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For independent practices, 1 to 5 providers

Medical billing software for small practices

Keep billing in-house. Keep the 4 to 10 percent of collections an outsourcing service would take off the top, every month, forever. Your existing front desk plus software that catches the mistakes beats a billing vendor in another state.

30-day free trial · No credit card · No sales call

Do the math first

What 6 percent of your collections actually costs

The outsourcing pitch is always the same: increase your revenue 30 percent, no setup fees, we do not get paid until you get paid. The number that never appears in the pitch is the percentage. Outsourced billing runs 4 to 10 percent of monthly collections, with 5 to 8 percent most common, and Tebra's 2022 survey of billing companies found 6 to 7 percent the single most common band. So price it at 6.

On $50,000 collected per monthOutsourced at 6%In-house on the Team plan
Cost per month$3,000$149, billed annually
Cost per year$36,000$1,788
Cost over three years$108,000$5,364
If collections grow to $70,000 a month$4,200 a monthStill $149
Who works your denialsTheir queue, their prioritiesYour staff, same day
Where the payer knowledge livesWith the vendorIn your practice

The in-house column assumes what most 1 to 5 provider offices already have: a front desk person or office manager who can give billing part of their week. You are already paying for that time. The percentage fee, by contrast, is new money leaving the practice every month, and it grows automatically as you do. A one-provider office with one person on billing can run the Solo plan at $79 a month, which makes the gap wider still. The full percentage data is in our breakdown of what billing companies charge.

The honest caveat. If nobody on staff can give billing even a few hours a week, outsourcing can genuinely win at very low claim volume. The calculator does not care which answer helps us. It shows the break-even on the page, no email required.

Why the software matters

In-house only works if your claims go out clean

The case for outsourcing rests on small practices making expensive mistakes. Take the mistakes away and the case collapses. That is the whole job of scrubbing, eligibility checks, and deadline tracking.

$25

Average administrative cost to rework a single denied claim. Reworking ten a month is a car payment.

Source: AMA
5%

Industry-average claim denial rate. On $50,000 of monthly charges, that is $2,500 stuck in limbo every month.

Source: HFMA benchmark
14-30

Days a clean electronic claim typically takes to pay. Rejections and denials restart that clock from zero.

Source: typical payer windows

No billing expertise required to start

Built so the staff you already have can run it

The scrubber is the billing expert on staff

Nobody in your office needs to know that mismatched demographics reject at the clearinghouse or that two therapy codes billed together get bundled without a modifier. Every claim runs through scrubbing rules built from real rejection data before it leaves. Problems come back as plain-English flags with the fix spelled out, while the claim is still yours to correct.

  • Demographics, eligibility, and code pairing checked on every claim
  • Flags say what is wrong and what to do, not just an error code
  • Timely filing deadlines tracked per payer, automatically

See everything the scrubber checks →

Pre-submission scrub1 flag
99213 · J. KowalskiMedical Mutual · DOS 07/02CLEAN
99396 · D. HarrisAnthem · DOS 07/02FLAG
90837 · S. NguyenCareSource · DOS 07/01CLEAN
Patient DOB does not match the eligibility response. Mismatched demographics reject at the clearinghouse. Fixing it here takes ten seconds. Finding it on a rejection takes two weeks.
Front desk eligibility · today1 inactive
M. Rivera · 9:00 AMAetna PPO · copay $30ACTIVE
P. Walsh · 9:20 AMMedicare B · deductible metACTIVE
K. Adams · 9:40 AMUHC · plan termed 06/30INACTIVE
Coverage ended last week. Ask for the new card at check-in and the claim goes out right the first time. Find out on a denial and you are chasing the patient for the balance in September.

Eligibility checks happen at the front desk, not after the visit

Most small-practice denials are decided before the provider ever sees the patient: termed plans, wrong payer on file, unmet deductibles nobody mentioned. Run eligibility when the patient books or checks in and the front desk sees active or inactive, copay, and deductible on one screen.

  • Batch-check tomorrow's whole schedule in one pass
  • Copay and deductible shown at check-in, so you collect it
  • Inactive plans caught while the patient is still standing there

Migration is free, and it is measured in days, not months

Switching is the part every office dreads, so we removed the bill for it. Patients, payers, fee schedules, and codes import from CSV and 837 files, migration help is included free on every plan, and most practices are working in the new system within a day. Month to month, no contract, so the exit door stays unlocked too.

  • Free data migration on every plan
  • Imports from CSV and 837 files
  • No setup fees, no contract, cancel anytime
Data importComplete
Patients1,246 records · CSVDONE
Payers + fee schedule34 payers · 410 codesDONE
Open claims88 claims · 837 fileDONE
Imported Tuesday night. Wednesday morning the front desk ran eligibility on the full schedule in the new system.

For the practice manager

The whole business on one phone screen

When billing is outsourced, you learn what happened at month-end, in a report formatted by someone else. In-house on our platform, the practice manager opens the iOS app and sees collections, days in A/R, and every open denial with a dollar value on it, right now.

  • Collections this month and days in A/R, without asking anyone
  • Open denials listed with dollar amounts and deadlines
  • Push alert when a big remit posts or a denial lands
  • Eligibility status for tomorrow's schedule, checked before you leave

Coming to the App Store · Early access accounts get founding pricing

Small practice questions

What every 1 to 5 provider office asks

Is it cheaper to outsource billing or keep it in-house?

Outsourced services charge 4 to 10 percent of monthly collections, with 5 to 8 percent most common. On $50,000 collected that is $2,000 to $5,000 a month against a flat $79 to $149 for software plus staff time you mostly already pay for. Past low volumes, in-house wins. At very low volume with no staff time at all, outsourcing can still make sense. Run your own break-even, and see the full percentage benchmarks.

We have no certified biller. Can we really do this ourselves?

Yes. The scrubber checks demographics, eligibility, code pairing, modifiers, and timely filing on every claim and explains each flag in plain English, so a front desk person or office manager can run day-to-day billing. Certification and experience still help on appeals and complex coding decisions, but they are not the price of admission anymore.

How long until our claims actually pay?

A clean electronic claim typically pays in 14 to 30 days, per typical payer windows. Rejections and denials restart the clock, which is why front-end scrubbing is worth more than any back-end hustle. If you are fuzzy on the difference, read rejected vs denied claims, and keep the timely filing cheat sheet handy.

What does switching cost, and how long does it take?

Migration is free on every plan. Patients, payers, fee schedules, and codes come over from CSV and 837 files, and most practices are working in the new system within a day. Plans are month to month with no contract, so you are never trapped on either side of the move.

All questions, answered →

Keep the billing. Keep the $3,000.

Start the trial tonight, import your data tomorrow, and send your first scrubbed claims before an outsourcing rep would have returned your call.

30-day free trial · No credit card · Cancel anytime