BH Billing for Jamestown healthcare providers.
Jamestown is the number 9 bh billing market in North Dakota. The NPPES registry lists 47 bh billing organizations at a Jamestown practice location, which is 3.6 percent of the 1,323 bh billing organizations registered across North Dakota. That places Jamestown at number 9 of 10 North Dakota bh billing markets the registry tracks, making it a smaller, focused market where a few practices carry most billable volume. At about 0.4 times the average North Dakota market size of 132 organizations, Jamestown sits in the long tail of the state table.
The Jamestown bh billing market.
Jamestown's 47 bh billing organizations place it just behind Devils Lake (52) and ahead of Mandan (23), and roughly 7.3 times smaller than state leader Fargo (344 organizations). Jamestown and the markets ranked above it together hold about 84 percent of all North Dakota bh billing organizations, so this is a smaller, focused market where a few practices carry most billable volume. Because volume is more concentrated in Jamestown than in the Fargo metro, the local denial profile clusters around a shorter list of plans, which makes it faster to systematize once the Jamestown payer mix is mapped.
Provider landscape: Jamestown vs nearby North Dakota cities.
Jamestown accounts for 3.6 percent of North Dakota's bh billing organizations. It ranks number 9 of 10 North Dakota bh billing markets by registered organization count. The table compares Jamestown against its nearest North Dakota neighbors so you can see where local volume sits relative to the state leader, Fargo.
| North Dakota city | NPPES bh billing orgs | Share of state |
|---|---|---|
| Dickinson | 55 | 4.2% |
| Devils Lake | 52 | 3.9% |
| Jamestown | 47 | 3.6% |
| Mandan | 23 | 1.7% |
Jamestown ranks in the long tail of the state table of North Dakota's 10 tracked bh billing markets at 3.6 percent of the state total. Counts are NPPES-registered bh billing organizations at a practice location in each North Dakota city. For statewide payer and Medicaid detail, see the North Dakota bh billing overview.
Payer environment in Jamestown.
Jamestown bh billing providers contract with the same North Dakota payer set: North Dakota Medicaid, the dominant North Dakota Blue Cross Blue Shield plan, the national commercials (UnitedHealthcare/Optum, Aetna, Cigna), and Tricare West where applicable. Each carries its own prior authorization workflow and medical necessity criteria, so the Jamestown payer mix drives the local denial profile. With Jamestown holding 3.6 percent of the state's bh billing organizations as a focused market, With volume concentrated in Jamestown's 47 organizations, a single payer contract carries an outsized share of local bh billing revenue, so contract terms and fee schedules matter as much as raw claim throughput.
North Dakota Medicaid and Jamestown routing.
North Dakota Medicaid covers bh billing for eligible North Dakota beneficiaries, delivering most of that benefit through managed care organizations with a remaining fee-for-service population. The most common North Dakota Medicaid denials seen in Jamestown are prior authorization missing or expired, plan-of-record mismatch (patient assigned to different MCO), medical necessity documentation insufficient, timely filing exceeded, and managed care vs FFS routing errors. Because each MCO credentials providers separately and enrollment runs 60-120 days from clean application, confirming plan assignment and credentialing status before the first Jamestown visit is decisive for clean first-pass payment. Across Jamestown's 47 organizations, even a few percentage points of MCO-routing error compounds into material rework.
What is hard about bh billing revenue cycle in Jamestown.
For a concentrated Jamestown market of 47 organizations ranked number 9 in the state, the operational pressure points are consistent: missing or expired prior authorizations, plan-of-record mismatches when a patient is assigned to a different MCO, insufficient medical necessity documentation, timely-filing lapses, and managed-care versus fee-for-service routing errors. Because Jamestown carries 3.6 percent of North Dakota's bh billing organizations and ranks 9 of 10 in the state, its denial exposure scales with that footprint. In Jamestown these are where bh billing margin is won or lost, so clean documentation, accurate plan assignment, and tight authorization tracking pay back fastest for the city's 47 bh billing organizations.
Where Jamestown providers win.
In Jamestown the practical edge is operational. Systematize the North Dakota Medicaid MCO versus fee-for-service split, hold each MCO credentialing file to the 60-120 days from clean application enrollment window, and track realization by payer. With 47 Jamestown bh billing organizations, about 0.4 times the average North Dakota market, competing for the same North Dakota payer dollars in the long tail of the state table, the providers that run a disciplined revenue cycle capture share fastest while competitors at this focused tier lose it to denials and underpayments.
FAQ: bh billing in Jamestown.
How many bh billing providers operate in Jamestown, North Dakota?
NPPES lists 47 bh billing organizations at a Jamestown practice location, which is 3.6 percent of all North Dakota bh billing organizations. That ranks Jamestown number 9 of 10 North Dakota bh billing markets, against a statewide total of 1,323.
Does North Dakota Medicaid cover bh billing for Jamestown providers?
Yes. North Dakota Medicaid covers bh billing for eligible North Dakota beneficiaries in Jamestown through managed care organizations and a fee-for-service population. Enrollment runs 60-120 days from clean application, and each MCO credentials providers separately.
Which commercial payers cover bh billing in Jamestown?
The Jamestown commercial landscape is led by North Dakota Medicaid, the dominant North Dakota Blue Cross Blue Shield plan, the national commercials (UnitedHealthcare/Optum, Aetna, Cigna), and Tricare West where applicable. Tricare West applies to eligible military families. Each plan carries its own authorization workflow.
What drives bh billing denials in Jamestown?
The most common North Dakota bh billing denials in Jamestown are prior authorization missing or expired, plan-of-record mismatch (patient assigned to different MCO), medical necessity documentation insufficient, timely filing exceeded, and managed care vs FFS routing errors. Mapping these to the local Jamestown payer mix is the fastest way to lift first-pass yield.
Does ASP-RCM serve bh billing providers in Jamestown?
Yes. ASP-RCM Solutions provides bh billing billing and credentialing for providers in Jamestown and across North Dakota, with senior partners on every account.
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