Professional, compliant billing support for Puerto Rico.
Medical Billing Services in Puerto Rico
Puerto Rico’s healthcare system operates under a distinct model that blends U.S. federal regulations with local government frameworks.
From managing Medicaid Advantage plans to navigating dual-eligible Medicare-Medicaid billing, providers on the island face billing complexities not found in any other U.S. jurisdiction.
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Tailored Billing Solutions for Puerto Rico's Unique Healthcare Landscape
At Zee Medical Billing, we understand these unique challenges and offer fully customized medical billing solutions to physicians, clinics, mental health centers, and specialty providers across the island.
Whether you’re located in San Juan, Ponce, Bayamón, or in a rural municipality, we help your practice stay compliant, optimize collections, and improve cash flow.
Behavioral Health Billing in Puerto Rico
With growing mental health needs across the island, behavioral health practices must ensure accurate billing under multiple payer rules.
Billing for individual and group therapy, psychiatry, and substance use treatment
Reimbursement strategies for Medicaid and Medicare covered mental health services
Prior authorization tracking and medication-assisted treatment (MAT) billing
Denial prevention and resubmissions tailored for behavioral health codes
Support for psychologists, therapists, psychiatrists, and community mental health centers
Credentialing & Enrollment in Puerto Rico
Credentialing is the first step toward getting reimbursed. Zee Medical Billing simplifies the process by managing the paperwork and payer coordination.
Enrollment with ASES and Plan Vital MCOs
Medicare and Medicare Advantage registration
CAQH profile setup and credential maintenance
Facility credentialing for hospitals and group practices
Payer portal registrations and renewals
Full-Service Revenue Cycle Management (RCM)
We manage your complete billing process—from patient eligibility to final payment—ensuring higher revenue with lower admin time.
Patient eligibility and benefits verification
Accurate billing by bilingual, AAPC-certified professionals
Claims submission and payment posting
Denial analysis, appeals, and AR cleanup
Detailed bilingual performance reporting and analytics
Specialty Billing for Puerto Rico Practices
Mental Health & Psychology Clinics
Therapy, psychiatry, SUD, and IOP billing
Primary Care & Internal Medicine
Preventive care, diabetes management, CCM
Women’s Health & OB/GYN
Prenatal care, postpartum visits, contraception
Pediatrics
Immunizations, developmental screening, school health billing
Why Work with Zee Medical Billing in Puerto Rico?
98% clean claim rate on first submission
30–40% average increase in collections within the first 90 days
Bilingual support for staff and patients
Specialized in Plan Vital and Medicare Advantage compliance
Personalized support, no long-term contracts
Partner with Zee Medical Billing – Puerto Rico’s Trusted RCM Partner
Zee Medical Billing understands the island’s unique mix of local and federal healthcare systems. Let us help your practice simplify billing, increase revenue, and stay compliant.
