Healthcare Billing

Healthcare billing is a comprehensive revenue cycle management service that handles the complex process of translating medical services into properly coded insurance claims, submitting them to payers, and managing follow-up activities to ensure healthcare providers receive timely and accurate reimbursement for patient care.
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Reclaim Health

Reclaim Health

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Min. Group Size

1,000 eligible

Lives Serviced

1,500,000

Average Cost

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Product Description

Reclaim’s AI-powered, claims-driven healthcare financial advocacy solution delivers year-round monitoring of all claims (small and large) and provides human supported proactive financial advocacy, claims-driven benefits recommendations, and robust claims data analytics.
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Benefit Allocation Systems, LLC

Benefit Allocation Systems, LLC

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Founded

1991

Employees

85

Funding Summary

Not Provided

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About Benefit Allocation Systems, LLC

Benefit Allocation Systems (BAS) is a 35-year benefits administration technology company serving employers with complex structures, associations, MEWAs, pools, and trusts through our MyEnroll360 platform.
Our comprehensive services include:

Enrollment & Eligibility Management: Online and assisted enrollment, real-time eligibility updates, member self-service portal
COBRA & Continuation Coverage: Complete COBRA administration including noticing, premium collection, and compliance
Premium Billing & Collection: Direct billing, payroll integration, leave of absence and retiree billing, and automated payment processing
Carrier Coordination: EDI file transmission, reconciliation, and ongoing carrier communication
ACA Compliance Reporting: 1094/1095 forms preparation and filing Show More
Amaze Health

Amaze Health

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Founded

2019

Employees

85

Funding Summary

5M Seed Round

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About Amaze Health

Amaze provides education, tools and resources, including a world-class virtual medical service that ensures every American has their own independent medical partner. Our motto is One Partner, One Platform, One Name to Trust because we combine everything from telemedicine to EAP, workplace injury triage, mental health, and wellness into a single platform with a single partner that's always available and easy to access. The result is lower costs, better care, and an Amazing experience. Show More
Benefitfirst

Benefitfirst

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Founded

01/1991

Employees

1,000,000

Funding Summary

None

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About Benefitfirst

Designed to complement an organization’s culture and benefits administration, Benefitfirst™ combines proprietary technology and support services to streamline an employers’ benefits administration practices. Since 1991, Benefitfirst has leveraged a deep understanding of employee benefits and technology to provide employers with the technology solutions required to communicate, enroll and management complex employee benefits programs - bridging the gap between technology and benefits support while ensuring eligibility accuracy.

Benefitfirst automates and supports an employer’s complete benefit cycle with an unmatched focus on accuracy. Customized to each client and each employee experience, Benefitfirst is built specific to client business... Show More
Sentro

Sentro

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Company Overview

Founded

April 2020

Employees

12

Funding Summary

700K

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About Sentro

Sentro is the operating system for group insurance. We believe that it should be easy for employers to look after their people.

Sentro has customers in Canada, Singapore and New Zealand. We focus on group insurance and group benefits. Insurers, brokers, TPAs and benefit providers use Sentro to efficiently manage products, group plans, billing, enrolment and employer and employee self-service. Sentro is a Microsoft Partner and is platformed on Microsoft Azure. Show More
AdminaHealth

AdminaHealth

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Founded

2014

Employees

0

Funding Summary

Not Provided

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About AdminaHealth

AdminaHealth is a cloud-based provider of a powerful industry-recognized SaaS Billing Suite Platform for the employee benefits and insurance marketplace - automating invoice consolidation, reconciliation, and streamlining payment management. We integrate with leading Enrollment and Benefit Administration systems to ensure accurate premium billing services resulting in significant operational efficiencies. We support all billing types and coverages for small, medium, and enterprise businesses. We are the only billing SaaS platform that is HITRUST and NIST certified. Our goal is to continue to develop solutions that will lower benefit costs while maintaining or improving benefit levels.
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Beneration

Beneration

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Product Info

Min. Group Size

80 eligible

Lives Serviced

405,900

Average Cost

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Each month, Beneration will collect and deliver all carrier/vendor invoices, automate monthly accounting processes, and audit the invoices for accuracy. Every individual invoice will be available on our secure VerifiaBill portal in one... Show More
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WellRithms

WellRithms

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Founded

Employees

0

Funding Summary

Not Provided

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PES

PES

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Founded

2002

Employees

75

Funding Summary

Not Provided

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About PES

PES offers employee benefits technology, administration, education, and virtual care solutions, empowering employees to understand the value of their benefits and make informed decisions. We take pride in our ability to provide our broker partners, employer partners, and their employees, with the best all-in-one employee benefits experience possible. Show More
PlanYear

PlanYear

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Founded

2022

Employees

13,000

Funding Summary

Not Provided

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About PlanYear

PlanYear is a comprehensive benefits solution built for benefits consultants, employers and employees throughout the benefits lifecycle. We help benefits consultants scale their workflows, empower employers to make their mark, and elevate employee experience. Show More
AdvancedMD

AdvancedMD

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Founded

1999

Employees

101

Funding Summary

Not Provided

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About AdvancedMD

AdvancedMD, based in South Jordan, Utah, is a healthcare technology company that employs more than 680 team members. The company offers cloud medical office software to ambulatory medical practices. The company supports independent physicians and their staff with a comprehensive suite of solutions including practice management, electronic health records, telemedicine, patient relationship management, business analytics reporting, and physician-performance benchmarking. AdvancedMD offers a flexible outsourced billing option for practices looking to use a third-party billing company.
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Aptia

Aptia

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Founded

2023

Employees

3,500

Funding Summary

Not Provided

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About Aptia

Aptia is a trusted provider of employee benefits and pensions administration services, with offices in the UK and US, supported by shared services in India and Portugal. It manages programs covering over 7 million people and serving more than 1,100 clients. Aptia delivers efficient and reliable solutions that ensure the smooth management of employee benefits programs and pension plans. Our dedicated team of experts combines in-depth knowledge with leading technology to simplify the administration process. Show More
BillingParadise

BillingParadise

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Founded

2004

Employees

0

Funding Summary

Not Provided

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About BillingParadise

BillingParadise started in 2004 as a small medical billing company with big dreams. We wanted to enable group practices, hospitals, clinics and independent medical practice practices to run a healthcare organization without the pressure of working for a certain bottom-line. BillingParadise pushes the envelope to deliver revenue cycle management services that empowers medical practices to stay on top of financial and regulatory challenges. We’ve tailored our services to align with value based care reimbursement models. Our RCM experts offer guidance on selecting and attaining MACRA regulations. And our RCM automation tools put the power of data in your hands
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Coronis Health

Coronis Health

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Founded

2015

Employees

0

Funding Summary

Not Provided

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About Coronis Health

Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success. With 35+ years of experience, the trusted advisors at Coronis Health provide tailored, data-driven solutions to the following service groups: primary & specialty physicians practices, anesthesiology, laboratory & pathology, behavioral health, emergency medical services, FQHCs & CHCs, and hospitals & surgery centers.
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Kareo

Kareo

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Founded

2004

Employees

0

Funding Summary

Not Provided

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About Kareo

Kareo has joined forces with PatientPop, a leader in practice growth technology to support the connected practice of the future and modernize every step of the patient journey. Together as Tebra, we’re committed to improving the success and wellbeing of patients and providers alike.
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Medefy Health

Medefy Health

4.3 (1)
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Founded

January 2013

Employees

60

Funding Summary

10M Angel Round

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About Medefy Health

At the heart of Medefy's approach is a commitment to real human, real-time support. Our Care Guides work one-on-one with plan members throughout every step of their healthcare journey, from answering benefits-related questions, finding high-quality low-cost care, facilitating appointments, coordinating referrals, transferring records, to reviewing medical bills and more. Show More
Physicians Revenue Group, Inc.

Physicians Revenue Group, Inc.

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Founded

1997

Employees

0

Funding Summary

Not Provided

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About Physicians Revenue Group, Inc.

Physicians Revenue Group, Inc. is a true, full practice management and consulting firm specializing in small to mid-size physician practices. Our mission is to help private practices survive and thrive in the fast-changing health care environment. Our revenue management team can perform billing, credentialing, medical audits, claim filing and follow up, appeals, patient and insurance collection follow up. Our practice management team offers vendor management, marketing, human resource, payroll, and accounting assistance.
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Revele

Revele

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Founded

1999

Employees

0

Funding Summary

Not Provided

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About Revele

Revele is a leading provider of healthcare revenue cycle and electronic health record services. Revele partners with physician groups and health systems to optimize their revenue cycle performance and EHR utilization through a data-driven approach. Since 1999, we've led the industry in implementing technology to enhance the revenue cycle management process. Revele is committed to bringing a full suite of products and services to healthcare to simplify the business of medicine through in-house research and development and strategic partnerships.
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Ampian HR

Ampian HR

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Founded

12/2005

Employees

15

Funding Summary

Not Provided

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About Ampian HR

Ampian HR is a full service PEO. We take the hassle out of your administrative responsibilities, so you can focus on what you love to do.
Our services include human resources, payroll, benefits, risk management and medical billing & coding. Show More
Crumdale Partners

Crumdale Partners

5.0 (1)
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Founded

2014

Employees

0

Funding Summary

Not Provided

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About Crumdale Partners

Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More

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Frequently Asked Questions

What is Healthcare Billing?

Healthcare billing is the process of translating medical services into coded insurance claims, submitting them to insurance companies or government payers, and managing the entire revenue cycle to ensure healthcare providers get paid accurately and on time.

What Services do Healthcare Billing Companies Provide?

Most billing companies offer comprehensive services including medical coding, claim submission, prior authorization, patient eligibility verification, accounts receivable management, payment posting, denial management, appeals processing, and detailed reporting and analytics.

How Much do Healthcare Billing Services Cost?

Most companies charge a percentage of collected revenue, typically ranging from 4-10% depending on practice size, specialty, and services included. Some may offer flat-fee arrangements for larger practices.

How Long does it Take to Transition to a New Billing Service?

Implementation typically takes 30-90 days depending on practice size and complexity. This includes system setup, staff training, credential verification, and workflow integration.

How do Billing Companies Handle Patient Inquiries about Bills?

Most companies can handle patient billing inquiries directly or work with your front office staff. Clear communication protocols are established during implementation.

How do Billing Companies ensure HIPAA Compliance?

Professional billing services must comply with HIPAA regulations, maintaining secure data transmission, staff training, business associate agreements, and regular security audits.

Do Billing Companies work with All Medical Specialties?

Most companies work with multiple specialties, though some specialize in specific areas like cardiology, orthopedics, or mental health. It's important to choose a company familiar with your specialty's coding and billing requirements.

How do I choose the Right Billing Company?

Consider factors like specialty experience, technology platforms, pricing structure, client references, compliance record, and the level of reporting and communication they provide. Request proposals from multiple vendors and check references.

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