Questions, answered properly.

Because the alternative is quoting each practice whatever we think it will pay. We would rather you knew before you called. It also means we cannot discount our way out of a performance problem, which is a useful constraint to put on ourselves.

Compared to the 2.49% advertisements, yes. Compared to a full-time biller at roughly $52,000 plus benefits, software and the cost of turnover, no — that is already around 5.5% of a $1M practice before you have paid for anything else. The real question is not the rate, it is your net collection rate after the rate.

We track it and we will show you ours during the audit. But we would rather be judged on your net collection rate and your days in A/R, because those are the two numbers we cannot quietly define in our own favour. Clean claim rate is measured differently by every company, self-reported by all of them, and audited by none.

It is what you collected divided by what you were allowed to collect after contractual adjustments. It captures every leak at once — denials never appealed, underpayments never noticed, patient balances that aged out, claims that passed timely filing. A practice can run a 98% clean claim rate and an 87% net collection rate simultaneously, and that gap is real money.

No. We work inside whatever you already use — Epic, athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, NextGen, SimplePractice, TherapyNotes, CareCloud, WebPT and most others.

Ten business days from signed agreement to first clean claim in a typical case, depending on how fast system access and payer enrollments clear. We run parallel with your existing process throughout, so there is no date on which claims can fall between two systems.

They keep moving and stay tracked until they pay or are appealed. There is no hard handoff, which is the usual point of failure when practices switch billers.

Yes, as a separate recovery project at 12% of what we recover. If we recover nothing, you pay nothing. During the audit we will tell you what is realistically collectible and what is already dead.

You do, and it is written into the agreement. Patient data, financial data, all of it. On exit you get a complete export within ten business days or your final month is refunded.

Thirty days' notice, no penalty, no termination fee. We will also do an exit call with your incoming biller, because your patients should not absorb the cost of us losing an account.

Yes, on a dedicated line during business hours. Billing questions should not be your front desk's problem.

Yes — a signed business associate agreement before any access, encrypted transmission and storage, role-based permissions, logged audit trails and annual staff training. Every company in this industry says this sentence. Ask us to walk you through the specifics; that is where the claim and the practice separate.

No. Small practices often benefit most, because one biller out sick is a two-week gap in submissions. The comparison that matters is our rate against the fully loaded cost of doing it in-house, not our rate against zero.

Submission timing and clean-claim performance improve in the first month, because those are process changes. Denial rate and days in A/R move over one to two quarters, because they depend on fixing stages upstream of billing. Aged A/R recovery is slower and depends entirely on what is still collectible.