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Billing run by specialty trained people, backed by AI that catches denials first

Full service medical billing and revenue cycle management across 52 specialties. Our AI flags high risk claims before submission, a certified biller reviews every one, and you hold a denial rate under 5%.

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  • 2.99% of collections
  • 24 to 48 hrs claim submission
  • All 50 states
A physician in a white coat with a stethoscope, holding a tablet and smiling
3.2% denial rateUnder the 5% guarantee
7 claims flaggedSent to a human biller first

A billing team that already knows your specialty

Cardiology denials look nothing like behavioral health denials. Your account is staffed by billers who work your specialty every day, across 52 of them, so nobody is learning your payer rules on your claims.

Find your specialtyTalk to a specialist

  • 52 specialties covered
  • 8 clinical categories
  • Named account contact
A physician reviewing a chart with a colleague in a clinic
Specialty trainedNot a general billing pool
21 days in ARDown from the low forties

Your EHR, practice management and billing, in one place

Our own EHR and practice management platform at $250 per month, plus nine AI agents that take scheduling, intake, prior authorization and patient chat off your front desk.

See the platformCompare pricing

  • $250 per month
  • 9 AI agents
  • Multi-EHR integration
A physician in a white coat reviewing practice data on a tablet
Live in ~4 weeksIncluding the parallel run
9 AI agentsSupervised by our team

52Specialties with dedicated billing teams

All 50States served from Austin, Texas

Sub-5%Claim denial rate, guaranteed

24 to 48 hrsClean claim submission turnaround

HIPAACompliant handling of patient data

The real cost of a broken billing process

Most practices are not underpaid. They are under collected.

Doctor, the money is usually already earned. It gets lost between a denied claim nobody worked, an authorization that arrived late, and an aging report nobody had time to open.

90 days

Denials that never get worked

A denial that sits for 90 days is usually a write off. Most in-house teams do not have the hours to appeal every one, so the easy ones get worked and the valuable ones expire.

40+ days

AR that quietly ages out

When days in AR climb past 40, the practice is financing the payer. Without a dashboard that shows it in real time, the problem is invisible until cash flow tightens.

Hours a day

A front office buried in admin

Staff hired to care for patients spend their day on hold with payers, chasing authorizations and re-keying intake forms. That is expensive time spent on work software should be doing.

What you can hold us to

Numbers we put in writing

Sub-5%Claim denial rate, guaranteed in your agreement

24 to 48Hours from encounter to clean claim submission

2.99%Of collections for full revenue cycle management

Real timeFinancial dashboards, not a monthly PDF

Three things, one partner

Billing services, specialty expertise, and the software that runs it

Most practices stitch this together from three vendors who blame each other when a claim is denied. We built all three so there is one team accountable for the result.

Billing and RCM services

Twelve service lines covering the full cycle, from eligibility and coding through denial appeals and patient statements.

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Specialty billing expertise

Fifty two specialties, each with a billing team that knows its code families, payer rules and the denials that specialty actually gets.

Find your specialty

Software and AI solutions

Our own EHR and practice management platform at $250 per month, plus nine AI agents that take the repetitive work off your staff.

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Services

Every stage of the revenue cycle, covered

Take the whole cycle or the one piece that is costing you the most. Practices commonly start with a billing audit or denial management, then move the rest across once they see the numbers move.

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Medical Billing End to end claim submission, follow up and posting for your practice
  • Claim submission and follow up
  • Payment posting and reconciliation
  • Denial appeals included as standard
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Medical Coding Certified coders who keep your documentation and claims aligned
  • Certified coder on every claim
  • CPT and ICD-10 accuracy checks
  • Full audit trail of code changes
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Revenue Cycle Management The full cycle owned for you, from eligibility through payment
  • Eligibility through to payment
  • Dedicated specialty trained team
  • Real-time financial dashboard
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Provider Credentialing & Enrollment Get providers enrolled with payers faster and stay current
  • Payer enrollment and revalidation
  • CAQH profiles kept current
  • Gaps fixed before they cause denials
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Prior Authorization Authorizations tracked and chased so treatment is not delayed
  • Submission and status tracking
  • Escalation for peer-to-peer cases
  • Documentation gathered for you
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Denial Management Root cause analysis and appeals that recover the revenue you earned
  • Root cause analysis by payer and code
  • Formal appeals, including second level
  • Front end fixes that stop repeats
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AR Management Aging worked systematically so old balances do not become write-offs
  • Aging worked by recoverable value
  • Timely filing deadlines protected
  • Payer trend reporting each month
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Medical Billing Audit An independent look at where your revenue is leaking, and why
  • Independent sampling of your claims
  • Error and pattern identification
  • Written corrective action plan
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Eligibility & Benefits Verification Coverage confirmed before the visit, not after the denial
  • Real-time coverage checks
  • Plain-language benefits summary
  • Prior authorization flags up front
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Payment Posting Accurate posting and reconciliation that keeps your books clean
  • ERA and EOB posting
  • Reconciliation against deposits
  • Underpayments identified and chased
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Patient Billing & Statements Clear patient statements and support that protect the relationship
  • Clear itemized patient statements
  • A support line your patients can call
  • Payment plans handled for you
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AI Agent Automation for Practices Automation applied to the billing workflow, supervised by our team
  • Nine AI agents, supervised
  • Human review before submission
  • Runs inside the EHR you already use
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Every role covered

One partner. Every role in the practice.

Billing touches the clinician, the front desk, the biller and the owner differently. Here is what changes for each of them.

Physicians

Fewer documentation queries weeks after the fact, because gaps are caught before the claim goes out.

Front desk

Eligibility and authorization checks handled up front, so the same correction is not requested week after week.

Billing staff

Routine scrubbing is already done. Attention goes to the claims that genuinely need judgment.

Owners and managers

Collections, denials and days in AR visible in real time, with a reason attached when a number moves.

Revenue cycle dashboard showing denial rate, days in accounts receivable and clean claim percentage

Real-time financial dashboard

Stop waiting for a month end report

Most practices find out about a denial problem a month after it started. Your dashboard shows collections, denial rate and days in AR as they move, with the reason attached when a number changes.

  • Denial rate by payer, code and provider
  • Days in AR tracked against your own baseline
  • Claims held for human review before submission
  • Plain-English weekly summary, no finance background needed

See the dashboard

Specialty expertise

A billing team that already knows your specialty

Cardiology denials look nothing like behavioral health denials. Your account is staffed by billers who work your specialty every day, not a general pool learning it on your claims.

View all 52 specialties

Getting started

Switching your billing is not a rebuild

You keep your EHR. We work inside it. Most practices are fully live within four weeks, and nothing is switched over until the parallel run proves the numbers.

Free revenue cycle assessment

We review a sample of your recent claims and aging report, then show you exactly where revenue is leaking and what it is worth annually.

Onboarding and credentialing check

We connect to your existing EHR, confirm every provider is correctly enrolled with your payers, and fix the gaps we find before they cause denials.

Parallel run

We bill alongside your current process so you can compare results directly. No practice should take a billing company’s word for it.

Live, with dashboards

You get real time visibility into collections, denials and days in AR, plus a named account contact who knows your specialty.

Pricing

Two ways to work with us

Revenue cycle management

2.99% of collections

Full service billing and RCM. We are paid a percentage of what we actually collect for you, so our incentive and yours point the same direction.

  • Claim submission, follow up and posting
  • Denial management and appeals
  • Specialty trained billing team
  • Real time financial dashboard

EHR + Practice Management

$250 per month

Our own all in one platform for independent and small to mid-sized practices. Fast to onboard, and priced so you are not paying enterprise rates for features you never open.

  • Charting and documentation
  • Scheduling and patient portal
  • Billing and claims
  • Reporting and dashboards

See full pricing detail

What practices say

Practices that stopped chasing their own money

Reviews from the people who run the practices we bill for. Hover to stop the rows and read one.

Leave a review

Reviews are checked by our team before they appear on this page.

Our denial rate was sitting near fourteen percent and we genuinely did not know why. Practice Claim found the pattern in a week. It was one authorization step our front desk had been skipping for two years.
Placeholder namePractice manager, cardiology group
The dashboard is the part I did not expect to care about. I can see days in AR on my phone between patients instead of waiting for a report at the end of the month.
Placeholder namePhysician owner, multi-site urgent care
Credentialing was the thing quietly costing us. Two providers were not enrolled correctly with one payer and nobody had caught it. That was found in the first week.
Placeholder nameOffice manager, family medicine
I run a solo therapy practice. I do not have a billing department, I have me. Having a team that knows time-based codes and actually answers the phone changed how much I collect and how much I dread admin.
Placeholder nameOwner, behavioral health practice
The parallel run sold it. We could compare their numbers against ours for a month before committing, which is not something the last company we spoke to was willing to do.
Placeholder namePractice administrator, orthopedics
What I notice most is that claims go out the same day now. We used to have a queue that built up every week and someone had to work through it on a Saturday.
Placeholder nameBilling lead, laboratory group

Questions

Got questions? We have answers.

Do we have to move off our current EHR?

No. We work inside the system you already use, and we integrate with the major EHR and practice management platforms. Moving to our own EHR is an option, never a requirement.

How long does it take to go live?

Most practices are fully live within about four weeks, including a parallel run where we bill alongside your existing process so you can compare results before anything is switched over.

What does it cost?

Full revenue cycle management is 2.99% of collections, so we are paid on what is actually collected for you. Our EHR and practice management platform is $250 per month and can be taken on its own.

How is the sub-5% denial rate guarantee measured?

On claims we submit, as a percentage of total claims submitted in a period. The exact definition is written into your agreement, and denials caused by information we never received are handled separately and flagged to you.

Does a person review what the AI does?

Yes. The AI flags and prepares, a person decides. No claim is submitted and no code is finalized without human review, and complex or clinical situations escalate to a named person.

Can you work our aged denials?

Often, though it depends on each payer’s timely filing and appeal deadlines. During the free assessment we tell you honestly which aged claims are still recoverable and which are not.

Find out what your billing is actually costing you

We will review a sample of your claims and your aging report, then show you the denial patterns and what fixing them is worth per year. No cost, and no obligation to switch.