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AKAlaska Medicaid (DenaliCare)

Healthcare Billing & RCM in Alaska — Medicaid, Commercial Payers, and Regulations

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Updated

TL;DR

Alaska Medicaid operates as Alaska Medicaid (DenaliCare) and contracts with multiple managed-care organizations for most of its covered population. Medicaid timely filing is 365 days from date of service. The 5 dominant commercial payers in Alaska include national insurers and one or more regional Blues plans. The BCBS licensee is Premera Blue Cross Blue Shield of Alaska. State-specific billing rules — including 3 tracked surprise-billing and prior-auth regulations — sit on top of federal protections such as the No Surprises Act and 42 CFR §447.45.

Alaska Medicaid — Alaska Medicaid (DenaliCare)

Program nameAlaska Medicaid (DenaliCare)
Provider portalhttps://medicaidalaska.com
FFS claims payer IDNo single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse.
Medicaid timely filing365 days from date of service

The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Alaska Medicaid provider portal before filing a late-billing appeal.

BCBS licensee in Alaska

The Blue Cross Blue Shield Association licensee in Alaska is Premera Blue Cross Blue Shield of Alaska. This licensee is not yet in the QuickIntell payer registry. See the full payer directory or the BCBSA national site for a provider-portal link.

Top commercial payers in Alaska

The dominant commercial insurers operating in Alaska, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.

Medicaid MCOs in Alaska

Alaska Medicaid MCO data has not yet been populated in the registry.

State-specific regulations affecting Alaska billing

  • AS §21.36.905 (Alaska Balance Billing / OON protections, 2023 updates)
  • AS §21.36.125 (unfair claim settlement practices — prompt pay 30 days clean claim)
  • AS §47.07.036 (Alaska Medicaid — copayment, coverage, and claim appeal)

Provider licensing & enrollment in Alaska

Providers enroll via Alaska Medicaid Health Enterprise (AKMHE) Conduent portal. Tribal health claims route through IHS-contracted facilities.

Major health systems headquartered in Alaska

Health systemHeadquarters
Providence Alaska Medical CenterAnchorage, AK
Alaska Native Medical Center (ANTHC / Southcentral Foundation JV)Anchorage, AK
Alaska Regional Hospital (HCA)Anchorage, AK
Mat-Su Regional Medical Center (LifePoint)Palmer, AK
Fairbanks Memorial Hospital (Banner Health)Fairbanks, AK

Frequently asked questions — Alaska billing

What is the Alaska Medicaid program called?

Alaska's Medicaid program is known as Alaska Medicaid (DenaliCare). Providers enroll and manage claims through the provider portal at https://medicaidalaska.com.

What is the Alaska Medicaid timely filing limit?

Alaska Medicaid (DenaliCare) requires initial claims to be filed within 365 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Alaska's 365-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.

Does Alaska Medicaid publish a single claims payer ID?

No single canonical claims payer ID is published for Alaska Medicaid (DenaliCare). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.

Who are the largest commercial insurers in Alaska?

The dominant commercial payers in Alaska include Aetna, UnitedHealthcare, Cigna, Humana, Regence, along with the BCBS licensee Premera Blue Cross Blue Shield of Alaska. Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.

What Medicaid managed-care organizations operate in Alaska?

Alaska Medicaid MCO data has not yet been populated in the registry. Consult the state Medicaid portal for the current MCO roster.

What state-specific billing regulations apply in Alaska?

Alaska has 3 tracked state-level statutes that affect medical billing and RCM: AS §21.36.905 (Alaska Balance Billing / OON protections, 2023 updates); AS §21.36.125 (unfair claim settlement practices — prompt pay 30 days clean claim); AS §47.07.036 (Alaska Medicaid — copayment, coverage, and claim appeal). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.

Run cleaner claims in Alaska with QuickIntell

QuickRCM, QuickAuth, and QuickERA are tuned to Alaska Medicaid (DenaliCare) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.

Disclaimer

This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Alaska Medicaid and the member ID card before submission.