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 North Carolina. 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 North Carolina 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 North Carolina 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.

North Carolina Billing Challenges we solve

Coding complexity under North Carolina’s managed care model

North Carolina has state-specific models for Tailored Care Management, Long-Term Services & Supports and behavioral health that brings new service codes, care management reporting, and enrollment/authorizations. There is always a confusion around providers as to which CPT codes, billing frequencies, and documentation standards must be used for reimbursement, thereby leading to denials. We at Shoreline Healthcare Technologies conducts coding audits focused on NC-specific services with regular upskilling workshops for coders, reducing the occurrence of miscoding or under coding for NC-specific programs. We reduce the coding error rate significantly and improve average reimbursement per visit/procedure, with an increase in 95% of claims accepted first pass.

Managing the NCTracks provider enrollment / credentialing backlogs

Providers in North Carolina must enroll themselves through the NCTracks for Medicaid reimbursements. And they often face issues with documentation mismatches, flagged fields, and re-enrollment/verification holds that blocks claims submissions resulting in financial instability. Shoreline offers full-service enrollment and re-credentialing services with dedicated enrollment specialist assigned to each client to act as the single point of contact with NCTracks. We help to reduce claim denials/hold for inactive or unverified providers.

State-level payment volatility & rate changes

North Carolina has recently moved for Medicaid fee schedules adjustment and have implemented provider reimbursement changes affecting fee schedules and payment rules. Providers may face unexpected underpayments or retroactive recoupments, requiring coding teams to revisit contracts with downstream billing/payer reconciliation. Shoreline offers proactive reimbursement management and compliance support to providers by continuously monitoring the NCDHHS and NCTracks updates. Our billing audits by experts, denial prevention strategies, and automated adjustment posting, help practices maintain their revenue integrity and stability even during fluctuating payment cycles.

At Shoreline Healthcare Technologies we provide personalized support tailored to the unique needs of North Carolina providers. Our team of experts understands the intricacies of the NC 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 North Carolina

Specialized Services tailored to meet North Carolina Medicaid rules and regulations

🩺 Services	📍 North Carolina Specialization	📈 Typical Improvement	⏱️ Turnaround Time
NC Medicaid Billing (FFS)	Integration with NCTracks Provider Portal, automated eligibility checks by virtual assistants for real-time eligibility verification through ePASS and NC HealthConnex, Advanced claim-scrubbing tools and compliance and compliance with NCDHHS Medicaid billing manuals.	+35% Faster reimbursements, clean claims and reduced rejections.	1-2 weeks
Billing for Managed Care and Tailored Plans	Expertise in billing NC Medicaid Managed Care and Tailored Plans. 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 NC 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	Provider enrolment support, offers revalidation, and credentialing through NCTracks.	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 NC Medicaid and Tailored 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 North Carolina

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

Medicaid Billing Guide

A Complete guide covering NC 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 North Carolina

North Carolina’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across North Carolina

From Alamance to Yancey, we provide comprehensive medical billing services statewide across all 100 counties of North Carolina

Western North Carolina:

Alleghany, Ashe, Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes, Yancey

Piedmont North Carolina:

Alexander, Catawba, Cleveland, Davie, Gaston, Iredell, Lincoln, Rowan, Surry, Stokes, Yadkin, Alamance, Anson, Cabarrus, Caswell, Chatham, Davidson, Forsyth, Guilford, Mecklenburg, Montgomery, Moore, Randolph, Richmond, Rockingham, Stanly, Union, Durham, Franklin, Granville, Johnston, Lee, Nash, Orange, Person, Vance, Wake, Warren

Eastern North Carolina:

Bladen, Columbus, Cumberland, Duplin, Edgecombe, Greene, Halifax, Harnett, Hoke, Lenoir, Northampton, Robeson, Sampson, Scotland, Wayne, Wilson, Beaufort, Brunswick, Camden, Carteret, Chowan, Craven, Currituck, Dare, Gates, Hyde, Jones, Martin, New Hanover, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Tyrrell, Washington

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 North Carolina

Q1. What do you mean by NCTracks, and why is it important?

NCTracks is the centralized system for processing the claims and making enrollments for providers in North Carolina. In order to bill the state’s Medicaid program providers must enroll and maintain active status in NCTracks, which would otherwise lead to claim denials or payment holds.

Q2. What is the claim submission timeline for NC Medicaid and PHPs?

Claim Type	Filing Deadline
Standard Medicaid claims	Within 365 days from the date of service
Secondary Claims	Within 90 days from the date of the other insurer’s EOB
Resubmissions or corrected claims	Within 18 months from the date of service
Managed Care PHPs	Have shorter limits (often 90–180 days).

Q3. What do you mean by Tailored Care Management (TCM), and how does it impact billing?

TCM is a specific model for behavioral health and long-term care coordination in North Carolina they have their unique service codes and documentation rules defined by NC DHHS. It causes billing errors when the documentation doesn’t match with the TCM coding standards.

Q4. How can providers check a patient’s Medicaid eligibility in North Carolina?

Providers can check the eligibility through:

✔ The secure login at the NCTracks Provider Portal
✔ 270/271 Eligibility Transactions integrated into EHRs or billing systems.
✔ Dialling the Automated Voice Response System (AVRS) at 1-800-723-4337.

Q5. How long does it take for receiving the payment of Medicaid claims in North Carolina?

For an error free clean claim submitted through NCTracks, payments are usually processed within 14 business days. However, for claims routed through Managed Care PHPs it takes 30–45 days, depending on the plan review cycles.

Q6. How can Shoreline Healthcare Technologies help providers in North Carolina?

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.

North Carolina Licensed

Licensed to operate in North Carolina

Medical Billing Glossary

Essential Terms for Understanding North Carolina’s Medical Billing Landscape

Community Care of North Carolina (CCNC)

The network of community-based care management and primary care program for coordinating the healthcare services of Medicaid beneficiaries in North Carolina. It helps to improve patient outcomes by managing chronic conditions and providing preventive care service by connecting providers, hospitals, and community resources thereby reducing costs.

Electronic Pre-Assessment Screening Service (ePASS)

The self-service online portal of North Carolina where individuals and families can check their eligibility for Medicaid and apply for benefits or other state related services. It is used by the providers to guide the patients in confirming or initiating Medicaid coverage before billing.

North Carolina Administrative Code (NCAC)

The set of North Carolina rules and regulations that govern the various aspects of healthcare, like Medicaid policies, provider requirements, and other billing standards. It is the legal references for medical billing professionals to check for compliance and reimbursement guidelines.

North Carolina Department of Health and Human Services (NCDHHS)

The state agency of North Carlonia that is responsible for managing the state’s public health and the other related services for ensuring the regulatory compliance for healthcare and billing operations.

NC HealthConnex

The Health Information Exchange (HIE) for the state of North Carolina that securely connects healthcare providers, hospitals, and payers for sharing the patient data. It improves care coordination and helps to meet the Medicaid and federal interoperability requirements which is crucial for billing accuracy and clinical documentation.

NCTracks Provider Portal

The official Medicaid and health plan provider portal of North Carolina used for claim submissions, eligibility verification, prior authorizations, and payment tracking. It is Operated by the CSC under NCDHHS and supports multiple state-funded programs like Medicaid, NC Health Choice, and DHHS divisions.

Tailored Plan

A specialized managed care plan in North Carolina designed for individuals with significant behavioral health, intellectual/developmental disabilities, or traumatic brain injury needs. It combines physical and behavioral health services with pharmacy benefits and are administered by Local Management Entities/Managed Care Organizations (LME/MCOs).

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 North Carolina 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 North Carolina’s-specialized billing services.

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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 North Carolina support team

The Best Medical Billing Company in North Carolina - Shoreline

Best In the Industry

North Carolina Billing Challenges we solve

Coding complexity under North Carolina’s managed care model

Managing the NCTracks provider enrollment / credentialing backlogs

State-level payment volatility & rate changes

Comprehensive Medical Billing Services for North Carolina

Medical Billing Resources for North Carolina

Medicaid Billing Guide

Managed Care program rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in North Carolina

Serving Healthcare Providers Across North Carolina

Western North Carolina:

Piedmont North Carolina:

Eastern North Carolina:

Savings Estimation Calculator

Frequently Asked Questions

Q1. What do you mean by NCTracks, and why is it important?

Q2. What is the claim submission timeline for NC Medicaid and PHPs?

Q3. What do you mean by Tailored Care Management (TCM), and how does it impact billing?

Q4. How can providers check a patient’s Medicaid eligibility in North Carolina?

Q5. How long does it take for receiving the payment of Medicaid claims in North Carolina?

Q6. How can Shoreline Healthcare Technologies help providers in North Carolina?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

North Carolina Licensed

Medical Billing Glossary

Community Care of North Carolina (CCNC)

Electronic Pre-Assessment Screening Service (ePASS)

North Carolina Administrative Code (NCAC)

North Carolina Department of Health and Human Services (NCDHHS)

NC HealthConnex

NCTracks Provider Portal

Tailored Plan

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?