicaid Billing (FFS)	Integrates with the Alaska Medicaid’s Health Enterprise Portal, eligibility checks by virtual assistants for real-time eligibility verification Advanced claim-scrubbing tools aligned with Medicaid Billing Manuals and HIPAA standards.	+40% Faster reimbursements, clean claims and reduced rejections.	1-2 weeks
Billing for Tribal Health Organizations	AI-driven, payer-specific validation and modifier mapping ensure accurate claim formatting across Alaska’s diverse THOs and special plans.	+20% increase in revenue through multi-payer optimization.	1-2 weeks
Denial Management	AI based tools to track and flag denial codes and root-cause analysis tailored for Medicaid claim categories, identifies high-risk categories and automate resubmissions.	Reduce rate of denial by 75% and with quicker appeals.	5-7 days
Credentialing & Enrollment	Supports provider enrolment revalidation, and credentialing.	Ensures active status and timely reimbursements.	45-90 days
Patient Statements & Follow-Up	Communicate with patients and give Explanation of Benefits (EOBs). Includes text/email payment reminders and online payment options.	Reduces overdue balances and better collection rates.	1-2 weeks
Audit & Compliance Support	Conducts Audit Review and mock audits, including documentation, encounter verification, and claim reconciliation.	Minimizes risk of penalties and supports successful audits.	Ongoing, depending on audit schedule

Medical Billing Resources for Alaska

Comprehensive resources specifically designed for Medicaid Providers to navigate the state’s complex Billing Landscape.

Medicaid Billing Guide

A Complete guide covering all billing requirements, policy updates and compliance standards.

Tribal Health Organizations rules and guidelines

Specialized billing guidelines and documentation procedures for tribal care programs.

Revenue Cycle Optimization

Best Practices and Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Alaska

Alaska’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Alaska

From Abbeville to York, we provide comprehensive medical billing services statewide across all 30 Organized Boroughs and Census Areas of Alaska

Southcentral Alaska :

Anchorage Municipality, Kenai Peninsula Borough, Matanuska-Susitna Borough, Valdez-Cordova Census Area, Copper River Census Area

Southeast Alaska (Panhandle):

Juneau City and Borough, Ketchikan Gateway Borough, Sitka City and Borough, Wrangell City and Borough, Petersburg Borough, Haines Borough, Skagway Municipality, Yakutat City and Borough, Prince of Wales–Hyder Census Area

Interior Alaska :

Fairbanks North Star Borough, Denali Borough, Southeast Fairbanks Census Area, Yukon–Koyukuk Census Area

Northern Alaska (Arctic Region) :

North Slope Borough, Northwest Arctic Borough

Southwest Alaska :

Bethel Census Area, Dillingham Census Area, Bristol Bay Borough, Lake and Peninsula Borough, Kusilvak Census Area

Western Alaska :

Nome Census Area, Norton Sound Region, Yukon–Kuskokwim Delta Region, Unorganized Borough

Savings Estimation Calculator

Practice Type/Speciality

No. of Physicians

Monthly Patient Volume

% of Insurance Pay Patient

% of Self Pay Patient

Frequently Asked Questions

FAQs about Medical Billing Services in Alaska

Q1. What is the difference between IHS and THOs in Alaska?

IHS is the federal agency responsible for providing healthcare to American Indians and Alaska Natives.

THOs (Tribal Health Organizations) are tribally managed health systems that operate local clinics and hospitals under federal contracts.

In short, IHS funds and oversees care, while THOs deliver it locally.

Q2. What is the timeline for claim submissions in Alaska?

Claim Type	Filing Deadline
Original Claims	Within 365 days from the date of service
Resubmissions or corrected claims	12 months from the date of remittance advice
Managed Care of Tribal Health programs	12 months from the date of service.

Q3. How do providers check a patient’s eligibility for Medicaid in Alaska?

To check eligibility online providers can login to the Health Enterprise Portal and use the member ID.

They can also call the AVRS at 855.329.8986 and log in using the Provider ID and PIN.

Q4. How can providers enroll or revalidate themselves as an Alaska Medicaid provider?

Providers must complete the online enrollment through the Alaska Medicaid Health Enterprise portal. The process includes:

✔ Completing the online application and uploading license, NPI, and ownership documents.
✔ Choosing the provider type (individual, group, or facility).
✔ Waiting for the confirmation of the Medicaid ID number.

The entire process usually takes 4–6 weeks if all documents are submitted correctly. Revalidation is required every three to five years.

Q5. How can Shoreline Healthcare Technologies help providers in Alaska?

We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from patient appointment scheduling to eligibility checks, prior auths, coding, claim submissions, denials, and appeals, till payment processing and patient communication ensuring faster payments and compliance with state specific rules. We also offer analytics and process automation to reduce first pass rejects in state systems and to reconcile managed-care encounter reporting.

Compliance & Certifications

Your data security and compliance are our top priorities.

HIPAA Compliant

Full HIPAA compliance with regular audits

AAPC Certified

Certified Professional Billing Staffs.

Alaska Licensed

Licensed to operate in Alaska

Medical Billing Glossary

Essential Terms for Understanding the Alaska’s Medical Billing Landscape

Alaska Automated Information Management System (AKAIMS)

AKAIMS is the state’s behavioral health data system used by providers delivering substance use, mental health, and community-based services. It tracks patient outcomes, encounters, and Medicaid billing documentation for state reporting.

Medicaid Health Enterprise

This is Alaska’s online system for Medicaid billing and claims. It helps healthcare providers check patient eligibility, send in claims, and track payments from Medicaid. It replaces older paper processes and makes reimbursements faster and easier to manage.

Alaska Native Tribal Health Consortium (ANTHC)

The non-profit health organization managed by the Alaska Native Tribes working with the Indian Health Service (IHS) and Tribal Health Organizations (THOs) to provide health services, sanitation, and health system support for Alaska Native and American Indian people throughout Alaska.

Division of Public Assistance (DPA)

The part of Department of Health responsible for determining the Medicaid eligibility, managing public benefit programs (like SNAP and Temporary Assistance), and process the MAGI based applications for Medicaid coverage.

healthEconnect Alaska

healthEconnect Alaska is the state’s Health Information Exchange (HIE) for providing a secure platform for healthcare providers to share patient health information across various systems. It helps to enhance care coordination, reduces duplication, and facilitates population health analytics.

Indian Health Service (IHS)

The federal agency under the U.S. Department of Health and Human Services that provides healthcare services to American Indian and Alaska Native populations. In Alaska, they collaborate with THOs to fund and oversee health services.

Modified Adjusted Gross Income (MAGI) Medicaid

A type of Medicaid coverage for which eligibility is determined based on the income calculated using FPL thresholds instead of asset or resource tests.

Southeast Alaska Regional Health Consortium (SEARHC)

The Tribal Health Organization (THO) providing full range of health and community services, like hospitals, clinics, and behavioral health to the residents of Southeast Alaska.

Tribal Health Organizations (THOs)

The regional health entities delivering healthcare services to Native populations of Alaska. Each of the THO operates independently collaborating with the statewide Alaska Tribal Health System for shared services and referrals.

Our Services

Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.

Testimonials

My first time in solo practice I was very concerned about my ability to manage "the business side" of medicine. The personalized care and guidance this group provided to me and my staff were really a life saver. They always had quick turnaround on any questions I sent in, and were very knowledgeable for problem solving on the fly! I never feel like just a number, as I might have with a large corporation.

★ ★ ★ ★ ★

Family Medicine Centre in Maine

“We use Shoreline Medical Billing for all our billing needs, the support is second to none! They are always up to date with coding updates which helps to ensure timely billings and prompt payments. I highly recommend Shoreline Medical Billing for your billing needs.”

★ ★ ★ ★ ★

Nephrology Group in New Hampshire

I have been using Shoreline Medical Billing for almost 2 years, and I could not be more pleased with their service. They really care about my business. With all the complexities of medical billing, we needed a professional partner to help us. Shoreline delivered.

★ ★ ★ ★ ★

Pain Management in New Jersey

We switched to Shoreline Medical Billing. Our claims are getting paid, and we are getting friendly, knowledgeable service. We highly recommend Shoreline.

★ ★ ★ ★ ★

Internal Medicine & Nephrology in Georgia

I’m a small pediatric OT practice and have been with Shoreline for several years now. They have made it so easy for me to keep my focus on patient care by being so knowledgeable and so efficient with all aspects of my billing. When I do have questions, they are always available and able to help quickly. Couldn’t be happier!

★ ★ ★ ★ ★

Peds OT Clinic in Maine

Thanks so much for working so hard to help my company:) It sound cheesy, but having a biller I could trust changed my life by giving me the headspace/time to focus on clinical work, scale my business and sleep better at night. I've had quite a few people ask about you on Facebook Messenger from my posts. Overall, the feedback I've heard back from everyone is that you guys are very responsive and helpful.

★ ★ ★ ★ ★

Nurse Practitioner Group in Washington

Hi, following up on our conversation about Shoreline. I did let them know that I had some concerns and they were very understanding. They have been very responsive and proactive in their billing process, reports and communication. It has been very good. Thank for recommending them.

★ ★ ★ ★ ★

Nurse practitioner in Delaware

Before Shoreline, billing was a constant headache. Now, our reimbursements are faster, and I’m no longer chasing unpaid claims. Their team handles everything so efficiently, it’s one less thing I need to worry about.

★ ★ ★ ★ ★

Internal Medicine in Arizona

We Care

From electronic health records, billing services and practice management tools – Shoreline has you covered! In addition to being an industry leader when it comes to pricing, we also provide personalized support for every client, with a team of experts who have worked with physicians and medical groups for years, Shoreline Healthcare Technologies in Alaska understands how to navigate today’s complex healthcare revenue environment.

Ready to Optimize Your Medical Billing?

Get your free consultation and discover how much you could save with our Alaska’s-specialized billing services.

Get Your Free Consultation

Contact Information

445 Main Street, 2nd Floor, #1, Saco, ME 04072
1-855-838-1370
info@shorelinemb.com
M-F, 9am - 5pm EST

Why work with us?

✔ 40% average denial rate reduction
✔ Local billing expertise
✔ 24-48 hour claim turnaround
✔ Dedicated South Alaska support team

The Best Medical Billing Company in Alaska - Shoreline

Best In the Industry

Alaska Billing Challenges we solve

Overcoming Geographic & Connectivity Barriers

Streamlining Complex Enrollment and Waiver-Based Billing

Coordinating Tribal and Multi-Payer Billing Workflows

Comprehensive Medical Billing Services for Alaska

Medical Billing Resources for Alaska

Medicaid Billing Guide

Tribal Health Organizations rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in Alaska

Serving Healthcare Providers Across Alaska

Southcentral Alaska :

Southeast Alaska (Panhandle):

Interior Alaska :

Northern Alaska (Arctic Region) :

Southwest Alaska :

Western Alaska :

Savings Estimation Calculator

Frequently Asked Questions

Q1. What is the difference between IHS and THOs in Alaska?

Q2. What is the timeline for claim submissions in Alaska?

Q3. How do providers check a patient’s eligibility for Medicaid in Alaska?

Q4. How can providers enroll or revalidate themselves as an Alaska Medicaid provider?

Q5. How can Shoreline Healthcare Technologies help providers in Alaska?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

Alaska Licensed

Medical Billing Glossary

Alaska Automated Information Management System (AKAIMS)

Medicaid Health Enterprise

Alaska Native Tribal Health Consortium (ANTHC)

Division of Public Assistance (DPA)

healthEconnect Alaska

Indian Health Service (IHS)

Modified Adjusted Gross Income (MAGI) Medicaid

Southeast Alaska Regional Health Consortium (SEARHC)

Tribal Health Organizations (THOs)

Our Services

Testimonials

Family Medicine Centre in Maine

Nephrology Group in New Hampshire

Pain Management in New Jersey

Internal Medicine & Nephrology in Georgia

Peds OT Clinic in Maine

Nurse Practitioner Group in Washington

Nurse practitioner in Delaware

Internal Medicine in Arizona

We Care

Ready to Optimize Your Medical Billing?

Get Your Free Consultation

Contact Information

Why work with us?