Florida · Coral Springs headquarters
Medical Billing Company in Florida
LRx Healthcare is a HIPAA-focused medical billing and revenue cycle management company headquartered in Coral Springs, Florida. We support Florida medical practices, clinics, behavioral health and ABA providers, and pharmacies — and providers in all 50 states.
Overview
A Florida billing partner that works the way Florida payers do.
LRx Healthcare Inc. is a Florida corporation with its office at 10191 West Sample Road, Suite 105, in Coral Springs (Broward County). The office is staffed in person, and billing work is delivered remotely inside your existing practice management and EHR systems — so a practice in Miami, Tampa, Orlando, or Jacksonville is supported the same way as one in Broward or Palm Beach County.
Florida billing has its own rules on top of the national ones. Most Florida Medicaid enrollees are in Statewide Medicaid Managed Care (SMMC) plans, so eligibility checks have to find the assigned plan, not just confirm Medicaid. Florida’s prompt-pay laws set firm deadlines for insurers and HMOs to pay, deny, or contest claims — and for providers to submit them. Our eligibility verification, denial management, and A/R follow-up workflows are built around those rules.
To see where your revenue stands before committing to anything, start with a free billing audit — a diagnostic review of denials, A/R aging, and payer mix that ends with a prioritized fix list. If you are still deciding whether to outsource at all, read in-house vs. outsourced medical billing.
Florida rules
Florida billing rules we work with every day.
These are the state-specific rules that most often decide whether a Florida claim is paid on time. They apply to fully insured, state-regulated plans; self-funded employer plans governed by ERISA, Medicare, and Medicaid follow their own rules.
Prompt-pay deadlines for insurers and HMOs
Under sections 627.6131 (insurers) and 641.3155 (HMOs), Florida Statutes, a payer must pay, deny, or contest a claim within 20 days of receipt when it is submitted electronically, or 40 days on paper. Electronic claims must be paid or denied within 90 days (120 days for paper), and an overdue payment carries simple interest of 12% per year. We track these dates so slow claims are followed up and escalated while they still count.
Six-month filing window for providers
The same statutes require providers to submit a claim to a Florida insurer or HMO within 6 months of the date of service (or discharge, for inpatient care) once the patient’s correct insurer is known, and to a secondary payer within 90 days of the primary’s final determination. Medicare’s limit is 12 months from the date of service. Claims are submitted and rejections worked promptly so none age past these windows.
Florida Medicaid managed care (SMMC)
Florida’s Agency for Health Care Administration (AHCA) delivers most Medicaid coverage through Statewide Medicaid Managed Care plans. Each plan sets its own authorization, timely filing, and claim rules, and network providers generally must also be enrolled with Florida Medicaid. We verify the assigned plan before the visit and handle Medicaid enrollment and revalidation through credentialing.
Limits on overpayment recoupments
Absent fraud, a Florida insurer or HMO generally has 30 months after paying a claim to request an overpayment refund — and 12 months for providers licensed under chapters 458, 459, 460, 461, 466, or 490 (physicians, osteopathic physicians, chiropractors, podiatrists, dentists, and psychologists). Check a recoupment request against these limits before returning money.
Statute summaries are general information, current as of 2026-11-06, not legal advice. Your payer contracts and the current text of the Florida Statutes control.
Who we work with
Florida providers we support.
We work with providers across Florida — Broward, Palm Beach, and Miami-Dade counties, Tampa Bay, Orlando, Jacksonville, and the rest of the state — and with providers in every other U.S. state.
Florida office
LRx Healthcare Inc.
- 10191 West Sample Road, Suite 105, Coral Springs, FL 33065
- (855) 983-1899
- info@lrxhealthcare.com
- BAA signed before any PHI is exchanged
Services
Billing services for Florida practices and pharmacies.
Engage the full revenue cycle or only the workflows that are leaking revenue.
Medical Billing
Accurate, payer-aware medical billing for U.S. providers.
Learn moreRevenue Cycle Management
Full-cycle RCM from eligibility to reporting.
Learn morePharmacy Billing
Pharmacy billing, adjudication support, and reconciliation.
Learn moreEligibility Verification
Real-time benefits and authorization checks at the front end.
Learn moreDenial Management
Root-cause denial analysis and recovery workflows.
Learn moreCredentialing
Payer enrollment and re-credentialing without the bottlenecks.
Learn moreBefore you choose
Guides for Florida practices comparing billing partners.
How to Choose a Medical Billing Company: 12 Questions to Ask Before You Sign
How to choose a medical billing company: 12 questions to ask, red flags to avoid, pricing models explained, and what should be in a medical billing contract.
Read the guideIn-House vs. Outsourced Medical Billing: How to Decide
In-house vs. outsourced medical billing: true costs, control, staffing risk, the hybrid model, signs it is time to outsource, and how to switch safely.
Read the guideHow to Reduce Claim Denials: A Prevention-First Guide
How to reduce claim denials: common CARC denial codes and fixes, root causes, a five-step prevention workflow, and the denial metrics to track monthly.
Read the guideFlorida FAQ
Questions Florida providers ask us.
Quick, direct answers to the questions providers ask most about LRx Healthcare.
Let's get started
Looking for a Florida medical billing company?
Start with a free billing audit or a 30-minute consultation. We’ll show you where denials, A/R, and payer rules are costing you — with or without us.