All medical billing services by group
Each service is listed under the job it does, from day-to-day billing to provider setup and reporting.
Billing & collections
- Outsourced Medical Billing Services: From 5.0%, $0 SetupClaims, posting, denials and insurance A/R from 5.0% of insurance payments; 0% of patient payments.
- Medical Billing Services for Small Practices From 5.5%Medical billing services for small practices with 1–5 clinicians: 5.5%–8.5% of insurance payments, 0% of patient payments, $0 setup, month to month.
- AR Recovery Services: 15% of What Posts, $0 If UnpaidInsurance claims 90+ days old, worked in payer-deadline order, for 15% of what posts.
- Patient statement services at 0% of patient paymentsPatient statement services for practices: balances checked against the remittance, statements in your name, 0% of patient payments.
Claims & coverage
- Denial Management Services from 5.0% of Insurance PaymentsEvery new denial worked within 2 business days of posting and routed to its root cause. From 5.0% of insurance payments.
- Insurance Verification Services from 5.0%, Billing IncludedCoverage, payer order, network and referrals checked before the visit, inside billing from 5.0% of insurance payments.
- Prior Authorization Services at 9.0% of Insurance PaymentsPrior authorization services run by your billing team: requests, tracking and renewals inside Complete RCM, $0 setup, month to month.
Coding & compliance
- Medical Coding Services, Included in Billing From 5.0%Every code checked against the signed note before the claim goes out, included in billing from 5.0%.
- Medical Billing Audit Services: Coding & Payment ReviewSampled coding, chart and payment audit with a claim-by-claim findings register: error category, dollar effect, fix and owner.
Provider setup
- Medical Credentialing Services: $149 per PayerCommercial payer credentialing at $149 per payer, billed only after the payer confirms your effective date.
- Payer Enrollment Services: Medicare, Medicaid, $149/PayerMedicare, Medicaid and ERA/EFT enrollment at $149 per payer, billed only after your effective date is confirmed.
Revenue cycle & reporting
Match the service to the work you need
Choose by both the problem and the scope you want to hand off. For ongoing billing, start with full-service medical billing; its coding, submission, posting and denial services are included parts of that plan. For a separate engagement, review aged A/R recovery, credentialing or a scoped billing audit. The table points to the relevant work; each service page states whether it is bundled or separately priced.
| Your priority | Start here | Define before the handoff |
|---|---|---|
| Day-to-day billing support | Medical billing or revenue cycle management | Included tasks, retained duties and opening worklists |
| Unpaid or denied claims | Accounts receivable or denial management | Balance age, claim status and evidence available |
| Coverage questions before care | Eligibility verification or prior authorization | Payer, service, clinician and missing documentation |
| Payments that do not reconcile | Payment posting and revenue cycle analytics | Remittance records, deposits, adjustments and reporting cutoff |
| A new clinician or practice | Credentialing or provider enrollment | Clinician details, payer list and applications already open |
| Not sure which queue is failing | The Free A/R Deadline Map | Your claim-level aging export |
Pricing and a free audit before you choose
Rates for every plan, and what each one includes, are on our pricing page. If you are not sure where the money is stuck, send your claim-level aging export for The Free A/R Deadline Map. What you get: A claim-by-claim list of every unpaid insurance claim over 90 days in the aging report you send: payer, amount, the deadline it faces, the denial reason and the next action, sorted by deadline. Clock starts with your claim-level aging export and signed BAA; above 10 requests in a week, we confirm your date within 1 business day.