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 New Hampshire. 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 New Hampshire 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 New Hampshire 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.

New Hampshire Billing Challenges we solve

Reduces Claim Denials and Reprocessing Delays

The Medicaid claim denial rates have exceeded more than 14.7% in New Hampshire slightly higher that the national average mainly due to inconsistent coding and manual resubmission loops. We at Shoreline Healthcare Technologies uses AI-Powered Denial Prediction tools to predict the likelihood of claim rejection even before submission based on payer rules and past trends. Our Centralized portal for tracking and auto-resubmitting the denied claims have resulted in 40–60% of reduction in denial rates and faster claim turnaround times.

Managing the frequent shifts in Eligibility

The Medicaid population in New Hampshire often faces frequent eligibility shifts that results in coverage lapses during the mid-treatment. Providers must face this financial burden that disrupts their revenue cycle. At Shoreline we integrate directly with the payer databases (including NH MMIS and major MCOs). We perform real-time eligibility checks by auto-verifying patient eligibility before every encounter or claim submission and alerts staff on the coverage change or lapse instantly, reducing the denials due to expired or switched coverage.

Providing Support for Commercial Payer Variability

High variability in commercial payer contracts, payer-specific portals with non-standard EDI formats increases administrative cost and time per claim. At Shoreline we adapt claim submissions automatically to meet each payer’s requirements. We have built-in policy trackers that automatically update with every state or payer rule change and applies correct modifiers and place-of-service codes. Our team helps providers to stay up to date with the evolving regulations in the state of New Hampshire.

At Shoreline Healthcare Technologies we provide personalized support tailored to the unique needs of New Hampshire providers. Our team of experts understands the intricacies of the NH Medicaid 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 New Hampshire

Specialized Services tailored to meet New Hampshire Medicaid rules and regulations

🩺 Services	📍 New Hampshire Specialization	📈 Typical Improvement	⏱️ Turnaround Time
NHMedicaid Billing (FFS)	Integration with the NH Medicaid MMIS Web Portal, virtual assistants for real-time eligibility verification Advanced claim-scrubbing tools and compliance with NH billing manuals.	+35% Faster reimbursements, clean claims and reduced rejections.	1-2 weeks
Billing for Managed Care Plans and ACO Programs	Expertise in billing for Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs). Automated payer-specific validation and modifier mapping enhance accuracy across plans.	+20% increase in revenue through cross-payer optimization.	24-48 Hours
Denial Management	AI based tools to track and flag denial codes and root-cause analysis tailored for NH Medicaid claim categories, identify high-risk categories and automate resubmissions	Reduce rate of denial by 75% and with quicker appeals.	5-7 days
Credentialing & Enrollment	Comprehensive provider enrollment and revalidation with NH Medicaid (via NH MMIS provider portal) plus credentialing support with commercial NH MCOs.	Ensures timely reimbursement and eligibility for incentive programs.	45-90 days
Patient Statements & Follow-Up	Communicate with patients and give Explanation of Benefits (EOBs) tailored for NH Medicaid and NH state-regulated plans	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 New Hampshire

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

Medicaid Billing Guide

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

Managed Care program rules and guidelines

Specialized billing guidelines and documentation procedures for managed care programs.

Revenue Cycle Optimization

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

Telehealth and Remote patient Monitoring in New Hampshire

New Hampshire’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across New Hampshire

From Barnstable to Worcester, we provide comprehensive medical billing services statewide across all 10 counties of New Hampshire

Northern New Hampshire::

Coös County

Central New Hampshire (Lakes Region):

Grafton County, Belknap County

Western New Hampshire (Monadnock / Upper Valley Region):

Sullivan County, Cheshire County

Eastern New Hampshire (White Mountains / Seacoast Border):

Carroll County, Strafford County

Southern New Hampshire (Merrimack Valley / Seacoast):

Merrimack County, Hillsborough County, Rockingham County

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 New Hampshire

Q1. How can providers check the patient’s eligibility for NH Medicaid programs?

Providers can verify the eligibility through

✔ The secure provider portal of New Hampshire Medicaid https://nhmmis.nh.gov
✔ Through the Eligibility Verification System (EVS) integrated with most clearinghouses and billing systems.
✔ In NH Easy Gateway portal
✔ The New Hampshire Medicaid Services line at 1-866-291-1674 for assistance.

Q2. What is the claim submission limit for NH Medicaid claims?

Claim Type	Filing Deadline
Original (Initial) Claims	Within 90 days from the date of service
Secondary Claims	Within 90 days from the date of the other insurer’s EOB
Corrected / Adjusted Claims	Within 12 months from the date of service
Retroactive Eligibility Claims	Within 12 months from the date retroactive eligibility was added

Q3. How can providers enroll in NH Medicaid programs?

Providers can apply to participate as NH Medicaid billing entities through

✔ Submitting an online Provider Enrollment Application through the NH MMIS Health Enterprise Portal.
✔ Mailing paper enrollment forms to the NH Medicaid Provider Enrollment Unit.
✔ Calling 1-866-291-1674 or email nhproviderrelations@conduent.com for credentialing help.

All enrolled providers must revalidate their status every five years to maintain their active status as per the CMS and NH DHHS requirements.

Q4. How do providers submit claims to NH Medicaid or MCOs?

All the Fee-for-Service (FFS) Claims are submitted through the NH MMIS Portal.

Managed Care Claims are submitted electronically to the respective MCO’s portal or via EDI through the clearinghouse.

Q5. How can Shoreline Healthcare Technologies help providers in New Hampshire?

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.

New Hampshire Licensed

Licensed to operate in New Hampshire

Medical Billing Glossary

Essential Terms for Understanding New Hampshire’s Medical Billing Landscape

Granite Advantage Health Care Program (GAHCP)

The Medicaid Expansion program of New Hampshire, created under the Affordable Care Act (ACA) that provides coverage to adults with the age of 19–64 years and have incomes ≤138% of FPL. It is managed through MCOs.

Medicaid Management Information System (MMIS)

The statewide claims and eligibility system managed by NH DHHS used for provider enrollment, prior authorization, claims adjudication, and reporting.

Medicaid Quality Incentive Program (MQIP)

The performance-based reimbursement system that rewards providers for their quality metrics based on readmission reduction, preventive screenings, and patient outcomes.

NHEasy

The online portal used by residents of New Hampshire to apply for Medicaid, SNAP, and TANF benefits. It also interfaces with the MMIS and updates eligibility records.

NH Care Connections

The resource and referral network that connects residents for long-term care, disability, and community-based supports. It also provides coordination for HCBS and Medicaid waiver programs.

NH Family Caregiver Support Program (NHFCSP)

It is a DHHS Bureau of Elderly and Adult Services (BEAS) program established under the Older Americans Act for supporting the unpaid caregivers of adults who are above 60 or with disabilities.

NH Medicaid

The state’s Medicaid program providing health coverage to eligible low-income residents, jointly funded by the state and CMS. Includes Traditional Medicaid, Managed Care, and Granite Advantage. Main payer for vulnerable populations.

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 New Hampshire 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 New Hampshire’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
✔ New Hampshire's billing specialists
✔ 24-48 hour claim turnaround
✔ Dedicated New Hampshire support team

The Best Medical Billing Company in New Hampshire - Shoreline

Best In the Industry

New Hampshire Billing Challenges we solve

Reduces Claim Denials and Reprocessing Delays

Managing the frequent shifts in Eligibility

Providing Support for Commercial Payer Variability

Comprehensive Medical Billing Services for New Hampshire

Medical Billing Resources for New Hampshire

Medicaid Billing Guide

Managed Care program rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in New Hampshire

Serving Healthcare Providers Across New Hampshire

Northern New Hampshire::

Central New Hampshire (Lakes Region):

Western New Hampshire (Monadnock / Upper Valley Region):

Eastern New Hampshire (White Mountains / Seacoast Border):

Southern New Hampshire (Merrimack Valley / Seacoast):

Savings Estimation Calculator

Frequently Asked Questions

Q1. How can providers check the patient’s eligibility for NH Medicaid programs?

Q2. What is the claim submission limit for NH Medicaid claims?

Q3. How can providers enroll in NH Medicaid programs?

Q4. How do providers submit claims to NH Medicaid or MCOs?

Q5. How can Shoreline Healthcare Technologies help providers in New Hampshire?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

New Hampshire Licensed

Medical Billing Glossary

Granite Advantage Health Care Program (GAHCP)

Medicaid Management Information System (MMIS)

Medicaid Quality Incentive Program (MQIP)

NHEasy

NH Care Connections

NH Family Caregiver Support Program (NHFCSP)

NH Medicaid

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?