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Pacific West MAC • CA

California Medical Billing & NSA IDR Hub

Full-lifecycle revenue cycle management, commercial out-of-network arbitration under 45 CFR Part 149, and Local Coverage Determinations (LCD) compliance for surgical practices and surgery centers across California.

Medicare MAC Contractor Noridian Healthcare Solutions
MAC Jurisdiction Jurisdiction E (JE)
Operating Cities 4 Metros Active

California Payer Guidelines & LCD Policy Coverage

Clinical providers in California submit Part B Medicare claims governed by Noridian Healthcare Solutions (Jurisdiction E (JE)). Millennova Solution embeds region-specific Local Coverage Determinations (LCDs) and Local Coverage Articles (LCAs) directly into our pre-bill scrubbing rules. We protect high-complexity orthopedic, spine surgery, interventional pain, and anesthesia claims from improper downcoding, cross-year filing rejections, and commercial payer underpayment.

California Division Networks

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Los Angeles, CA Hub

Operating Center

Specialized clinical RCM, Medicare MAC guidelines adherence, and out-of-network reimbursement workflows for healthcare providers in Los Angeles.

Pain Management • Medical Billing Services Pain Management • NSA IDR Arbitration Pain Management • Old AR Recovery Orthopedics • Medical Billing Services Orthopedics • NSA IDR Arbitration Orthopedics • Old AR Recovery Neurosurgery • Medical Billing Services Neurosurgery • NSA IDR Arbitration Neurosurgery • Old AR Recovery Anesthesia • Medical Billing Services Anesthesia • NSA IDR Arbitration Anesthesia • Old AR Recovery

San Diego, CA Hub

Operating Center

Specialized clinical RCM, Medicare MAC guidelines adherence, and out-of-network reimbursement workflows for healthcare providers in San Diego.

Pain Management • Medical Billing Services Pain Management • NSA IDR Arbitration Pain Management • Old AR Recovery Orthopedics • Medical Billing Services Orthopedics • NSA IDR Arbitration Orthopedics • Old AR Recovery Neurosurgery • Medical Billing Services Neurosurgery • NSA IDR Arbitration Neurosurgery • Old AR Recovery Anesthesia • Medical Billing Services Anesthesia • NSA IDR Arbitration Anesthesia • Old AR Recovery

San Jose, CA Hub

Operating Center

Specialized clinical RCM, Medicare MAC guidelines adherence, and out-of-network reimbursement workflows for healthcare providers in San Jose.

Pain Management • Medical Billing Services Pain Management • NSA IDR Arbitration Pain Management • Old AR Recovery Orthopedics • Medical Billing Services Orthopedics • NSA IDR Arbitration Orthopedics • Old AR Recovery Neurosurgery • Medical Billing Services Neurosurgery • NSA IDR Arbitration Neurosurgery • Old AR Recovery Anesthesia • Medical Billing Services Anesthesia • NSA IDR Arbitration Anesthesia • Old AR Recovery

San Francisco, CA Hub

Operating Center

Specialized clinical RCM, Medicare MAC guidelines adherence, and out-of-network reimbursement workflows for healthcare providers in San Francisco.

Pain Management • Medical Billing Services Pain Management • NSA IDR Arbitration Pain Management • Old AR Recovery Orthopedics • Medical Billing Services Orthopedics • NSA IDR Arbitration Orthopedics • Old AR Recovery Neurosurgery • Medical Billing Services Neurosurgery • NSA IDR Arbitration Neurosurgery • Old AR Recovery Anesthesia • Medical Billing Services Anesthesia • NSA IDR Arbitration Anesthesia • Old AR Recovery

Need an immediate RCM audit in California?

Our certified medical billing architects review your California payer contracts, clearinghouse rejection logs, and out-of-network arbitration yields with zero obligation.

Request CA Practice Audit +1 201-834-5781