- Ai-Powered Medical billing
Medical billing services in New Mexico
We run eligibility, claim scrubbing, status checks and denial routing on automation — then put certified coders on the claims that actually need a decision. Built around Turquoise Care, commercial payers, and every EHR New Mexico practices already run.
- BBB Accredited
- HIPAA-conscious process
- BBB Accredited
- 3,000+ facilities served
- Statewide, remote onboarding
98.6%
Clean claim rate, vs. 82–88% manual
28–34
Days in A/R, vs. 45–60 manual
24 hrs
To route and appeal a denial
- New Mexico payer mix
Built for how New Mexico practices actually get paid
Turquoise Care, IHS and tribal billing, frontier-county coverage and commercial plans layered together trip up out-of-state billing companies. We built for that mix on purpose.
Turquoise Care
Billing and follow-up across all four MCOs — BCBS NM, Molina, Presbyterian and UnitedHealthcare Community Plan — plus fee-for-service Medicaid.
Commercial payers
Claims scrubbed against each payer's specific rules before submission, not after a denial comes back.
Rural & frontier coverage
Telehealth billing, cross-county referrals and delayed-documentation workflows handled correctly.
50+ EHR integrations
RXNT, AdvancedMD, athenahealth, eClinicalWorks, Kareo, CareCloud, Epic and more — no rip-and-replace.
- AI-powered automated system
Automation runs the repeat work. Coders run the judgment calls.
Most billing companies scale by hiring more billers. We scale with automation first, and add specialists only where a claim genuinely needs a human decision.
Eligibility verified automatically
Coverage and MCO assignment confirmed before the appointment, not discovered after a denial.
Claims scrubbed pre-submission
Checked against payer-specific coding edits and modifier rules before they ever reach BCBS NM, Molina, Presbyterian or UnitedHealthcare.
Denials routed, not shelved
Automatically categorized by root cause and assigned to a coder for appeal, usually within 24 hours.
Status visible in real time
A live dashboard shows where every claim stands — no phone call to a billing company required.
AI agents that learn payer patterns
Denial-prevention rules for New Mexico's payer mix improve continuously instead of living in one biller's memory.
Less admin for your front desk
Authorizations and payer calls move off staff who were never hired to make them.
- The difference automation makes
Manual billing vs. Resolute's automation
Manual (industry avg.)
Resolute MSO
Clean claim rate
82–88%
98.6%
Days in A/R
45–60 days
28–34 days
Denial follow-up
Manual, queue-based
Auto-routed, 24 hrs
Claim status visibility
By phone or email
Real-time dashboard
- Statewide coverage
Cities and regions we serve across New Mexico
Albuquerque
The state's densest concentration of specialty and multi-provider groups.
Santa Fe
Credentialing support for independent and boutique specialty practices.
Las Cruces
Mixed NM/TX Medicaid and commercial claims routed correctly by payer state.
Rio Rancho
Fast credentialing for a growing number of new practice openings.
Farmington & Roswell
Automated eligibility for wide rural catchment areas.
Hobbs & Carlsbad
Frontier billing workflows built for the southern NM corridor.
Gallup & Los Lunas
IHS/tribal fee-for-service billing alongside Turquoise Care claims.
- Full-service RCM
Every part of the revenue cycle, or just the part costing you money
- Getting started
How the engagement works
Audit
We review your collections, denials, A/R ageing and coding patterns and send written findings.
Design
We map your payers, specialties and systems into a workflow with automation rules built in.
Transition
We connect to your EHR, complete enrollments and run a parallel period so nothing drops.
Operate & report
Daily claim work, ongoing denial prevention and reporting you can actually read.
- Frequently Asked Questions
Got Questions?
We've Got Answers
New Mexico medical billing FAQs
Yes — we bill and follow up with all four MCOs: BCBS NM, Molina Healthcare of New Mexico, Presbyterian Health Plan and UnitedHealthcare Community Plan, plus fee-for-service Medicaid.
Yes — we serve practices statewide, including Farmington, Roswell, Hobbs, Carlsbad, Clovis and Gallup, since onboarding is fully remote.
Most billing companies charge 4–9% of collections. Resolute MSO starts at 2.99%, with no flat fees or long-term contracts.
Two to six weeks, covering payer enrollment (including Turquoise Care), data migration and a parallel-run period.
We integrate with 50+ EHR/PM platforms including RXNT, AdvancedMD, athenahealth, eClinicalWorks and Epic.
