Medical Billing in Montana
Soft Home Global provides billing, AR follow-up and denial appeals for Montana practices and billing companies at $1,650 per seat per month. Full time, worked during Montana business hours, inside your own system.
What is specific to Montana
Montana Medicaid is still delivered largely fee-for-service rather than through risk-bearing managed care organizations, and much of the state's provider base sits in rural critical access hospitals and small independent clinics.
Montana’s Medicaid programme is Montana Medicaid. Practices with a meaningful Montana Medicaid mix usually need it worked as its own queue rather than mixed into commercial follow-up, because the submission path, the timely filing window and the appeal route are all different.
What a medical billing seat does in Montana
Aged accounts receivable called until they close, and denials read, appealed and tracked.
In Montana the queue that costs the most is Montana Medicaid, because its filing window and appeal route are not the commercial ones.
- Worklist worked from the difficult end, not the easy end
- Every call logged with the payer reference and the outcome
- Denials categorised so the same reason stops recurring
- Appeals written and submitted, not just re-bills
- Weekly written summary of what moved and what did not
- Worked during Montana business hours, not queued overnight
Most of the Montana work we see comes out of Billings, Missoula and Great Falls, though nothing about a seat depends on where your office is — the queue is worked through your system, not from your building.
Montana borders 4 states, and practices near those lines almost always carry at least one out-of-state Medicaid enrollment. That is a separate portal, a separate filing window and a separate appeal route from Montana Medicaid, and it is the queue that most often goes unworked because it belongs to nobody.
What Montana law gives you
30 days to pay or deny after receipt of proof of loss; 60 days if the insurer makes a reasonable request for additional information or documents. No separate electronic/paper timeline.
Montana Medicaid, in practice
No comprehensive risk-based Medicaid MCOs — KFF's 2024 table lists Montana as "N/A" with the note "N/A: Not applicable. State had no contracts with comprehensive MCOs"; Montana Healthcare Programs pays providers fee-for-service with a primary care case management (PCCM) overlay. Source
Montana's PCCM/medical-home programs are being replaced right now: a March 20, 2026 Montana Healthcare Programs provider notice states "Upon federal approval from the Centers for Medicare & Medicaid Services (CMS), Montana will implement the new Primary Care Montana (PCMT) program with an anticipated start date of July 1, 2026" and "When the new PCMT program begins, Montana's existing PCCM programs (Passport to Health, Comprehensive Primary Care Plus (CPC+), and Patient-Centered Medical Home (PCMH)) will end." Referral/attribution rules and PMPM case-management payments change accordingly. Separately, MCA 33-18-232(3) removes any private right of action for prompt-pay violations — the only remedy is a complaint to the insurance commissioner. Source
On the commercial side the dominant Blue plan here trades as Blue Cross and Blue Shield of Montana (footer on bcbsmt.com: "Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association"), which matters mainly because its portal and its appeal route are the ones your seat will spend the most time in. Source
We have not been able to source Montana’s own Medicaid filing limit from the regulation itself, so this page does not quote one — the federal floor is twelve months from the date of service and a state may set a shorter window. Ask your Montana Medicaid representative for the figure in writing before you rely on it. The states we could source are listed here.
Working Montana hours
Montana runs on Mountain time, 12 hours behind our floor in Rawalpindi. To be at a desk for your nine to five, the shift here runs 9pm to 5am, and 8pm to 4am once the clocks go forward. Pakistan does not observe daylight saving, so the shift moves on this side rather than yours.
That is the part that decides whether follow-up happens at all: a payer’s phone lines are open on Montana hours and nobody else’s.
What it costs in Montana
$1,650
Per seat, per month, in US dollars — $19,800 a year for one full-time person, forty hours a week, on Montana hours. No annual contract, no percentage of collections, no setup fee and no software to buy. Seat prices across all roles in Montana run $1,450 to $2,450; the full list is published.
That is the entire invoice. Run your own figures against a percentage vendor or a hire rather than take ours.
Getting started in Montana
About a week from a signed agreement to a person working your queue, and that week of training on your workflow is not billed on top. The work happens in your own system under a login you issue, so there is nothing to migrate and nothing to install. The week, step by step, and what is signed before anyone has access.
Questions
Do you work with Montana practices?
Yes. Montana accounts are worked during Montana office hours rather than queued overnight, because a payer's phone lines are open then and at no other time.
What is different about Montana?
Montana Medicaid is still delivered largely fee-for-service rather than through risk-bearing managed care organizations, and much of the state's provider base sits in rural critical access hospitals and small independent clinics.
When does a Montana payer have to pay a clean claim?
30 days to pay or deny after receipt of proof of loss; 60 days if the insurer makes a reasonable request for additional information or documents. No separate electronic/paper timeline. A claim sitting past that is not merely late, it is late against a statute, and the follow-up call changes from "when might this be paid" to "this passed your statutory window on a specific date".
How much does medical billing cost in Montana?
$1,650 per seat per month — $19,800 a year for a full-time person, forty hours a week. Every seat price is published at softhomeglobal.com/pricing.
What hours will somebody actually be working our Montana queue?
Montana is on Mountain time, 12 hours behind Rawalpindi. The shift here runs 9pm to 5am so your seat is at a desk for your full working day, shifting to 8pm to 4am while daylight saving is in force — Pakistan does not observe it, so the change happens on our side.
Do you handle Montana Medicaid as well as commercial payers?
Yes, and as its own queue rather than mixed into commercial follow-up. Montana Medicaid has its own submission path, its own filing window and its own appeal route, and working it in the same worklist as commercial claims is how the deadlines get missed.
Is this a percentage of what you collect?
No — a flat monthly rate per seat, published at softhomeglobal.com/pricing. A percentage bills you most in your best month and points the vendor at the easy accounts.
What is the minimum commitment, and how quickly can somebody start?
One seat for one month, cancellable on thirty days notice, and about a week from a signed agreement to a person working your queue. The week of training is not billed. The steps are at softhomeglobal.com/how-it-works.
Is our patient data safe offshore?
A Business Associate Agreement is signed before anyone has access, and the work happens in your own system under a login you issue, so every action is attributable to a person in your audit trail. The controls are listed at softhomeglobal.com/security.
Next step
One seat on your Montana work
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com