- tel:(347) 650-2656
- info@primedocbilling.com
- tel:(347) 650-2656
- info@primedocbilling.com
Prime Doc Billing is a trusted medical billing company in the US that helps healthcare providers improve cash flow, reduce claim denials, and simplify complex healthcare billing. We at Prime Doc Billing support physicians, private practices, group practices, specialty clinics, behavioral health providers, therapy practices, ASCs, and other healthcare organizations across the United States with personalized medical billing and revenue cycle management solutions.
Our personalized approach, dedicated account management, experienced billing professionals, comprehensive RCM support, and commitment to helping healthcare providers make Prime Doc Billing stand out in the medical billing industry. We manage the complete billing process for healthcare practices so providers can spend less time on administrative tasks and more time delivering quality patient care.
Our main purpose is to make medical billing simpler, more efficient, and financially rewarding for healthcare providers. We work as an extension of your practice to provide the expertise, support, and revenue cycle strategies that are needed to minimize billing challenges and create a more consistent cash flow for the practice. Our personalized and results-driven billing solutions specific to each client’s needs make us the best medical billing company in the USA.
Choosing Prime Doc Billing as your dedicated medical billing partner gives your practice access to comprehensive billing expertise without the burden of managing all the administrative and financial tasks in-house. Our personalized billing support ensures that your practice receives solutions that are aligned with provider-specific needs.
The following are the benefits of outsourcing medical billing services to Prime Doc Billing.
1. Faster Claim Processing
Prime Doc Billing ensures faster claim processing, along with carefully managing each claim from submission till payment for accuracy. Our billing experts help reduce delays and give your practice a smoother billing process.
2. Fewer Claim Denials
Our billing team reviews claims for common errors before they are submitted to the insurers. Our billing team ensures a 99%+ clean claim rate to help reduce avoidable denials and improves the chances of healthcare practices getting paid on time.
3. Better Revenue Collection
We track outstanding payments, follow up on the unpaid claim, identify delayed or underpaid reimbursement for better revenue collection. Our consistent follow-up helps practices reduce revenue leakage and maintain better control of their revenue.
4. Less Work for Your Staff
Prime Doc Billing handles all the administrative and billing tasks like insurance verification, coding, claim submission, payment posting and denial follow-up. Our end-to-end billing support reduces administrative workload on your in-house team.
5. Clear Billing Reports
We provide transparent reports that help the practices understand their billing activity and financial performance. Our clear billing reports give better visibility into the billing performance so the practices make informed decisions about their revenue cycle.
6. Support from Experienced Billing Professionals
Prime Doc Billing has professional billers, certified coders, and credentialing experts who understand the depths of the medical billing process. Our team works with healthcare practices to keep the billing workflow organized and consistent.
7. Billing Support That Fits Your Practice
Every practice has different billing requirements based on its specialty, patient volume, payer mix, and internal workflow. Prime Doc Billing provides customized billing and RCM services that support your practice needs along with the assistance with specific tasks.
Highest satisfaction rate in the industry
Reliable and accurate coding standards
Round the clock provider support
Experienced billing professionals who manage claims, payments, denials, and A/R timely and with accuracy.
A dedicated team with hands-on experience across different healthcare billing workflows and all the specialties.
We use AI and data driven insights to identify patterns, improve billing workflows, and support faster revenue collection.
Prime Doc Billing provides flexible billing solutions designed to deliver reliable RCM support without unnecessary overhead costs.
Our billing workflows protect sensitive patient information while maintaining compliance with HIPAA requirements.
Our secure billing processes and controlled access helps the practices protect sensitive healthcare and billing information.
Prime Doc Billing connects key billing workflows to create a smoother RCM process from patient eligibility till the final payment.
Our scalable billing support scales with your practice growth, from solo practitioners to multi-site health centers.
24/7 with portal access that includes real-time collections analytics, daily reports journals and live AR aging reports.
Our billing experts prioritizes measurable billing performance, cleaner claims, reduced A/R, and stronger payment collections.
Prime Doc Billing provides specialty-focused billing support tailored to the workflows, coding requirements, and payer needs of your practice.
We manage every step of our strategic billing with the goal of reducing revenue leakage and improving reimbursement collections.
Prime Doc Billing builds your billing workflows according to the practice size, specialty, payer mix, and operational needs.
Experienced billing professionals who manage claims, payments, denials, and A/R timely and with accuracy.
A dedicated team with hands-on experience across different healthcare billing workflows and all the specialties.
We use AI and data driven insights to identify patterns, improve billing workflows, and support faster revenue collection.
Prime Doc Billing provides flexible billing solutions designed to deliver reliable RCM support without unnecessary overhead costs.
Our billing workflows protect sensitive patient information while maintaining compliance with HIPAA requirements.
Our secure billing processes and controlled access helps the practices protect sensitive healthcare and billing information.
Prime Doc Billing connects key billing workflows to create a smoother RCM process from patient eligibility till the final payment.
Our scalable billing support scales with your practice growth, from solo practitioners to multi-site health centers.
24/7 with portal access that includes real-time collections analytics, daily reports journals and live AR aging reports.
Our billing experts prioritizes measurable billing performance, cleaner claims, reduced A/R, and stronger payment collections.
Prime Doc Billing provides specialty-focused billing support tailored to the workflows, coding requirements, and payer needs of your practice.
We manage every step of our strategic billing with the goal of reducing revenue leakage and improving reimbursement collections.
Prime Doc Billing builds your billing workflows according to the practice size, specialty, payer mix, and operational needs.
Prime Doc Billing is the #1 medical billing company in the United States you can trust with your practice’s medical billing and revenue cycle management process. Our team of certified billing specialists and RCM experts takes the administrative burden off your in-house staff, so you can spend more time delivering quality patient care.
As a leading medical billing company in the United States, Prime Doc Billing partners with physicians, clinics, hospitals, and specialty healthcare practices across the country to streamline every stage of the revenue cycle, from patient registration to accounts receivable follow-up.
Our comprehensive medical billing and RCM solutions are designed to improve revenue performance and reduce claim delays associated with medical billing.
Prime Doc Billing is a Brooklyn, New York based medical billing company, providing comprehensive medical billing and revenue cycle management services to all 50 US states. Our services cover all the steps of the revenue cycle, including eligibility verification, medical coding, claim submission, denial management, A/R follow-up, and payment posting.
Prime Doc Billing is an affordable medical billing company that provides access to experienced billing teams without requiring practices to maintain an in-house billing department. Our flexible pricing approach allows practices to select a model based on their service requirements, workload, and financial capacity.
For comprehensive RCM support, practices can choose our percentage-based model, starting at just 3% of collections, while many medical billing companies charge around 5%-6% or more. Practices that require specific billing resources can opt for our part-time or full-time employee outsourcing. Startups or small practices that seek predictable expenses can choose our fixed-cost model, starting at $500 per month.
Prime Doc Billing offers different pricing options to make professional billing support more accessible without requiring practices to pay for services beyond their current needs.
Prime Doc Billing has served 100+ doctors with a 98% client retention rate, which demonstrates the trust healthcare providers place in our reliable medical billing services. The strong retention rate reflects our commitment to consistent billing support and responsive communication, which makes healthcare providers rely on us for the long term.
Our HIPAA-compliant processes safeguard patient health information (PHI) through secure data handling, encrypted communication, and restricted access to sensitive billing information. At Prime Doc Billing, we integrate these measures into our billing workflows to help prevent unauthorized access and maintain the confidentiality of patient information.
Prime Doc Billing brings 4+ years of hands-on expertise in medical billing, claims processing, denial management, and revenue cycle operations. Our medical billing team applies medical billing knowledge to help healthcare providers maintain efficient billing workflows.
Prime Doc Billing delivers medical billing services with 99% clean claim rate, to ensure billing accuracy. Our medical billing specialists review key billing elements, like coding, charge entry, and claim information, with extreme precision to help healthcare practices reduce billing errors.
Prime Doc Billing covers all the major stages of the revenue cycle, from eligibility verification to denial management and payment posting. Our broad service range allows healthcare practices to manage their billing requirements through one specialized full-service medical billing company.
For comprehensive RCM support, practices can choose our percentage-based model, starting at just 3% of collections, while many medical billing companies charge around 5%-6% or more. Practices that require specific billing resources can opt for our part-time or full-time employee outsourcing. Startups or small practices that seek predictable expenses can choose our fixed-cost model, starting at $500 per month.
Prime Doc Billing offers different pricing options to make professional billing support more accessible without requiring practices to pay for services beyond their current needs.
Prime Doc Billing prioritizes billing activities and stages that directly affect the provider’s revenue and payment collection. Our revenue-focused medical billing team follows up on unpaid claims, manages denials, and works on outstanding A/R to help healthcare practices capture maximum reimbursement.
Prime Doc Billing demonstrates billing performance through measurable results, including $10M+ in annual recurring revenue managed across healthcare providers. These metrics reflect our focus on efficient, accurate, and consistent revenue cycle performance.
Clear communication and transparency are fundamental to Prime Doc Billing’s medical billing approach. We help healthcare providers get complete insight into claims, denials, outstanding A/R, and follow-up activities, so they stay informed about their revenue cycle operations.
Prime Doc Billing aims to submit claims within 24 hours and follow up with clearinghouses or insurance payers within 24-48 hours to verify that claims have been received and submitted correctly. We prioritize timely claim preparation and submission to help prevent unnecessary delays in reimbursement.
Prime Doc Billing provides ongoing dedicated billing support to each healthcare practice that is aligned with their workflow, specialty, and scope of services. Our billing team works closely with providers to manage their day-to-day billing requirements, address issues timely, and maintain consistent support throughout the revenue cycle.
Prime Doc Billing is a trusted and results-driven medical billing and revenue cycle management (RCM) company serving healthcare providers across the U.S. We help healthcare providers simplify the financial operations, improve patient collections, and build a healthier and a more efficient revenue cycle.
Our RCM experts structure the medical billing process around the practice’s specialty, patient volume, workflow and operational requirements, to maintain an accurate and consistent revenue cycle. Our medical billing team stays up-to-date with the developments and payer-specific guidelines in order to make timely informed decisions without affecting the practices that we serve. The specialized knowledge allows us to adapt our billing strategies to the unique requirements of different healthcare specialties.
Prime Doc Billing has a team of certified and experienced medical billers, medical coders, accounts receivable experts, credentialing specialists, insurance verification professionals, and revenue cycle specialists. Our expertise and billing results are reflected in the performance that we deliver to the practices, with a 98% collection rate and over $10 million in revenue generated for more than 100 clients that we have served.
Prime Doc Billing has received positive feedback from US healthcare providers across multiple platforms, such as Google and Trustpilot, along with video testimonials. The testimonials offer an overview of what it is like to work with Prime Doc Billing and the extensive services that we provide to healthcare practices.
“The team at Prime Doc Billing has been a pleasure to work with. They’ve helped us navigate complex billing challenges with expertise and efficiency, and they’re always quick to respond to any questions we have. Their reports are thorough, clear, and easy to understand, which has significantly improved our billing process. We truly appreciate their reliability and support. The management team is friendly, attentive, and consistently goes above and beyond to ensure complete satisfaction. Sincerely Integrative Wellness IV Clinic.”
Integrative Wellness, IV Clinic
“We recently launched a new vascular surgery practice, and Prime Doc Billing has been an exceptional partner from day one. Their team is enthusiastic, energetic, and always available whenever we need support.
Prime Doc guided us through the entire credentialing process with remarkable dedication. Even though we were sometimes delayed in sending documents, their team stayed on top of every insurance company and never let anything fall through the cracks. Thanks to their persistence and expertise, our credentials were approved smoothly.
As we prepare to open our practice, we are extremely grateful for their hard work and professionalism. We look forward to continuing our relationship with Prime Doc for VA services and billing support.
They are truly great people to work with, and we highly recommend Prime Doc Billing to any new or existing medical practice looking for reliable, knowledgeable, and committed billing professionals.”
Vascular Surgery Practice
“The team at Prime Doc Billing has been amazing to work with! They’ve helped us sort through some really tricky billing issues and have always been quick to respond whenever we have questions. Their reports are super detailed and easy to understand, and they’ve made our billing process so much more efficient. We really appreciate how reliable and helpful they are.”
Mindful Paths Testing
“Amazing people amazing team. I personally know Ali and he is the most honest human i have come across, their honesty is what has attracted me towards them. As a pediatrician in NYC, i would say please go to them for any billing services they will never disappoint you!!!!
”
Pediatrician In NYC
“I am delighted to share my outstanding experience with PrimeDoc, a premier medical billing company specializing in verification of benefits, insurance company credentialing, and full interactive daily communication. Their meticulous attention to detail in verifying benefits ensures accurate insurance coverage assessment, enhancing patient satisfaction and streamlining our administrative processes. Their comprehensive insurance company credentialing services have successfully navigated the complexities, broadening our patient base and significantly increasing our revenue streams.
The hallmark of PrimeDoc is their full interactive daily communication. Their commitment to maintaining open and transparent communication channels is truly commendable. Whether resolving billing queries or providing updates on claims, their team is always accessible and responsive. This high level of communication has fostered a sense of trust and reliability, making our partnership with PrimeDoc an invaluable asset.
Moreover, the cost savings we have realized since utilizing PrimeDoc are remarkable. Their efficient processes and proactive approach have minimized claim denials and expedited reimbursements, leading to a substantial reduction in overhead costs and an impressive boost in profitability. The financial stability we have gained through their services has allowed us to invest further in patient care and expand our practice. PrimeDoc stands out as a beacon of excellence in the medical billing industry, and I wholeheartedly recommend them to any healthcare provider seeking top-tier medical billing services.”
Mind Matters Health
“The team at Prime Doc Billing has been a pleasure to work with. They’ve helped us navigate complex billing challenges with expertise and efficiency, and they’re always quick to respond to any questions we have. Their reports are thorough, clear, and easy to understand, which has significantly improved our billing process. We truly appreciate their reliability and support. The management team is friendly, attentive, and consistently goes above and beyond to ensure complete satisfaction. Sincerely Integrative Wellness IV Clinic.”
Integrative Wellness, IV Clinic
“We recently launched a new vascular surgery practice, and Prime Doc Billing has been an exceptional partner from day one. Their team is enthusiastic, energetic, and always available whenever we need support.
Prime Doc guided us through the entire credentialing process with remarkable dedication. Even though we were sometimes delayed in sending documents, their team stayed on top of every insurance company and never let anything fall through the cracks. Thanks to their persistence and expertise, our credentials were approved smoothly.
As we prepare to open our practice, we are extremely grateful for their hard work and professionalism. We look forward to continuing our relationship with Prime Doc for VA services and billing support.
They are truly great people to work with, and we highly recommend Prime Doc Billing to any new or existing medical practice looking for reliable, knowledgeable, and committed billing professionals.”
Vascular Surgery Practice,
“From Burnout to Breakthrough: The RCM Partner My Behavioral Health Practice Needed
After a long and frustrating carousel of over ten billing vendors, I was skeptical about trying another company. Most promised the world and delivered chaos, wasting precious time and money while leaving my practice bleeding revenue. Enter Prime Doc. They’ve been a breath of fresh air.
We’ve only been working together since April, but in just a few months, I’ve already seen more action, clarity, and commitment than I did with any of the previous billing companies. What sets Prime Doc apart is that they didn’t just send one already spread-thin biller—they sent a team. A full RCM squad. That was a game-changer.
I’ll admit I was hesitant about outsourcing offshore. I had concerns about communication, time zones, and patient-facing interactions. But they have far exceeded my expectations. Their team, including Romail, who supports our front office as a virtual assistant, is responsive, professional, and precise. We had a 93% unanswered call rate according to our analytics when we were paying two full time employees 100 hours a pay period to answer our phones. Romail has a 95% answer rate. They’ve handled patient inquiries, completed registrations, and submitted VOBs and PAs accurately and quickly.
Ali, the owner, personally meets with us weekly and brings transparency I didn’t know was possible in billing. He and his team have introduced metrics dashboards that make sense: where we are, what’s working, and what we can expect in the next 7, 14, 21 days. They’ve opened our eyes to codes we weren’t using, optimized existing workflows, and even helped identify areas to recapture revenue we didn’t realize we were missing.
To anyone in behavioral health who’s been burned by billing vendors: I see you. And I can’t recommend Prime Doc highly enough. It’s early, but if this is what the beginning looks like, I’m incredibly hopeful for the future.”
Clarity Psychological Testing
“Our experience with Prime Doc Billing has been outstanding. Their team has consistently demonstrated exceptional support in navigating complex billing issues, offering solutions that are both thorough and effective. They are impressively responsive—quick to answer questions and always available when we need clarification. The reports they generate are detailed, accurate, and delivered in a timely manner, which has greatly improved our operational efficiency. We truly appreciate their reliability and expertise.”
Mindful Paths Testing
“I am delighted to share my outstanding experience with PrimeDoc, a premier medical billing company specializing in verification of benefits, insurance company credentialing, and full interactive daily communication. Their meticulous attention to detail in verifying benefits ensures accurate insurance coverage assessment, enhancing patient satisfaction and streamlining our administrative processes. Their comprehensive insurance company credentialing services have successfully navigated the complexities, broadening our patient base and significantly increasing our revenue streams.
The hallmark of PrimeDoc is their full interactive daily communication. Their commitment to maintaining open and transparent communication channels is truly commendable. Whether resolving billing queries or providing updates on claims, their team is always accessible and responsive. This high level of communication has fostered a sense of trust and reliability, making our partnership with PrimeDoc an invaluable asset.
Moreover, the cost savings we have realized since utilizing PrimeDoc are remarkable. Their efficient processes and proactive approach have minimized claim denials and expedited reimbursements, leading to a substantial reduction in overhead costs and an impressive boost in profitability. The financial stability we have gained through their services has allowed us to invest further in patient care and expand our practice. PrimeDoc stands out as a beacon of excellence in the medical billing industry, and I wholeheartedly recommend them to any healthcare provider seeking top-tier medical billing services.”
Mind Matters Health
“A+ Amazing talented company
Wonderful leadership. Fantastic employees who are communicative, interactive, and go the extra mile ALWAYS for top notch customer service. Super helpful in resolving issues, take ownership of their work, and have deep understanding of medical billing.”
Excellent medical billing service.
Turn your practice’s complex billing processes into a more efficient revenue cycle with Prime Doc Billing’s advanced medical billing services. Our experienced billing team manages claims, denials, A/R, coding, payment posting, and other critical billing functions to help your practice reduce revenue delays and improve payment collections.
Prime Doc Billing is a complete medical billing company in the United States that helps healthcare providers with comprehensive medical billing services. Prime Doc Billing is an all-in-one medical billing company that handles the complete billing process under one roof. Our medical billing services cover provider credentialing, eligibility verification, prior authorization, coding, charge entry, claim submission, payment posting, denial management, appeals, accounts receivable follow-up, virtual assistance and transparent reporting.
Prime Doc Billing works beyond individual billing tasks and identifies the cause of billing challenges of each practice, to give practical solutions that address the problem. Our experienced billing team understands the complexities of the healthcare billing system in the US, which allows us to handle billing issues accurately and efficiently.
We, at Prime Doc Billing, support different specialties, practice sizes, and billing requirements. Our billing specialists tailor the services according to your needs, whether you are a small practice, a growing medical institution or an established healthcare organization.
Prime Doc Billing manages end-to-end revenue cycle management for healthcare providers, with experienced billing professionals and technology-driven billing processes. Our goal is to take over the practice’s billing challenges so the healthcare providers spend more time focusing on patient care rather than dealing with administrative problems.
Following are the medical billing services that Prime Doc Billing provides in the US.
Prime Doc Billing provides end-to-end revenue cycle management services to healthcare providers including claim submission, denial management, accounts receivables, and payment posting. Our RCM support helps healthcare practices improve patient collections while maintaining a more efficient revenue cycle.
Prime Doc Billing offers medical coding services by accurately assigning CPT, ICD-10, and HCPCS codes based on the provider documentation. Our coding experts help practices support cleaner claims and maximum reimbursements.
Our claims submission services help healthcare practices ensure accurate preparation and submission of medical claims to the appropriate payers. Prime Doc Billing’s timely submission helps practices avoid reimbursement delays and missed filing deadlines.
Prime Doc Billing identifies the reason for denial, categorizes the recurring issues and takes corrective action. Our denial management services help healthcare providers reduce preventable denials and recover maximum revenue from unpaid claims.
Our denial management experts provide denial appeals services by reviewing denied claims, attaching required documentation and determining the appropriate appeal approach while maintaining compliance with the payer requirements. Prime Doc Billing generates structured appeals to help practices recover lost revenue.
Prime Doc Billing handles accounts receivable follow-up to focus on unpaid and outstanding claims that require payer action. We consistently follow-up with the unpaid claims to reduce aging A/R and accelerate outstanding revenue collection of health practices.
Our insurance eligibility verification service confirms coverage, benefits, and patient responsibility for healthcare practices. Prime Doc Billing ensures early verification of medical services to help reduce eligibility-related claim denials.
Prime Doc Billing manages prior authorization services by verifying authorization requirements, tracking authorization details, and attaching required documentation. We ensure proper authorization management to help prevent treatment delays and avoidable claim denials.
Our payment posting services accurately record insurance and patient payments, along with adjustments. Prime Doc Billing ensures accurate and timely payment posting to keep the patient accounts up-to-date, which gives healthcare providers transparency with outstanding balances.
Prime Doc Billing reviews claims for coding, demographics, eligibility, or billing errors before submission. Our claim scrubbing services helps healthcare practices identify issues upfront to increase clean claim rates while reducing preventable claim denials.
Prime Doc Billing provides claim rejection management services to healthcare providers to identify and correct claims that are returned before payer adjudication. Our RCM experts ensure claim accuracy before resubmission to help prevent reimbursement delays.
Our charge capture and charge entry services help ensure accurate documentation and timely entry of charges for the services provided to the patients. Prime Doc Billing ensures complete charge capture to help support timely claim submission and prevent revenue leakage of the practice.
Prime Doc Billing provides underpayment recovery services to compare expected and received reimbursements, identify payment discrepancies, and recover missed revenue of the practice.
Our aged A/R recovery services target older outstanding balances to follow up on the claims that require additional payer processing. Prime Doc Billing focuses on recovering outstanding revenue to help reduce aging accounts and improve overall payment collection of the practice.
Prime Doc Billing provides provider credentialing services to help healthcare providers complete credentialing requirements, establish payer participation, and prevent billing disruptions.
Our payer enrollment services help healthcare providers complete the enrollment process with respective insurance payers. Prime Doc Billing ensures accurate enrollment information to help practices support timely reimbursement.
Prime Doc Billing manages patient billing services by preparing patient statements and ensuring transparency and clarity in the communication of outstanding balances. Our RCM specialists ensure clear patient billing to help practices improve patient payment collection.
Prime Doc Billing monitors outstanding patient balances and conducts appropriate follow-up with the patient collections / balance follow-up services.
Prime Doc Billing provides credit balance resolution service to identify, review, and resolve accounts that have excess payments or credits from either insurers or patients.
Our secondary claims billing services help submit eligible remaining balances to secondary insurance after the primary payer has processed the initial payment. Prime Doc Billing ensures accurate secondary billing to help practices recover additional reimbursement before returning excess balance or credit to the patients.
Prime Doc Billing handles claim status follow-up process to track submitted claims with insurance payers. We ensure regular follow-up to identify pending, processed, denied or unpaid claims to support faster reimbursements.
Prime Doc Billing conducts medical billing audit services to review billing workflows, claims, payments, and revenue cycle processes for potential errors or inefficiencies. We identify billing gaps to help healthcare practices improve accuracy and compliance.
Our coding audit and compliance review services help practices examine medical coding against supporting documentation and payer-specific coding requirements. Prime Doc Billing ensures regular coding audits to identify coding inconsistencies and reduce compliance risks for accurate reimbursement.
Prime Doc Billing provides revenue cycle analytics and reporting to give healthcare providers transparency and visibility into medical claims, denials, collections, A/R and other billing metrics. Our RCM team helps providers identify revenue trends and make informed RCM decisions.
Prime Doc Billing provides out-of-network billing services to help healthcare practices manage claims and reimbursement processes when the providers are not contracted with a particular insurance payer.
Prime Doc Billing offers workers’ compensation billing services to healthcare practices that treat patients covered by workers’ compensation programs. Our billing team manages claim-related requirements to help reduce reimbursement delays and workers’ compensation-related claim denials.
Our RCM experts handle refund and overpayment management by reviewing overpayments, credits, and refund requirements to help maintain accurate accounts. Prime Doc Billing helps healthcare practices support cleaner financial records to reduce the risks for external audit.
Prime Doc Billing offers medical billing consulting services to help healthcare practices identify weaknesses within their billing and revenue cycle operations. Our recommendations focus on improving workflows, reducing revenue leakage, and strengthening overall billing performance of the practice.
Our practice management services support all the administrative and financial operations of the practice to improve efficiency and streamline daily operations. Prime Doc Billing assists the practices with billing workflows so the providers and medical staff can focus more on patient care.
Prime Doc Billing provides medical billing virtual assistant services for routine billing and practice tasks. Our virtual assistance helps practices manage workload, improve task completion, and reduce administrative pressure from the in-house staff.
We offer comprehensive medical documentation review services to evaluate the documentation for accuracy before submission. Prime Doc BIlling helps identify missing or inconsistent information that leads to coding issues or claim delays.
Prime Doc Billing assists with medical scribing services to help the practices capture clinical information during patient encounters. Our effective scribing support reduces workload from healthcare providers and allows the physicians to focus on patient care.
Stop letting billing tasks slow down your practice’s revenue. Prime Doc Billing brings all the medical billing services including, billing, coding, claims, denials, A/R, and payment management together under one service, giving you a streamlined way to manage your practice’s entire revenue cycle.
Choosing Prime Doc Billing as your online medical billing company helps reduce administrative workload, improve claim accuracy, and maintain a healthier revenue cycle. We provide end-to-end medical billing and RCM support, designed around each practice’s specialty, size, workflow, and revenue needs.
Our services include Medicare, Medicaid, and commercial insurance billing support, real-time medical billing reports and revenue visibility, and a medical billing dashboard with KPI reporting to help practices monitor financial performance in real-time.
Prime Doc Billing supports healthcare practices with medical billing across Medicare, Medicaid, and commercial insurance payers, to help the providers manage different payer requirements, claim workflows, reimbursement rules, and follow-up processes.
The Centers for Medicare & Medicaid Services (CMS) demonstrates the importance of accurate documentation and billing process by reporting an estimate of the improper payment rate caused due to billing errors. In 2025, the estimated improper payment rate was 6.55% for Medicare Fee-for-Service and 6.12% for Medicaid.
Prime Doc Billing provides practices with ongoing visibility into their billing activity, to help the providers understand the claims submitted, payments received, denials, and outstanding A/R. Real-time medical billing reporting helps the healthcare practices identify errors beforehand, instead of discovering revenue gaps later on.
Prime Doc Billing organizes critical billing information into KPI-focused reporting, to give the practices a clearer view of how their revenue cycle is performing. MGMA (Medical Group Management Association) identifies metrics like denial rate, days in A/R, net collection rate, cash collections, and first-pass resolution as important indicators of the revenue-cycle performance.
provides this Prime Doc Billing applies these indicators to track billing performance, identify revenue leakage, and monitor outstanding accounts to take necessary and corrective actions.
Prime Doc Billing provides a dedicated account manager to help the practices manage their billing needs. The account manager answers billing questions, provides updates, coordinates with the billing team, and helps resolve billing issues. Our RCM experts escalate it to the appropriate team for resolution, if a complex billing problem arises in the RCM process.
We design our performance-driven medical billing solutions to improve revenue, reduce claim denials, and keep the cash flow of the practices consistent. We handle every stage of the billing process from accurate claim submission to A/R recovery to help your practice collect maximum reimbursement and recover lost revenue of the practice.
We maintain a first-pass claim acceptance rate of ≥95% by reviewing claims for accuracy and completeness before submission, to reduce avoidable rejections and speed up the practice’s reimbursement.
Our proactive denial management process targets a claim denial rate of ≤5% to help minimize preventable claim denials to protect your practice’s revenue.
We target a net collection rate of ≥95% by following up on outstanding balances, reducing revenue leakage, and helping practices collect the maximum reimbursement.
Our A/R management strategies aim to maintain average days in A/R at ≤40 days through timely follow-ups to help healthcare practices reduce outstanding balances and maintain healthier cash flow.
We actively monitor aging accounts and prioritize payment follow-ups to keep A/R over 90 days at ≤15% by monitoring aging accounts and prioritizing follow ups on long-outstanding balances before they get out of control.
We review claims and submit them within 24–48 hours of receiving charges, to help practices reduce billing delays and accelerate reimbursement.
We post payments and adjustments within 24–48 hours to keep the accounts accurate and provide timely visibility into practice revenue.
Our experienced billing and coding teams help ensure a 95%+ coding accuracy rate to support compliant claims and appropriate reimbursement.
We investigate the reasons for denial and submit appeals with the necessary documentation to achieve a 50–70% success rate in recovering eligible denied and lost revenue for the practice.
We verify patient insurance coverage and benefits within 24 hours to identify coverage issues before they cause any billing problems.
We ensure accurate charge entry within 24 hours to keep the revenue cycle steady and minimize delays in claim submission..
We support effective patient billing and follow-up processes to help practices collect a 90-95% percentage of patient balances.
Prime Doc Billing provides customized medical billing services for every type of healthcare provider including small practices, solo practices, large practices, new providers, private practices, and family practices all across the United States.
Clinical workflows differ by practice size and structure. A solo practitioner requires hands-off billing to eliminate documentation fatigue, while an enterprise multi-specialty health system demands high-volume clearinghouse EDI bridges and multi-NPI credentialing.We understand the unique need of each type of healthcare provider and their separate billing challenges based on practice size, patient volume, specialty, and payer mix.
Our medical billing services are designed to meet the varying needs of healthcare practices, from establishing efficient billing workflows for new and solo providers to managing high volume claims and complex revenue cycles for larger practices.
Review our specialized practice solutions to see how Prime Doc Billing accelerates cash flow and prevents claim denials.
Small practices often face issues like limited administrative resources, delayed claim submissions, unpaid or denied claims, and difficulty keeping up with the insurance requirements which makes it challenging for the healthcare providers to manage every stage of the billing cycle.
Prime Doc Billing provides end-to-end medical billing services for small practices, without requiring the need to expand their in-house administrative team. Our experienced billing professionals focus on submitting accurate claim submissions and timely follow-up, since the AMA recommends maintaining 95% first-pass claim resolution and less than 30 days in the A/R.
Solo practices often face challenges related to limited administrative support, claim management, eligibility verification, changing payer requirements, delayed payments, and difficulty following up on denied or unpaid claims.
Prime Doc Billing provides comprehensive medical billing services for solo practices to allow independent providers to spend more time caring for patients, rather than handling insurance and billing responsibilities. Our medical billing team helps solo practices maintain proactive denial management, which is particularly important to protect the practice’s revenue, ever since the denial rates reached nearly 12% in 2024.
Large practices often deal with high-volume claim processing, inconsistent payment posting, increasing denial rates, and difficulty tracking outstanding A/R across multiple providers or locations.
Prime Doc Billing provides scalable medical billing services for large practices who handle high claim volumes, multiple providers, and complex payer requirements. We help large healthcare practices manage the growing billing operations with ongoing monitoring and follow-up for consistent reimbursement and stronger financial performance.
Starting a practice with the right medical billing services is essential to avoid potential revenue problems. New providers often face challenges with credentialing delays, payer enrollment, setting up billing workflows, and submitting claims correctly the first time.
Prime Doc Billing provides medical billing services for new providers by creating a structured revenue cycle around the provider’s specialty and workflow. According to the AMA, physician credentialing and enrollment typically takes around 3-4 months for 70% of the surveyed organizations, that is why our medical billing specialists handle timely credentialing to avoid unnecessary delays.
Prime Doc Billing handles medical billing services for private practices by covering the complete revenue cycle from patient eligibility verification to A/R follow-up.
Private practices often face issues related to insurance verification errors, claim denials, delayed reimbursements, and growing accounts receivable. Private practices also have difficulty keeping up with the payer requirements, identifying underpayments, and following up on unpaid claims. We identify issues that affect reimbursement and work closely with each practice to create a reliable, efficient, and results-driven process, while aligning with the operational needs of private practices.
Prime Doc Billing provides specialized medical billing services for family practices, covering all the steps of the revenue cycle, including insurance verification, medical coding, claim submission, payment posting, and denial management.
Family practices manage a wide range of patients, services, insurance plans, and billing requirements, which makes accurate and timely revenue cycle management extremely important. Some of the most common challenges that family practices go through include coding errors, claim denials, eligibility issues, delayed payments, and managing different insurance requirements. Family practices also have limited time to follow up on unpaid claims while handling a high volume of patient care and administrative work.
According to the AAFP (American Academy of Family Physicians), family physicians spend 3.9% of their EHR related time on billing and coding, which adds administrative workload on the busy family practices. Our medical billing team helps reduce the administrative burden by managing the billing processes efficiently and keeping the claims accurate and compliant.
Outsource your medical billing operations to Prime Doc Billing and simplify your revenue cycle with a trusted and results-driven team. We help healthcare providers reduce administrative workload, improve claim accuracy, accelerate reimbursements, and maintain a healthier cash flow while they focus on delivering quality patient care.
Choosing Prime Doc Billing as your medical billing company in the U.S. improves your revenue by 95%, while reducing revenue loss by keeping the denial rates below 5%. We give healthcare providers access to a results-driven medical billing and RCM partner that manages the financial and administrative processes of the practice. Our proactive approach combines certified billing and coding expertise, specialty-specific workflows, and technology-driven medical billing solutions to improve the financial performance of the practice.
The following are the main benefits of choosing Prime Doc Billing as your medical billing company in the United States.
Prime Doc Billing captures and recovers the revenue of the practice through accurate billing, proactive claim management, denial management, and A/R recovery. We focus on going beyond the industry RCM benchmarks by targeting 95% or higher clean claim rate, so the providers collect maximum reimbursement for the services provided to the patients.
Our certified medical billers and coders carefully review each claim for demographics, eligibility, coding, and payer-specific issues before submitting to the payers. We ensure accuracy in billing for first-pass claim acceptance to minimize avoidable rejections and resubmissions.
Prime Doc Billing focuses on timely claim submission, accurate coding, payment posting, and consistent payer follow-up to minimize reimbursement delays. Our RCM experts actively manage outstanding claims and target A/R days within the commonly accepted 30-40 days benchmark to help practices receive payments more efficiently and promptly.
Prime Doc Billing analyzes the reason behind every denial, makes necessary corrections, submits appropriate appeals, and follows up with the insurance payers to recover the maximum eligible revenue of the practice. We identify recurring denial patterns that disrupt cash flow of the practice and implement targeted solutions to prevent them, helping practices maintain a healthier revenue cycle.
Outsourcing to Prime Doc Billing gives healthcare providers access to certified medical billers, coders, A/R specialists, credentialing professionals, and revenue cycle experts. Our dedicated billing experts have the specialized knowledge of CPT and ICD-10 coding, payer policies, claim requirements, reimbursement rules, and A/R management, which enables them to handle complex billing challenges accurately.
Prime Doc Billing provides customized RCM solutions to all the healthcare specialties. We align billing workflows of each specialty with the practice’s services, patient volume, payer mix, and operational needs to maximize the financial performance of the practice.
Prime Doc Billing manages the complete revenue cycle from front end to back end, including eligibility and benefits verification, prior authorization, charge entry, medical coding, claim submission, payment posting, denial management, A/R follow-up, and payment reconciliation. We help healthcare practices maintain a coordinated billing process, instead of managing multiple in-house billing teams.
According to research published in JAMA, the billing and insurance related work consume approximately 13 minutes of healthcare providers ' time per primary care visit. Prime Doc Billing helps reduce the administrative workload for providers by handling the repetitive billing and payer-related responsibilities.
Prime Doc Billing follows HIPAA requirements and applies appropriate safeguards in the billing operations of the practice to help healthcare practices protect sensitive patient information.
Outsourcing medical billing services to Prime Doc Billing gives practices transparency and visibility into their revenue cycle. Prime Doc Billing provides transparent reporting on important RCM indicators such as claim status, denial trends, A/R aging, payment activity, and collection performance, giving providers a clearer understanding of their financial performance.
Building an in-house billing department requires the expenses of recruitment, salaries, training, software, compliance, and staff management. Outsourcing medical billing services to Prime Doc Billing gives the practices access to a complete RCM team without any overhead cost.
Prime Doc Billing offers transparent and affordable medical billing costs with flexible plans that we design according to each practice’s specialty, claim volume, and billing needs. We offer three flexible pricing models: a fixed-cost model starting at $500 per month, a percentage-based model starting at 3% of collections, and an employee outsourcing model that starts at just $12 per hour.
Unlike many medical billing companies that charge around 5%-6% or more of collections, Prime Doc Billing offers a percentage-based option that starts at a lower rate to help practices get access to affordable and fair revenue cycle management support. Whether you are launching a new practice, managing a small clinic, or running a large healthcare organization, our pricing options allow practices to select a model that fits their practice needs.
Most of our clients who are solo or new healthcare providers choose our fixed-cost model since they need a predictable billing cost. Our fixed-cost model provides complete medical billing services for a consistent monthly fee, making it easier for new practices to plan their budgets without worrying about fluctuating billing expenses.
Small and private practices that require comprehensive revenue cycle management including claim submission, payment posting, denial management, and A/R follow-up, often choose our percentage-based model. For a percentage-based model, the billing fee is based on a percentage of the practice’s collections, allowing the cost of billing services to stay aligned with the revenue generated.
Large practices with higher claim volumes or multiple providers often require dedicated billing resources rather than a standard service package. Our part-time and full-time employee outsourcing model gives large practices access to dedicated billing professionals who work as an extension of the existing team.
Prime Doc Billing provides scalable and cost-effective medical billing solutions by offering three pricing options. Each model supports a practice that is at a different stage of growth, helping healthcare providers get access to the right level of billing expertise without paying for the services they do not need.
Prime Doc Billing offers flexible pricing models that our billing experts design to fit the needs, size, and billing requirements of your practice. Whether you need end-to-end revenue cycle management services or require RCM support with specific billing tasks, our pricing options provide the flexibility to choose the pricing model that aligns with your practice and budget.
The following are the flexible pricing models that Prime Doc Billing offers to meet the varying needs and budgets of healthcare practices.
per month
of collections
Prime Doc Billing provides medical billing and revenue cycle management (RCM) services to healthcare practices across all 50 U.S. states. Our nationwide coverage allows healthcare providers to access professional billing support regardless of their location, specialty, practice size, or payer mix. Our billing workflows are customized to the specific requirements of each state, including Medicaid processes, payer requirements, timely filing rules, prior authorization requirements, and insurance regulations.
The following are all 50 U.S. states where Prime Doc Billing provides comprehensive medical billing and RCM services.
Prime Doc Billing provides medical billing services in Alabama by working with Alabama practices that deal with Alabama Medicaid and the Alabama Medicaid Agency. Our team handles the state-specific Medicaid billing and payer requirements based on the practice’s needs.
For Alaska practices, billing often involves Alaska Medicaid and the Alaska Department of Health. Prime Doc Billing provides medical billing services in Alaska by managing claims and other billing work tied to Alaska Medicaid requirements.
Prime Doc Billing provides medical billing services in Arizona by supporting Arizona practices that bill AHCCCS (Arizona Health Care Cost Containment System). We also work around the requirements of AHCCCS health plans and Arizona Medicaid.
Arkansas practices deal with Arkansas Medicaid, ARHOME, and the Arkansas Department of Human Services. Prime Doc Billing offers medical billing services in Arkansas by helping them manage the claims and billing processes while maintaining compliance with the Arkansas state programs.
California medical practices often work with Medi-Cal and the California Department of Health Care Services (DHCS). Prime Doc Billing provides medical billing services in California by handling billing needs connected with Medi-Cal and California managed care plans.
Prime Doc Billing offers medical billing services in Colorado by supporting providers that bill Health First Colorado, which is Colorado’s Medicaid program. We also work with requirements set by the Colorado Department of Health Care Policy & Financing (HCPF).
Connecticut practices bill HUSKY Health and Connecticut Medicaid through the Department of Social Services (DSS). Prime Doc Billing offers medical billing services in Connecticut by helping them manage claims associated with the Connecticut state programs.
Prime Doc Billing offers medical billing services in Delaware by working with practices that bill Delaware Medical Assistance through the Division of Medicaid and Medical Assistance (DMMA). Our team handles billing based on Delaware Medicaid and managed care requirements.
Florida providers often work with Florida Medicaid and Statewide Medicaid Managed Care (SMMC). Prime Doc Billing provides medical billing services in Florida by supporting billing connected with the Florida Agency for Health Care Administration (AHCA) and its programs.
Prime Doc Billing provides medical billing services in Georgia by supporting practices working with Georgia Medicaid and Georgia Families. Our team handles billing requirements set by the Georgia Department of Community Health (DCH).
Hawaii practices work with Med-QUEST, that is Hawaii’s Medicaid program. Prime Doc Billing offers medical billing services in Hawaii by supporting medical billing tied to the Hawaii Department of Human Services and its Medicaid health plans.
Prime Doc Billing offers medical billing services in Idaho by working with the healthcare providers billing Idaho Medicaid through the Idaho Department of Health and Welfare. We help practices manage claims and other state-specific Medicaid billing requirements.
Illinois practices often deal with Illinois Medicaid and the Illinois Department of Healthcare and Family Services (HFS). Prime Doc Billing manages medical billing services in Illinois by supporting billing that involves Illinois Medicaid MCOs.
Prime Doc Billing handles medical billing services in Indiana by supporting practices that work with Indiana Health Coverage Programs (IHCP). This includes billing connected with Healthy Indiana Plan (HIP) and Hoosier programs under Indiana Medicaid.
Iowa providers bill Iowa Medicaid through the Iowa Department of Health and Human Services (HHS). Prime Doc Billing manages medical billing services in Iowa by helping manage claims involving Iowa Medicaid and its managed care plans.
Prime Doc Billing covers medical billing services in Kansas by supporting practices that bill KanCare and the Kansas Medical Assistance Program (KMAP). Our team works with Kansas Medicaid requirements and KanCare managed care plans.
Kentucky practices generally deal with Kentucky Medicaid and the Department for Medicaid Services (DMS). Prime Doc Billing also handles billing issues involving third-party liability (TPL) and coordination of benefits.
Prime Doc Billing supports providers working with Louisiana Medicaid and the Louisiana Department of Health (LDH). This includes billing related to Healthy Louisiana and its managed care plans.
Maine practices work with MaineCare, the state’s Medicaid program. Prime Doc Billing helps handle MaineCare claims and billing requirements set by the Maine Department of Health and Human Services (DHHS).
Prime Doc Billing supports providers billing Maryland Medical Assistance through the Maryland Department of Health (MDH). We also handle billing connected with HealthChoice and Maryland Medicaid managed care.
Massachusetts practices often work with MassHealth, the state’s Medicaid program. Prime Doc Billing helps manage MassHealth billing and claims involving its managed care health plans.
Prime Doc Billing supports practices billing Michigan Medicaid through the Michigan Department of Health and Human Services (MDHHS). Our team also works with CHAMPS and Michigan Medicaid managed care requirements.
Minnesota providers often bill Medical Assistance (MA) through the Minnesota Department of Human Services (DHS). Prime Doc Billing also supports billing under Prepaid Medical Assistance Program (PMAP) arrangements.
Prime Doc Billing works with healthcare practices that bill Mississippi Medicaid through the Mississippi Division of Medicaid (DOM). We also support billing related to MississippiCAN managed care.
Missouri practices often work with MO HealthNet, the state’s Medicaid program. Prime Doc Billing supports MO HealthNet billing and claims involving Missouri Medicaid managed care.
Prime Doc Billing supports healthcare providers that bill Montana Medicaid through the Montana Department of Public Health and Human Services (DPHHS). Our team handles claims and other billing requirements specific to the state.
Nebraska practices often work with Nebraska Medicaid and Heritage Health. Prime Doc Billing helps manage billing under the Nebraska Department of Health and Human Services (DHHS) and its Medicaid managed care program.
Prime Doc Billing supports practices that bill Nevada Medicaid through the Nevada Department of Health and Human Services (DHHS). We handle claims and billing requirements connected with Nevada Medicaid and its health plans.
New Hampshire providers generally bill New Hampshire Medicaid through the state’s Department of Health and Human Services (DHHS). Prime Doc Billing helps manage claims and payer requirements specific to New Hampshire.
Prime Doc Billing supports practices working with NJ FamilyCare, New Jersey’s Medicaid and CHIP program. Our team handles billing connected with New Jersey Medicaid and its managed care plans.
New Mexico practices commonly work with Centennial Care, the state’s Medicaid managed care program. Prime Doc Billing supports billing involving New Mexico Medicaid and the Human Services Department (HSD).
Prime Doc Billing works with practices billing New York Medicaid through the New York State Department of Health (NYSDOH). We also support billing involving New York Medicaid managed care.
North Carolina providers work with NC Medicaid and NC Medicaid Managed Care. Prime Doc Billing helps practices handle billing requirements under the North Carolina Department of Health and Human Services (NCDHHS).
Prime Doc Billing supports practices billing North Dakota Medicaid through the North Dakota Department of Health and Human Services. Our team also works with state-specific Medicaid claim filing requirements.
Ohio practices often work with Ohio Medicaid and the Ohio Department of Medicaid (ODM). Prime Doc Billing supports billing involving Ohio Medicaid and its managed care plans.
Prime Doc Billing supports providers billing SoonerCare, Oklahoma’s Medicaid program. Our team also works with SoonerSelect and requirements set by the Oklahoma Health Care Authority (OHCA).
Oregon practices commonly work with the Oregon Health Plan (OHP). Prime Doc Billing supports OHP billing and claims involving Oregon’s Coordinated Care Organizations (CCOs).
Prime Doc Billing supports practices working with Pennsylvania Medical Assistance through the Department of Human Services (DHS). This includes billing connected with HealthChoices managed care.
Rhode Island providers work with Rhode Island Medicaid and RIte Care. Prime Doc Billing supports billing under the Executive Office of Health and Human Services (EOHHS) and state Medicaid programs.
Prime Doc Billing supports practices billing South Carolina Healthy Connections Medicaid. Our team works with requirements from the South Carolina Department of Health and Human Services (SCDHHS) and its Medicaid plans.
South Dakota practices bill South Dakota Medicaid through the Department of Social Services (DSS). Prime Doc Billing helps manage claims, eligibility, and other state Medicaid billing requirements.
Prime Doc Billing supports providers working with TennCare, Tennessee’s Medicaid program. We also handle billing requirements involving TennCare’s Managed Care Organizations (MCOs).
Texas practices deal with Texas Medicaid, HHSC, and Texas Health and Human Services. Prime Doc Billing also supports billing for programs such as STAR, STAR+PLUS, and STAR Kids.
Prime Doc Billing supports practices billing Utah Medicaid through the Utah Department of Health and Human Services (DHHS). Our team handles claims and payer requirements connected with Utah Medicaid.
Vermont providers often work with Green Mountain Care and Vermont Medicaid. Prime Doc Billing supports billing under Vermont’s Medicaid program and related managed care arrangements.
Prime Doc Billing supports providers working with Virginia Medicaid and DMAS (Department of Medical Assistance Services). Our team also handles billing connected with programs such as Medallion 4.0 and CCC Plus.
Washington practices commonly work with Apple Health, the state’s Medicaid program. Prime Doc Billing supports Apple Health billing and claims involving Washington’s managed care plans.
Prime Doc Billing supports practices billing West Virginia Medicaid through the West Virginia Department of Human Services (DoHS). We also work with Mountain Health Trust and related Medicaid managed care requirements.
Wisconsin providers generally bill Wisconsin Medicaid and BadgerCare Plus through the Wisconsin Department of Health Services (DHS). Prime Doc Billing supports billing under these state programs.
Prime Doc Billing supports practices that work with Wyoming Medicaid through the Wyoming Department of Health. Our team handles Wyoming-specific Medicaid claims, eligibility, and payer requirements.
Prime Doc Billing provides specialized medical billing and revenue cycle management services for healthcare providers of every medical specialty. We understand the unique coding requirements, payer guidelines, documentation standards, reimbursement structures, and billing challenges of each specialty.
From primary care and cardiology to gastroenterology, and other specialties, Prime Doc Billing delivers specialty-specific billing support designed around each practice’s services, patient volume, and operational requirements.
Following are the healthcare specialties supported by Prime Doc Billing.
Orthopedic practices deal with billing for fracture care, joint injections, X-rays, orthopedic surgery, and musculoskeletal conditions. Prime Doc Billing handles medical billing services for orthopedic practices by handling procedure coding, modifiers, claims, and follow-up for orthopedic services.
Prime Doc Billing follows a structured and transparent medical billing process, designed to keep every stage of the revenue cycle accurate, efficient, and trackable for the healthcare practices. Our billing team manages each step carefully to help healthcare practices reduce billing errors, accelerate reimbursements, and maintain a healthier revenue cycle.
Prime Doc Billing establishes a strong billing foundation by managing provider enrollment, verifying payer information, configuring billing systems, maintaining provider credentials, and addressing practice-specific billing requirements for healthcare practices.
Prime Doc Billing verifies the patient’s insurance eligibility, coverage, benefits, copayments, deductibles, coinsurance, and authorization requirements before the services are provided to the patients. We help the practices identify coverage limitations in advance to reduce claim issues caused by inactive insurance or missing authorizations.
Our billing and coding team reviews clinical documentation, assigns appropriate CPT, HCPCS, and ICD-10 codes, and enters charges accurately to minimize errors and improve clean claim submission.
Prime Doc Billing reviews each claim for missing information, coding inconsistencies, demographic errors, and other potential issues, before submitting the claim to the insurance payers. Our billing team then submits the clean claims electronically to the appropriate payer and monitors the claim status to help prevent claim rejections and processing delays.
Once payments are received, Prime Doc Billing posts and verifies the reimbursement against the corresponding claims and patient accounts. Our billing team investigates denied or underpaid claims, submits corrections or appeals if necessary, and follows up on outstanding accounts to recover lost revenue of the practice.
At Prime Doc Billing, we follow all the U.S. medical billing laws, regulations, healthcare program requirements, medical coding guidelines, payer policies, and patient data-protection requirements. Our billing processes focus on accurate claims, proper documentation, correct coding, and compliant handling of protected health information.
The major compliance standards of Prime Doc Billing include the following.
Each state administers its Medicaid program under federal requirements, so billing rules can differ by location and service type. Prime Doc Billing complies with the relevant state Medicaid billing requirements when handling claims for healthcare providers.
Prime Doc Billing works with all the major EHR, practice management, RCM, and clearinghouse platforms to support patient scheduling, charge capture, coding, eligibility verification, claims processing, payment posting, and revenue-cycle management. Our team also works with existing EHR systems of healthcare practices rather than requiring a new platform.
Prime Doc Billing works with every major EHR, practice management, and healthcare platforms to manage medical billing and RCM workflows. Following are some of the most common EHR systems that Prime Doc Billing works with.
We work with CollaborateMD for practice management and medical billing operations.
Our team works with CGM APRIMA across its integrated clinical and practice management environment.
We work with OwlPractice Suite to manage practice and billing activities within the platform.
Our specialists work with RXNT across its EHR and practice management functions.
We work with SimplePractice for practice management and billing within behavioral health and other service-based practices.
Our team works with AxisCare for home care management, including the operational information needed for billing.
We work with Office Ally primarily for clearinghouse and electronic claims functions.
Our specialists work with CharmEHR across its EHR and practice management environment.
We use eClinicalWorks for practice management, patient information, charge entry, and billing workflows.
Our team works with NextGen Healthcare across practice management and revenue cycle workflows.
We work with Jane for practice management and the administrative workflows connected to billing.
Our RCM specialists use PracticeSuite for practice management, charge entry, claims, and billing operations.
We work with Kinnser/WellSky for home health management and the billing workflows associated with home health services.
Our team works with Tebra across its practice management and medical billing environment.
We work with Z Health within its practice management and healthcare workflow environment.
Our specialists work with Opus EHR for EHR-based clinical and billing workflows.
We work with Epic for EHR-based charge capture and the movement of clinical information into billing workflows.
Our team works with athenahealth for eligibility, charge management, claims processing, and RCM activities.
We work with Oracle Health for EHR-based charge capture and revenue cycle workflows.
Our specialists work with Practice Fusion for clinical documentation, charge capture, and billing.
We work with Kareo across its practice management, billing, claims, and patient account functions.
We connect to any clearinghouse via standard ANSI 837/835 EDI protocols or custom SFTP gateways in under 48 hours.
Frequently Asked Questions
A medical billing company manages the administrative and financial processes that are involved in submitting healthcare claims and collecting payments or reimbursements from insurance companies and the patients. Medical billing companies manage all stages of the revenue cycle, including patient eligibility and insurance verification, charge entry, medical coding, claim submission, payment posting, denial management, and accounts receivable follow-up.
Medical billing companies help healthcare practices reduce billing errors, avoid unnecessary claim delays, and maintain a more organized revenue cycle, by managing the administrative responsibilities.
A medical billing company takes care of the time consuming medical billing and revenue cycle management tasks, to allow healthcare providers and their staff to focus more on patient care. The professional billing support also helps practices improve claim accuracy, manage denials, monitor A/R, and maintain consistent billing workflows of the practice.
Yes, a medical billing company handles claims reimbursement through payer follow-up, payment posting, and reimbursement reconciliation. Prime Doc Billing provides end-to-end billing and RCM services covering all the stages to maximize reimbursement.
Yes. Medical billing companies manage claim denials by reviewing denied claims, identifying issues, making necessary corrections, following up with the A/R team, and preparing timely appeal claims when appropriate.
Medical billing focuses on getting healthcare providers accurate and timely reimbursement for the services provided to the patients. Medical billers use patient information and medical codes to prepare and submit claims to the insurance companies. Medical billing experts also handle payment posting, claim follow-ups, denial management, and accounts receivable to help the practices receive maximum reimbursements.
Medical coding refers to the reviewing of clinical documentation and translating of medical services, diagnoses, procedures, and treatments into standardized medical codes. Medical coders carefully examine patient records to determine the appropriate codes based on the services provided to the patients. Accurate coding helps prevent coding errors, claim denials, billing problems, and potential compliance issues.
Prime Doc Billing offers all the medical billing services including, medical billing, medical coding, revenue cycle management, accounts receivable management, denial management, credentialing, insurance benefit verification, prior authorization, practice management, medical scribing, virtual assistance, and workers’ compensation billing.
Yes, Prime Doc Billing provides comprehensive RCM support that extends beyond basic claim submission. Our services include coding, denial management, A/R management, payment-related workflows, KPI reporting, credentialing, prior authorization, and other back-end revenue cycle functions.
Yes, Prime Doc Billing provides billing and RCM support as an outsourced service, allowing practices to use our billing professionals without maintaining an in-house billing team. We also offer employee outsourcing through full-time and part-time staffing models.
Outsourcing medical billing to Prime Doc Billing helps practices reduce administrative workload and get access to specialized billing, coding, A/R, and denial management expertise. Prime Doc Billing also offers customized service models, dedicated teams, KPI reporting, and HIPAA compliant medical billing operations.
Prime Doc Billing manages the complete billing process through certified coders, professional billers, credentialing experts, and dedicated AR specialists. Our team follows defined workflows and SOPs to manage each stage of the revenue cycle, including eligibility verification, coding, claim submission, payment posting, denial management, and A/R follow-up.
We focus on accurate CPT and diagnosis coding, timely claim submission, denial prevention, appeals, and reducing A/R aging. Our AR specialists follow up with the payers on unpaid and underpaid claims to help recover lost revenue of the practice. Prime Doc Billing also reviews payer performance and contract terms when necessary and identifies opportunities for contract renegotiation.
With years of experience supporting healthcare practices, our team coordinates these processes to keep your billing process organized, reduce revenue leakage, and help practices improve the payment collections.
Prime Doc Billing supports 35+ healthcare specialties, including primary care, cardiology, dermatology, orthopedics, pediatrics, physical therapy, ABA therapy, ASC, internal medicine, nephrology, podiatry, home health, gastroenterology, and others.
Yes, Prime Doc Billing provides medical billing services to individual doctors, private practices, nurse practitioners, laboratories, hospitals, and other healthcare organizations. We design our service models to accommodate each type of healthcare practice, no matter the size and needs.
The top 5 medical billing companies in the United States are Prime Doc Billing, CureMD, RapidClaims, Advanced MD and DrChrono.
1. Prime Doc Billing
Prime Doc Billing applies a practice-specific approach to medical billing rather than treating every healthcare organization the same. We work around the provider’s specialty, payer mix, workflow, and billing requirements to build a revenue cycle process that fits each practice. Our team supports practices with every stage of the revenue cycle, including eligibility verification, prior authorization, coding, claims, payment posting, denials, A/R follow-up, credentialing, and reporting.
2. CureMD
CureMD offers medical billing and revenue cycle management services along with the electronic health records and practice management solutions. CureMD serves healthcare practices across various specialties and provides technology-based tools to manage billing activities.
3. RapidClaims
RapidClaims focuses on technology-based solutions for healthcare claims and revenue cycle processes. RapidClaims uses automation to support medical coding, claims processing, and claims review. The company primarily emphasizes on reducing manual work and improving the efficiency of claims-related tasks.
4. Advanced MD
AdvancedMD provides cloud-based practice management and medical billing solutions for healthcare practices. AdvancedMD combines billing capabilities with EHR and practice management tools, to help practices manage several administrative functions through one platform.
5. DrChrono
DrChrono provides medical billing and revenue cycle management services as part of their broader healthcare technology platform. DrChrono gives healthcare practices a centralized system for managing clinical and administrative activities while providing additional support for billing and reimbursement.
While each company offers different billing and technology solutions, Prime Doc Billing focuses on providing personalized medical billing and revenue cycle support based on the individual needs of healthcare practices. Healthcare practices get access to an experienced billing team that handles essential revenue cycle tasks and follows up on claims, denials, and outstanding accounts.
For practices that are looking for a combination of experienced billing support, specialty-focused services, technology-driven processes, and flexible medical billing solutions, Prime Doc Billing offers an end-to-end medical billing solution, designed around the practice’s workflow and revenue cycle needs.
The top qualities of a trusted medical billing company includes a team of experienced billing and coding professionals, accurate claims processing, proactive denial and A/R management, HIPAA compliant billing processes, transparent reporting, responsive communication, specialty knowledge, and flexible service options.
Choosing the best medical billing company in the U.S. starts with comparing the companies based on their experience with your specialty, payer mix, technology, service scope, reporting, compliance practices, pricing model, communication structure, and client references.
You should look for a medical billing company that offers the services your practice actually needs, understands your specialty, provides clear performance reporting, follows appropriate security and compliance practices. A medical billing company also needs to have a defined process for handling denials, A/R, escalations, and patient communication.
You should ask about pricing, contract terms, services included, EHR compatibility, HIPAA safeguards, reporting frequency and KPIs before hiring a medical billing company. You also need to clarify account management, onboarding, and how the company will handle the transition from your current billing process.
Healthcare providers trust Prime Doc Billing for our medical billing process that is built around measurable performance and consistent revenue. Our team of certified billing and coding professionals support 100+ providers across all the 50 states, with experience in 35+ medical specialties. We review more than 1000 claims every month and monitor each claim from submission till payment. Prime Doc Billing helps identify claim rejections, denial, delayed payments, and outstanding balances before they impact the practice’s revenue.
Prime Doc Billing offers a specialty-specific approach to revenue cycle management, with 4 years of experience in medical billing and coding across family medicine, internal medicine, cardiology, dermatology, endocrinology, oncology, orthopedics, gastroenterology, psychiatry, and pain management. Our team applies payer-specific coding guidelines, payer requirements, and billing challenges for each specialty, instead of using a standardized billing workflow for every practice. The specialty-specific approach helps the practices identify and address specialty-specific billing issues, while keeping the billing process aligned with each provider’s specific needs. take an active approach to managing denied and rejected claims. Our billing team handles approximately 1000 denied or rejected claims every month, reviews the reason for nonpayment, and follows up with the payer to resolve it.
Yes, Prime Doc Billing is a HIPPA compliant medical billing company as we use security controls, access restrictions, encryption, staff training, compliance audits, and all the necessary safeguards to protect the sensitive patient information.
Prime Doc Billing protects patient and financial data by using security measures including encryption, access controls, firewalls, monitoring, staff training, and compliance procedures.
Prime Doc Billing ensures medical billing compliance by maintaining billing and coding processes around the necessary healthcare requirements. Our team receives regular HIPAA and compliance training, along with the internal audits and ongoing monitoring.
HIPAA compliance is important for medical billing companies because of the handling of protected health information, including patient demographics, diagnoses, insurance information, and medical claims.
Our pricing depends on the practice’s specialty, size, billing volume, services required, and selected service model. We offer flexible pricing options, including percentage-based billing and part-time or full-time employee outsourcing, allowing practices to choose an arrangement that fits their needs.
The services included in Prime Doc Billing’s medical billing fee depend on the selected package or service arrangement. The pricing models that you select outlines the specific billing, coding, A/R, denial management, reporting, and other RCM services included in the agreement.
Yes, Prime Doc Billing customize our pricing and service structure according to the practice’s specialty, workload, patient volume, revenue cycle requirements, and services required.
No, Prime Doc Billing does not require a long-term medical billing contract. We offer customized medical billing solutions according to the practice’s needs so they don’t end up paying for the services they do not require.
The minimum contract period with Prime Doc Billing is one year. However, there is no long-term binding requirement, and clients can end the agreement at any time by providing 30 days’ notice. There is no penalty for ending the service during the contract period.
Yes, a healthcare practice can cancel the Prime Doc Billing services, subject to the termination and notice terms included in the applicable service agreement. We recommend reviewing the terms before starting services so both parties have a clear understanding of the process, responsibilities, and applicable conditions. You can also review our Privacy Policy, Cancellation Policy, Refund Policy, and other legal Terms and Conditions before engaging our services.
Yes, the medical practice retains ownership of its billing and patient data. The practice remains responsible for maintaining its patient and billing records, while Prime Doc Billing manages the data only as needed to provide the agreed-upon medical billing and revenue cycle management services.
Yes, we, at Prime Doc Billing, encourage practices to review the service agreement before beginning the engagement. The agreement outlines important details including services, responsibilities, pricing, confidentiality, data handling, and termination terms.
We begin by reviewing your existing billing workflow, systems, outstanding claims, A/R, payer information, and current processes. Our team then establishes the required workflows and access before taking over the agreed billing functions, to make the transition as organized and seamless as possible.
Prime Doc Billing provides billing and revenue-cycle reports that give healthcare practices clear visibility into claims, payments, denials, A/R, collections, and other back-end billing activity. We structure the reports according to the services and performance metrics relevant to your practice.
Healthcare practices can monitor KPI metrics, including clean claim rate, denial rate, days in A/R, A/R aging, collection rate, payment trends, claim turnaround, and first-pass resolution to evaluate Prime Doc Billing’s performance. These metrics help practices understand billing performance and identify areas that require attention and improvement.
Yes, we provide a dedicated account manager to each practice, helping them manage their billing needs, receive updates, communicate concerns, and coordinate with the appropriate billing teams.
Existing clients can contact their assigned account manager and use the communication channels that we provide during onboarding. Our team coordinates billing questions, requests, and issues with the appropriate department.
You can also contact Prime Doc Billing via
Call: (347) 650-2656
Whatsapp:
Email: info@primedocbilling.com
Yes, the clients can schedule regular revenue cycle review meetings according to the practice’s needs and service arrangement.
We review the concern with the appropriate team to understand the issue and determine the appropriate resolution. Prime Doc Billing escalates complex matters to the relevant department or management team for additional review.
Yes, we have a verified Google Business Profile with 5 star reviews.
Our clients describe Prime Doc Billing as responsive, reliable, and knowledgeable, particularly when we are handling complex billing and credentialing needs. They also highlight our clear reporting, consistent communication, attention to detail, and willingness to provide ongoing support in their billing and practice operations.
Yes, our video testimonials are provided by identifiable healthcare clients who have firsthand experience working with Prime Doc Billing. In their testimonials, clients describe Prime Doc Billing as a knowledgeable and professional medical billing company and highlight the smooth transition process, which was completed in just two weeks, rather than the one-month transition period they had initially expected.
TrustPilot and Yelp publish reviews of Prime Doc Billing, where clients share their experience with our medical billing and revenue cycle management services. These reviews provide insight into how healthcare providers experience our communication, billing support, claim management, and overall RCM service. We encourage our potential clients to review feedback from different sources when evaluating a medical billing company and then decide whether the billing services are a good fit for their practice.
Yes, we publish case studies that include baseline data, time periods, and measurable results. Our company profile documents client success stories with a clear before-and-after performance data.
In a March 2024 neuropsychology practice case study, the practice had monthly collections of approximately $65,000 before partnering with Prime Doc Billing. After an audit identified missed CPT codes, we optimized the coding and billing strategy and supported credentialing for new clinicians. Prime Doc Billing increased the average monthly collections to $115,000 within months.
Another case study covers a multi-specialty practice experiencing cash-flow problems, increasing A/R, front-office inefficiencies, and unresolved claims during an EHR transition. Prime Doc Billing’s RCM and virtual assistant teams addressed the operational and billing issues. The practice’s 90+ day A/R decreased from 65% to 49%, clean claim rate improved to 97%, and denial rate decreased from 15% to 7%. Prime Doc Billing, overall, increased the monthly collections from $40,000 to $80,000 for that multi-speciality practice.
Prime Doc Billing offers comprehensive RCM services, flexible outsourcing models, specialty-specific support, dedicated account management, and billing performance reporting. Pricing and contract terms vary between practices, so we encourage the healthcare providers to compare proposals based on the services, billing support, reporting, and responsibilities included.
Yes, Prime Doc Billing works with your existing EHR system by adapting our billing workflow to the technology used by the practice.
No, you do not need to change your existing software or EHR to work with Prime Doc Billing. Our team works within your current system, depending on its capabilities and the access available to our billing team.
We work with all the major EHR and practice management systems, including Practice Fusion, CollaborateMD, CGM APRIMA, RXNT, and Owl Practice.
Yes, Prime Doc Billing can integrate with your current practice management system by reviewing the system, accessing requirements, workflow, and available functionality to establish an efficient billing process.
Our billing team adapts billing workflows across different EHR platforms by following the system’s available processes for accessing patient information, entering charges, submitting claims, reviewing claim status, posting payments, and managing A/R.
Yes, we provide clear reporting and revenue cycle visibility that allows practices to monitor billing activity and key performance areas such as claims, denials, payments, collections, and A/R.
Prime Doc Billing tracks and reports medical billing KPIs like clean claim rate, denial rate, days in A/R, A/R aging, collection rate, first-pass resolution, payment trends, and claim activity, depending on the services selected.
We establish a reporting schedule for healthcare practices to give them a required level of visibility that is needed to monitor the revenue cycle.
We evaluate billing performance using relevant revenue cycle KPIs, claim activity, denial trends, A/R performance, collections, and reimbursement activities to identify the areas for improvement.
Prime Doc Billing helps improve revenue cycle performance by focusing on accurate coding and claims, timely submission, proactive denial management, A/R follow-up, payment posting, and ongoing performance monitoring.
Prime Doc Billing has a team of 4+ years of experienced billing and coding professionals who establish workflows, review documentation, and check billing claims for quality and accuracy.
There is no single billing deadline that applies to every medical claim in the United States. We follow the payer specific requirements while submitting medical claims, since timely filing requirements vary by payer, contract, state, and claim type.
Medical companies maintain and keep billing records based on the type of record, applicable federal and state requirements, payer contracts, and the healthcare organization involved.
There is no universal retention period for every medical billing record. The appropriate retention period depends on applicable federal and state requirements, payer requirements, and the type of record being maintained.
The healthcare practice is responsible for maintaining the patient and billing records, even when they outsource the medical billing services to a third-party company. The billing company accesses and manages the billing information as part of its services, but the practice remains responsible for keeping its records accurate, complete, and properly maintained.
Yes, our medical billing and RCM teams at Prime Doc Billing can organize the medical billing documentation required for claims, coding, A/R, denials, payments, and other revenue cycle activities, for efficient medical billing processing.
You can contact Prime Doc Billing for medical billing services on these platforms.
Prime Doc Billing’s regular operating hours are Monday through Friday, from 8:00 AM to 6:00 PM. Our sales and support teams are available until 10:00 PM to assist with inquiries and support requests.
Prime Doc Billing is physically located on 1765 E 48th St, Brooklyn, NY 11234, United States. The company is located near Power Playground in the Flatlands neighborhood of Brooklyn.
Yes, Prime Doc Billing provides medical billing and revenue cycle management services to healthcare practices across all 50 U.S. states.
You can request a medical billing consultation from Prime Doc Billing by either calling us on (347) 650-2656, emailing us on info@primedocbilling.com, or scheduling a free demo on our website. Once we receive your request, a member of our team will get in touch with you at the earliest to discuss your practice’s billing needs and requirements.
Prime Doc Billing starts managing your medical billing process as soon as possible, after we connect with you and discuss your practice’s requirements, needs, expectations, terms and conditions, and all the contractual formalities in a consultation.
