Connect with leading medical billing companies that help healthcare providers and organizations improve cash flow and increase profitability. All featured companies have been vetted by our expert team to help you make an informed choice.  

Our evaluation process includes a thorough analysis of factors such as certifications, client feedback, pricing and portfolio to provide you with a list of the best medical billing agencies. This will guide you in the complex landscape of healthcare billing and coding in 2024. 

What Are Medical Billing Companies?

Medical billing companies provide healthcare firms with a range of revenue cycle management services to optimize financial performance and increase profitability. These companies specialize in claim submission, coding accuracy, denial management, payment posting, patient billing, reporting and more.

Top medical billing agencies use the latest technology and security features to ensure data accuracy, privacy and compliance with healthcare regulations. They also offer customized solutions tailored to the specific needs of healthcare providers, whether they are solo practitioners or large organizations.

Our Picks for the Best Medical Billing Companies in 2024

24/7 Medical Billing Services: Best Overall

24/7 medical billing services agency

  • Minimum project price: Inquire
  • Hourly rate: $8
  • Founded: 2016
  • Services: Medical coding, credentialing, denial management, eligibility verification and more

24/7 Medical Billing Services is the best medical billing company that provides high-quality medical billing services, backed by a team of proficient billers and coders with over 10 years of experience. They excel in assessing and addressing reasons for claim denials, resubmitting claims and ensuring timely reimbursements 24/7.

  • Why We Chose Them: They specialize in various medical specialties, using advanced technology and software such as AdvancedMD, Allscripts PM, AthenaCollector, Centricity Group Management, eClinicalWorks, HealthFusion, Vericle, etc. Their 99% clean claim standard and 100% HIPAA compliance show their commitment to prioritizing the safety and confidentiality of patient data. They have partnered successfully with healthcare providers, improving revenue cycle management and resulting in a 20% increase in reimbursements, particularly for mental health providers.
  • What You Should Consider: Since medical billing services vary, companies planning to partner with 24/7 medical billing service providers should walk the agency through the requirements. Clients should have a clear understanding of their billing needs to ensure they receive the best services possible.
  • Who Are They For: This medical billing company caters primarily to doctors, practitioners, billing corporations, insurance companies and more.

P3 Healthcare Solutions: Best for MIPS Consulting

P3 healthcare solutions agency

  • Minimum project price: $1,000
  • Hourly rate: $20
  • Founded: 2015
  • Services: Healthcare digital marketing, healthcare software development and more

P3 Healthcare Solutions is one of the best medical billing providers earning their reputation for providing high-grade solutions, including MIPS support. They have over 500 satisfied clients and are recognized by noteworthy publishing sources such as NBC, MarketWatch and Fox News.

  • Why We Chose Them: They have helped their clients optimize their revenue cycle management through efficient medical billing processes, HIPAA compliance and MIPS reporting for incentives and bonuses. With 100+ successful projects, this medical billing company provides a wide range of healthcare IT solutions, from revenue cycle management to ensuring smooth RCM via the best pathology practices. This medical billing company has also been recognized and listed under CIMS qualified registry from 2016-2022 and honored to become a MIPS Qualified Registry in the years 2016, 2017, and 2018.
  • What You Should Consider: Those requiring more than one service from PH3 should request a quotation. This will ensure that they can accommodate your needs according to budget.
  • Who Are They For: P3 Healthcare Solutions serves a wide range of industries, including cardiology, OB-GYN/gynecology, nephrology, chiropractic and internal medicine.

BillingParadise: Best for End-to-End RCM Automation

BillingParadise agency

  • Minimum project price: $1,000
  • Hourly rate: $20
  • Founded: 2004
  • Services: Medical coding, denial management, claims processing, credentialing and more

BillingParadise is also a top medical billing agency, highly reliable in offering top-notch revenue cycle management solutions. They have served over 700 satisfied clients with certifications from highly respected organizations like HL7 International, AAPC, DOBI and HIPAA.

  • Why We Chose Them: We chose BillingParadise for their revenue cycle management expertise, advanced analytics and KPI tracking tools. Their certified medical coders ensure accurate coding and timely reimbursements. They helped a 180-clinic group collect $5 million in just 2 months. This medical billing agency offers end-to-end RCM automation services, including eligibility verification, denial management, medical coding, credentialing and charge capture, making them a one-stop shop for all billing needs.
  • What You Should Consider: Companies planning to partner with BillingParadise should consider their budget. While their services are top-notch, they are also cost-effective, making them a great option for small and mid-sized practices. BillingParadise offers flexible pricing models, allowing clients to choose the package that best suits their needs and budget.
  • Who Are They For: BillingParadise's medical billing services are for hospitals, medical group practices, independent practices and in-house billing teams. Their specialized teams work closely with clients to tailor solutions that meet their specific needs and requirements.

Medical Billing Fact: According to the latest available data, 80% of US medical bills have errors. [Becker’s Hospital Review]

Quality Med Billing & Consulting: Best for Billing CPT and ICD10 Codes

Quality Med billing and consulting agency

  • Minimum project price: $1,000
  • Hourly rate: Inquire
  • Founded: 2020
  • Services: Telemedicine, consulting, software development and more

Quality Med Billing & Consulting (QMBC) is the next best medical billing company handpicked for their highly trained billing and coding staff, specializing in minimizing managerial tasks, eliminating billing and coding mistakes, protecting patient information and maximizing revenue for their clients.

  • Why We Chose Them: They are AHIMA-certified and hold the most updated training for reviewing, assigning and billing CPT and ICD10 codes. They ensure that their clients receive the highest reimbursements while supporting them in running their practice hassle-free. QMBC's team of experts is equipped to handle all aspects of medical billing and coding, from claim submission to payment posting, ensuring that their clients' revenue cycle is optimized at every stage.
  • What You Should Consider: For companies considering signing contracts, it is important to note that Quality Med Billing & Consulting still offers their non-contract, risk-free agreement. QMBC's commitment to providing their clients with exceptional service, personalized attention and a transparent billing process remains the same whether or not a contract is signed.
  • Who Are They For: They provide medical billing and consulting services for healthcare professionals and establishments across various industries, including but not limited to primary care, mental health, rehabilitation and more.

Medcare MSO: Best for Aging AR Recovery

Medcare MSO agency

  • Minimum project price: Under $1,000
  • Hourly rate: $25
  • Founded: 2012
  • Services: Laboratory billing, AR recovery, staffing, coverage discovery and more

Medcare MSO makes our ranking of the best medical billing companies for providing trusted services since 2012. Their complete billing solutions ensure that organizations of all sizes and specialties receive the services they need, including medical claims billing services, aging AR recovery and practice management solutions.

  • Why We Chose Them: Medcare MSO's KPIs are outstanding, with an 88% first pass clean claims rate and 7-14 days turnaround time. Their clients benefit from a 15-20% revenue increase and a 30% reduction in AR. They have an impressive 90%+ collection ratio, making them efficient in collecting payments for their clients. Moreover, their innovative medical billing service simplifies practice management and patient engagement, currently being utilized in over 80,000 healthcare facilities nationwide. They are also HIPAA-compliant, an AAPC member and ISO-certified, delivering exceptional results for their clients.
  • What You Should Consider: Companies planning to hire Medcare MSO should request a demo before finalizing their decision. This allows them to see firsthand how Medcare MSO's medical billing services and innovative software can benefit their organization.
  • Who Are They For: Medcare MSO is an excellent choice for businesses in various industries. Their specialties range from rehab, oncology, psychiatric and wound care to dermatology and cardiology. Their clients include Care Now Clinic, ARK Medical Labs, Central Clinical Labs, ION Diagnostics and more. No matter the industry or specialty, Medcare MSO has the experience and expertise to deliver outstanding results.

AnnexMed INC: Best for Coding and HIM Solutions

AnnexMed Inc agency

  • Minimum project price: Inquire
  • Hourly rate: Inquire
  • Founded: 2004
  • Services: Coding and HIM, revenue cycle management, dental RCM, BPO and more

AnnexMed INC is another great medical billing service provider due to their long history of success and a proven track record of delivering superior results. Since 2004, they have helped customers increase their flexibility, scalability and financial health using their knowledge and cutting-edge technology.

  • Why We Chose Them: This top medical billing company stands out with its 18+ years of experience in the industry, coupled with a remarkable 99.1% retention rate. They achieved outstanding results for their clients, including reducing operational costs by up to 45%, increasing productivity by 72%, reducing aged AR by 36% and reducing denial rates by up to 72%. Furthermore, their clients have seen collections improved by up to 98%. With their vast experience, AnnexMed INC serves more than 40+ specialties and continues to deliver outstanding results.
  • What You Should Consider: When hiring medical billing services, consider the company's expertise and experience, technology infrastructure, security measures and customer support. AnnexMed’s cutting-edge technology ensures a streamlined billing process, while their security measures ensure the protection of sensitive patient data. Their customer support team is available 24/7 to assist clients with any issues they may encounter.
  • Who Are They For: AnnexMed serves a wide range of specialties and industries, including hospitals, medical practices, surgery centers and many more. They have a team of experts dedicated to each specialty they serve, ensuring that clients receive personalized solutions that meet their unique needs.

Medical Billing Fact: On average, hospital bills that exceed $10,000 contain an error amount of $1,300. [The Business Research Company]

Kareo: Best for Specialized EHRs

kareo agency

  • Minimum project price: $1,000
  • Hourly rate: $25
  • Founded: 2004
  • Services: Patient collections, care delivery, healthcare software development, and more

Kareo, part of the Tebra family of companies, stands out as one of the best medical billing companies on our list for providing intuitive software and dedicated support to the healthcare industry for over 18 years. They are experts in optimizing practices by identifying suitable tools and services, including specialized EHRs and practice marketing, to meet individual needs.

  • Why We Chose Them: Kareo's impressive credentials include recognition as a trusted partner to over 90,000 providers, 450,000 active users and 8 million patients in the US. They received the 2022 Software Advice award for medical billing, electronic medical records and telemedicine. They are also ONC-certified for quality and safety. Kareo processed over $25 billion in insurance claims in 2019, showcasing their efficiency and expertise. In 2022, Kareo launched to over 100,000 providers, solidifying their status as an industry leader.
  • What You Should Consider: Clients and investors can rest assured that you will be working with a company committed to providing better healthcare for every patient. Kareo's innovative technology and personalized support make them a strong partner for any independent practice looking to improve their billing processes and provide better care to their patients.
  • Who Are They For: This medical billing agency is the ideal partner for independent practices across industries, including primary care, pediatrics, mental health and more. As the only cloud-based clinical- and business-management platform purpose-built for independent practices, Kareo has the expertise and experience to help providers navigate the complex healthcare landscape and achieve success.

Physician Billing Company: Best for AR Management

Physician billing company agency

  • Minimum project price: Under $1,000
  • Hourly rate: $25
  • Founded: 2010
  • Services: Revenue cycle management, AR collection management, HIPAA compliant management and more

Physician Billing Company (PBC) is an excellent medical billing company with over a decade of experience in physician billing services. The agency has helped medical practitioners tackle the complexities of revenue cycle management with their cutting-edge healthcare technology and revenue cycle management solutions designed to drive 100% positive outcomes.

  • Why We Chose Them: This medical billing company utilizes their long-standing expertise to achieve a 99.5% collection of billed revenue. They handle every aspect of the billing process, from coding to denial and AR management, to help grow the revenue by up to 30%. PBC's medical billing and coding system is always up to date with the latest guidelines from AMA, CMS and HHS. This medical billing company is fully compliant with HIPAA protocols, ensuring that your PHI is secure across a well-guarded communication network.
  • What You Should Consider: When considering PBC, clients should note that their minimum budget is under $1,000. However, clients should ask for a quotation, especially if they require more services.
  • Who Are They For: PBC serves a network of doctors, physicians and healthcare workers from various industries all around the US. Their specialties include cardiology, pain management, dermatology, oncology, orthopedic, urology and more.

Revele: Best for eClinicalWorks EHR Users

Revele agency

  • Minimum project price: Inquire
  • Hourly rate: $35
  • Founded: 1999
  • Services: Clinical coding, healthcare analytics, third-party verification, and more

Revele is the best medical billing agency for eClinicalWorks EHR users. Since 1999, the agency has led the way in implementing cutting-edge technology to enhance revenue cycle management. Their integrated solution combines robust data, intelligent claim handling and performance consulting, creating a richer revenue cycle experience for their clients.

  • Why We Chose Them: With an impressive track record, this medical billing service provider has helped numerous clients achieve a 10%+ increase in cash flow, a 95%+ net collection rate, less than 37 days in AR and a 24-hour claim turnaround. One of their significant achievements was their partnership with Big Sky Dermatology. Since collaborating with Revele, Big Sky Dermatology has seamlessly expanded their capabilities internally, with a 200% increase in providers and a 367% increase in employees.
  • What You Should Consider: While Revele's seemingly premium rate of $35 per hour may appear higher than other medical billing companies, their expertise and results suggest that they can help you maximize your revenue cycle and achieve tangible results.
  • Who Are They For: Revele is the ideal choice for practitioners, hospitals and health systems in need of expert revenue cycle management. Their client base includes esteemed names such as Pulmonary & Critical Care Medicine Associates, Advanced Gastro and many others.

Purview Healthcare: Best for Fortune 500 Companies

purview agency

  • Minimum project price: Under $1,000
  • Hourly rate: $8
  • Founded: 2018
  • Services: Medical coding, denial management, charge entry, patient payment collection and more

Purview Healthcare completes our list of the best medical billing companies. They specialize in providing high-yield medical billing and medical coding services to prime healthcare providers across the United States. Their team is highly skilled and trained in CPT, E/M, DRG, HCPCS-II, ICD-9-CM, ICD-10 coding services and ICD-10-CM coding practices, providing accurate and reliable coding solutions.

  • Why We Chose Them: This medical billing services provider has implemented QMS platforms to test the quality and compliance of their coders, ensuring their clients' data security and services that meet industry standards. Moreover, Purview Healthcare only deploys AAPC-certified medical coding specialists who adhere to all payor and government rules and regulations.
  • What You Should Consider: It's vital to choose a medical billing services provider with a proven track record, compliance with industry standards and regulations, a strong reputation and customized services, making Purview Healthcare an ideal agency partner.
  • Who Are They For: Purview Healthcare serves a wide range of industries, including healthcare, insurance and technology. Their clients include Unified Health Services, Ingenious Global Solutions, ABN Healthcare and other Fortune 500 companies.

How We Picked the Best Medical Billing Companies

To determine the best medical billing companies, we started by examining their track record in the healthcare industry. We evaluated their client list and analyzed the types of medical practices they have worked with and the results they have achieved. Additionally, we looked at their industry awards, certifications and partnerships with healthcare organizations.

We also assessed the following criteria to ensure they could provide effective medical billing services:

  • Expertise in medical coding and billing procedures
  • Compliance with HIPAA regulations and other industry standards
  • Efficient revenue cycle management processes
  • Ability to adapt to changes in healthcare regulations and policies
  • Strong communication skills to effectively communicate with healthcare providers and patients
  • Knowledge of medical software and technology
  • And more

We also considered the company's team and their experience in the medical billing industry, as well as their client reviews, processes for managing projects, timelines and budgets. You can learn more about our DesignRush Agency Ranking Methodology here.

Find the Best Medical Billing Services for Your Needs

21 Companies-Rankings updated: September 05, 2026

DesignRush vets all medical billing providers based on professional qualifications and verified customer feedback to help you choose confidently. Some placements may be paid.

Medical Billing × Finance × $1,000 - $10,000 ×Clear Filters
  • Award-winning Singapore-based IT solutions company with over 15 years of experience.

    Top 10 Web and Mobile App Developer in Singapore | ISO Certified | Top 100 Singapore's fastest-growing companies 2024...

    Top Services:

    • Software Development
    • Mobile App Development
    • Web Development
    • Blockchain
    • AI Development
    • Show more
    Location
    Singapore, Singapore
    Number of Employees
    250 - 499
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    16 Projects Listed

    Vinova Services

    • Software Development
    • Mobile App Development
    • Web Development
    • Blockchain
    • AI Development
    • IT Services
    • ERP Consulting
    • Staff Augmentation
    • Web Design
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • AIA
    • Prudential
    • Samsung
    • DHL
    • Abbott
    • MARS
    • FWD
    • SingHealth
    • PWC
    • Yale NUS
    Data sourced from the agency's DesignRush profile

    Vinova Reviews & Testimonials

    • Ben Dietrich
      Ben Dietrich CEO at Mediacharge
      5.0

      Mobile App Development Review from Ben Dietrich

      The thing we appreciate the most about Vinova is their dedication to understanding our specific needs and delivering tailored solutions. Their team was not just focused on completing the project but also on adding value to our business. Their expertise in software development, proactive approach, and consistent communication made the whole process remarkably smooth. Their development team was agile, and their project managers were incredibly effective in handling any hiccups along the way.

    • Cody C. Jensen
      Cody C. Jensen CEO at Searchbloom
      5.0

      Software Development Review from Cody C. Jensen

      The endeavor was titled "Operational Excellence System" and was executed in collaboration with Vinova. The aim of this project was to create an internal corporate system designed to automate and manage various operational processes within our organization. The system needed to integrate with existing tools and allow for real-time tracking, monitoring, and analytical reporting. Vinova delivered this system and continues to provide ongoing support and updates.

    • Scott Darrohn
      Scott Darrohn Co-Founder at fishbat
      5.0

      Web Development Review from Scott Darrohn

      I had the pleasure of working with Vinova on developing a website for my company, and I can confidently say they exceeded my expectations. From start to finish, their team demonstrated exceptional expertise, professionalism, and dedication.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Close more deals with ROI-focused lead acquisition

    Belkins is a B2B lead generation and #1 appointment setting agency helping companies build predictable pipeline through omnichannel allbound strategies. Belkins combines strategy, AI-backed outreach, and GTM expertise to drive long-term revenue growth across 50+ industries...

    Top Services:

    • Email Marketing
    • BPO
    • CRM Consulting
    • Business Consulting
    • Direct Marketing
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    18 Projects Listed

    Belkins Services

    • Email Marketing
    • BPO
    • CRM Consulting
    • Business Consulting
    • Direct Marketing
    • Digital Marketing
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Sekisui
    • MONA Payment
    • Cengage
    • CitrusAd
    • OpenTeleHealth (OTH)
    • BinarApps
    • DonorBox
    • Simply NUC
    • Grafi AI
    • YorkTest
    Data sourced from the agency's DesignRush profile

    Belkins Reviews & Testimonials

    • Patrick Benasillo
      Patrick Benasillo CCO, EVP & Co-Founder at Visual Graphic Systems
      5.0

      Lead Generation Review from Patrick Benasillo

      Belkins nailed project management. Each stage of the outbound funnel was thoroughly calculated, allowing us to use data-driven insights to make informed decisions and making sure both sides implemented strategies effectively. Communication was clear and proactive, and they maintained full transparency throughout the process. In the first month, we closed our first contract, which was a promising start. Belkins helped us build a robust sales pipeline. Currently, we have four opportunities at the proposal stage, averaging $85K, with the potential for these contracts to grow up to $150K. We didn't expect to close deals and contracts so quickly. Belkins exceeded our expectations by not only creating a solid base for future work but also securing contracts right off the bat. Their ability to deliver quick and substantial results was very impressive.

    • Rafael
      Rafael Co-CEO at Outstaff Company
      5.0

      Appointment Setting Review from Rafael

      Belkins played a crucial role in refining our customer profile and identifying key features of our ideal buyer. It meticulously researched relevant leads to construct a targeted contact list. Our partnership with Belkins commenced in May 2023, and by February 2024, it secured 51 appointments for us. With an impressive 43% open rate and a 3.7% reply rate, we exclusively focused on the United States market and the architecture industry. Thanks to Belkins' efforts, we expanded into the Canadian market and explored opportunities in other industry sectors. Hiring Belkins as our lead generation specialist ensured a consistent influx of new clients. We were impressed with the agency's efficient strategies.

    • Allison Hill
      Allison Hill Business Development Manager at IT Services Company
      5.0

      Lead Generation Review from Allison Hill

      Belkins helped us define our ideal customer and find the right leads. They created targeted email sequences that highlighted our value in different ways. We started our collaboration 6 months ago and Belkins set 36 appointments for us. We saw a 57% open rate and a 5-6% reply rate. We focused on the U.S. market but now we're starting to expand to Canada and some European countries.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Redefining Customer Experience

    We turn every interaction into a lasting relationship. Blending global reach with local expertise, AI-driven tools, and genuine human empathy, we help businesses transform customer journeys across every channel...

    Top Services:

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Show more
    Location
    Albany, New York
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    26 Projects Listed

    Top Customer Service Services

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Trainual Inc
    • 15Five
    • ElectrIQ Marketing
    • YCharts
    • PERQ
    • GMass
    • Heinz Marketing Inc
    • Arch-Con Corporation
    Data sourced from the agency's DesignRush profile

    Top Customer Service Reviews & Testimonials

    • Manoj Thenua
      Manoj Thenua Chief Executive Officer at Medico Hub
      5.0

      Customer Support Review from Manoj Thenua

      I recently engaged a customer support provider to manage client service and support tasks for my healthcare-oriented platform. From the outset, their team was extremely professional, responsive and attentive. Their onboarding process was smooth, prompt, and well-organized. Throughout the project they handled all support tickets including account queries, billing questions, technical issues and general user guidance with empathy and clarity.What impressed me most was their commitment to quality: they consistently responded quickly to inquiries (often within minutes), maintained a helpful and courteous tone, and followed up until the users problems were fully resolved. Feedback from my users has been overwhelmingly positive: many praised how easy it was to get help and how satisfied they were with the assistance.Thanks to their efficient support, user satisfaction and retention improved noticeably compared to the period before they handled support. I also experienced fewer escalations and received fewer complaints overall. Their professionalism and consistency gave me peace of mind and freed me to focus on growing the platform rather than handling day-to-day support issues.Overall, working with them has been a very positive and productive experience the quality of support exceeded my expectations.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • AI-Powered Support-as-a-Service Company Focused on the Tech Industry

    SupportYourApp is an international Intelligent Support-as-a-Service company that has been providing secure technical, customer support and CX services to growing companies around the globe since 2010...

    Top Services:

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Staff Augmentation
    • Show more
    Location
    Wilmington, Delaware
    Number of Employees
    1000 & Up
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    12 Projects Listed

    SupportYourApp Services

    • Customer Support
    • Call Centers
    • BPO
    • Phone Answering Services
    • Staff Augmentation
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Mastercard
    • Skylum
    • Waverly Labs
    • Softorino
    • Flibco
    Data sourced from the agency's DesignRush profile

    SupportYourApp Reviews & Testimonials

    • Bogdan Czako
      Bogdan Czako Customer Support Team Lead at Covantis S.A.
      5.0

      Customer Support Review from Bogdan Czako

      We've been working with SupportYourApp to handle technical support, including product-related questions, password resets, tracing user traffic, and assessing request severity. The team started with two shared consultants and one dedicated consultant and now operates with two members, providing consistent support via email. Their performance has been outstanding, earning perfect 10/10 ratings in our internal performance reviews, and the project has remained extremely stable over time. The team has grown in expertise and reliability to the point where one dedicated agent now attends our annual gathering in Switzerland every year. Their support continues to exceed our expectations.

    • Joseph Pinto
      Joseph Pinto Manager at Sweett
      5.0

      Customer Support Review from Joseph Pinto

      We partnered with SupportYourApp to build a 24/7 multilingual support team operating securely from theoffice to serve our growing global customer base. The team structure has evolved over time and nowincludes French-, Spanish-, and English-speaking consultants, as well as Sales agents and part-time SocialMedia Research support.They manage our email, chat, and phone support 24/7, enabling us to assist customers in multiple languages andmaintain an average email response time of under one hour. We truly appreciate their strong adherence to SLAs,consistent performance, and proactive communication. SupportYourApp has proven to be a reliable and effectivepartner in scaling our customer support operations.

    • José Manuel Val Merinero
      José Manuel Val Merinero CFO at VR LIFE, SL
      5.0

      Customer Support Review from José Manuel Val Merinero

      We partnered with SupportYourApp to resolve ongoing billing and video service issues that were impacting customer satisfaction. They provided efficient email support through a dedicated consultant, ensuring consistent and personalized assistance. Communication was clear and well-structured, with defined guidelines that kept our interactions focused. Their support hours from 5 PM to 1 AM EET allowed timely resolutions outside regular business hours.We valued the consultants loyalty, consistency, and efficiency, which contributed to smooth operations. SupportYourApp has been a reliable and effective partner in addressing our service challenges.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Understanding you makes us better. That is how we work smarter.

    ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the world along with several state and federal agencies...

    Top Services:

    • BPO
    • Accounting
    Location
    Hillsborough Township, New Jersey
    Number of Employees
    250 - 499
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    8 Projects Listed

    ARDEM Incorporated Services

    • BPO
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Financial
    • Healthcare
    • Retail
    • Manufactuing
    • Logistics
    • Government
    Data sourced from the agency's DesignRush profile

    ARDEM Incorporated Reviews & Testimonials

    • Matt Venner
      Matt Venner IT Manager at Agile Therapeutics
      4.8

      Outsourcing Review from Matt Venner

      ARDEM created a solution for our AP workflow that integrates seamlessly into our current process. It did not require any extensive IT overhaul and is saving us quite a bit from our previous antiquated ways. Process was fast and the quality of their work is great. Highly recommend their team!

    • Adi S
      Adi S Review from Google
      5.0

      Adi S's Review Sourced from Google

      I am currently working as an HR Intern at ARDEM Incorporated, and it has been a very positive learning experience for me.The organization provides a professional and supportive work environment where freshers are given the opportunity to understand real-time HR operations, recruitment processes, and employee engagement activities. The team is approachable, collaborative, and always willing to guide, which makes it easier to learn and grow.One of the key highlights is the structured workflow and clear communication, which helps in developing practical skills such as candidate coordination, documentation handling, and stakeholder interaction. The company also promotes a healthy work-life balance and encourages employees to take ownership of their responsibilities.Overall, ARDEM has been a great place to start my HR journey, helping me build confidence, enhance my professional skills, and gain valuable industry exposure.

    • Pamela Morin
      Pamela Morin Review from Google
      5.0

      Pamela Morin's Review Sourced from Google

      Ardem Inc. has been a great partner for our accounts payable process. John Copeland is responsive and our analysts do a great job of following processes and communicating.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Simple. Effective. Smart

    Unique designs, ultra customized development, and mobile applications. Our unique combination of skills and talent lets our team knock a variety of projects out of the park. We're a full-service website design, development, and consulting agency that generates growth and revenue for our clients...

    Top Services:

    • Web Design
    • Mobile App Development
    • Web Development
    • eCommerce Development
    • WordPress Website Design
    • Show more
    Location
    Rantoul, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    4 Projects Listed

    UniSyn Technologies Services

    • Web Design
    • Mobile App Development
    • Web Development
    • eCommerce Development
    • WordPress Website Design
    • ERP Consulting
    • UI/UX Design
    • Design Services
    • Digital Services
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Scrubstr
    • Confidentially Yours
    • ILFMA
    • Let's Rock Illinois
    Data sourced from the agency's DesignRush profile

    UniSyn Technologies Reviews & Testimonials

    • Faith KopMann
      Faith KopMann Office Administrator at PhotiniCare
      5.0

      Mobile App Development Review from Faith KopMann

      Unisyn Technologies have done several major and small projects for us. We are a repeat client as they have been easy to work with, and provide professional, quality work in a timely manner. Very responsive.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • We Provide Medical Billing Services in California.

    Certified Healthcare Billing is a premier medical billing company based in California. We specialize in providing comprehensive billing services tailored to the healthcare industry. Our expertise ensures efficient, accurate, and compliant billing solutions for healthcare providers...

    Top Services:

    • BPO
    Location
    Los Angeles, California
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    Certified Healthcare Billing Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • PracticeSuite
    • Kareo
    • Practice Fusion
    Data sourced from the agency's DesignRush profile

    Certified Healthcare Billing Reviews & Testimonials

    • Hooman Esteki (Aaron)
      Hooman Esteki (Aaron) Review from Google
      4.0

      Hooman Esteki (Aaron)'s Review Sourced from Google

      Big fan of CHB's RCM services in Los Angeles! They're fantastic at getting practices paid quickly and efficiently – truly a game-changer for revenue

    • SASHA SMIRNOV
      SASHA SMIRNOV Review from Google
      5.0

      SASHA SMIRNOV's Review Sourced from Google

      Would highly recommend for billing services. CHB provides exceptional customer service. They always answer our calls.

    • Nikoghosyan Gevork
      Nikoghosyan Gevork Review from Google
      5.0

      Nikoghosyan Gevork's Review Sourced from Google

      Great group of individuals, We have been using there services for years. Our questions are always answered right away. I would definitely recommend to all practices large or small

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Healthcare Billing Services And Solution In USA

    MedsIT Nexus is a results-driven healthcare billing services and solutions partner specializing in accurate medical billing, coding, credentialing, and data-powered RCM solutions. We help healthcare providers improve collections, reduce denials, streamline operations, and achieve consistent financial growth...

    Top Services:

    • BPO
    Location
    Uniondale, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    MedsIT Nexus Services

    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Finance Industry
    • Dental Industry
    Data sourced from the agency's DesignRush profile
  • Medical Billing Services For Growing Practices

    Ebillient MedRevenue provides expert medical billing and coding services in the USA, helping healthcare providers and clinics optimize revenue cycle management. We reduce claim denials, accelerate reimbursements, and ensure compliance with industry standards. Our reliable solutions improve cash flow...

    Top Services:

    • BPO
    • Reputation Management
    Location
    Wilmington, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    Ebillient Medrevenue LLC Services

    • BPO
    • Reputation Management
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Finance Industry
    • Corporate Services Industry
    Data sourced from the agency's DesignRush profile
  • We Run the Revenue, You Run the Practice

    MedHeave is a U.S. focused medical billing and revenue cycle management (RCM) company helping healthcare providers improve reimbursements, reduce administrative burden, and take control of their revenue cycle...

    Top Services:

    • IT Services
    • Managed Services
    Location
    Boston, Massachusetts
    Number of Employees
    250 - 499
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    MedHeave Medical Billing Services

    • IT Services
    • Managed Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Medical Industry
    • Nutrition Industry
    • Pharmaceutical Industry
    • Healthcare Providers
    • Healthcare Industry
    Data sourced from the agency's DesignRush profile

    MedHeave Medical Billing Reviews & Testimonials

    • Minelys Sànchez Luperón
      Minelys Sànchez Luperón Manager at Vita Counseling Services
      4.5

      Medical Billing Review from Minelys Sànchez Luperón

      I am very satisfied with the billing services. The process has been efficient, organized, and professional. I especially appreciate the excellent communication, prompt responses to my questions, and consistent follow-up. Having reliable billing support gives me peace of mind and allows me to focus more on my clinical work.

    • Julia Balanova
      Julia Balanova VP Strategy at Graviton
      5.0

      Medical Billing Review from Julia Balanova

      We highly recommend this medical billing company for its exceptional commitment to timely delivery and outstanding quality. The team consistently meets deadlines, ensuring that our billing processes stay on track and that claims are submitted and reimbursed efficiently. Their work quality is superb, with minimal errors and a keen attention to detail, which has positively impacted our revenue cycle and patient satisfaction. We appreciate their proactive communication and thorough follow-ups, making complex billing issues easier to navigate. Overall, their professionalism and reliability make them a valuable partner for any healthcare provider.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Revolutionize Your Healthcare Practice.

    iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software...

    Top Services:

    • BPO
    • Web Design
    • WordPress Website Design
    • Managed Services
    • IT Services
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    iCareBilling Services

    • BPO
    • Web Design
    • WordPress Website Design
    • Managed Services
    • IT Services
    • Staff Augmentation
    • Business Consulting
    • Call Centers
    • Accounting
    • Customer Support
    • Digital Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Arthritis Care Medical Group
    • Midwest Care Center
    • Northeast Wisconsin Behavioral Health
    • Reliable Health Services
    • Sleepologie Health and Wellness Center
    Data sourced from the agency's DesignRush profile

    iCareBilling Reviews & Testimonials

    • Jose Vega
      Jose Vega Review from Google
      5.0

      Jose Vega's Review Sourced from Google

      I have been using iCare for years. The owner is involved in the day-to-day operations and is extremely responsive to our requests and has never failed to meet a deadline. I can't say that about many other companies. VERY RELIABLE and the customer service is fast. Very professional. I truly recommend them.

    • Donna Anderson
      Donna Anderson Review from Google
      5.0

      Donna Anderson's Review Sourced from Google

      ICAREBILLING is a wonderful service! They truly live up to their name. They have helped me so much with my practice. I highly recommend them!!

    • Oleta Schranz
      Oleta Schranz Review from Google
      5.0

      Oleta Schranz's Review Sourced from Google

      Excellent and prompt service. They have great attention to detail and work hard to provide the best for their customers.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Your growth is our mission

    Connext helps companies build custom, dedicated offshore support teams...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Transcription Services
    • Accounting
    • Show more
    Location
    Angeles, Philippines
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $11/hr
    Minimal Budget
    $1,000 - $10,000

    Connext Global Solutions Services

    • BPO
    • Call Centers
    • Customer Support
    • Transcription Services
    • Accounting
    • Staff Augmentation
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Home Depot
    • Sysco
    • Popeyes
    • Jack in the Box
    Data sourced from the agency's DesignRush profile
  • Complete Enterprise Data Support - Data Entry, eCommerce Product Listing, Web Research, Data Mining,

    DataEntryIndia.in is a leading data management and BPO service provider with over 25 years of experience and 850+ full-time data experts...

    Top Services:

    • Market Research
    • BPO
    • Big Data Analytics
    • AI Development
    • Show more
    Location
    Laguna Beach, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed

    DataEntryIndia.in Services

    • Market Research
    • BPO
    • Big Data Analytics
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • EMC2
    • Corzen
    • Dalmia Cement
    • Lumens
    Data sourced from the agency's DesignRush profile
  • Run Your Entire Practice With One EHR+ Platform

    A new era of healthcare, a new world of practice well-being. We're redefining practice success at the crossroads of compassion and connectivity...

    Top Services:

    • BPO
    • Software Development
    Location
    Newport Beach, California
    Number of Employees
    500 - 999
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000

    Tebra Services

    • BPO
    • Software Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • MGMA
    • Deloitte
    • AAFP
    Data sourced from the agency's DesignRush profile

    Tebra Reviews & Testimonials

    • Celia Gomes McGillivray
      Celia Gomes McGillivray Review from Google
      5.0

      Celia Gomes McGillivray's Review Sourced from Google

      The representative was awesome. However, I still have to wait 3-5 business days for my provider account to be added so that I can write prescriptions.

    • Kendra Cole
      Kendra Cole Review from Google
      5.0

      Kendra Cole's Review Sourced from Google

      Our company has been very pleased with Talisman billing services. Our representative Kishor is very responsive whenever we have questions about patient co-pays or balances. We are very satisfied with their billing services and I would highly recommend them to others!

    • J B
      J B Review from Google
      1.0

      J B's Review Sourced from Google

      They are simply crooks. I told them multiple times to cancel my subscription and they continued to charge my credit card. Over $1000 in stolen charges. Hours on hold with a ridiculous inept customer service system that ran me in circles. I finally had to cancel my credit card. My emails were ignored. Stay away from this company.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Trusted Medical Billing Company

    HelloMDs streamlines medical billing through smart, technology-driven solutions that increase revenue, minimize claim denials, and simplify the entire RCM process. Supporting 80+ practices across 48+ specialties, we enable healthcare providers to focus on patient care while we manage billing with accuracy...

    Top Services:

    • BPO
    • Accounting
    • Digital Marketing
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    HelloMDs Services

    • BPO
    • Accounting
    • Digital Marketing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Corporate Services Industry
    • Finance Industry
    Data sourced from the agency's DesignRush profile

    HelloMDs Reviews & Testimonials

    • Steve Deberry
      Steve Deberry Review from Google
      5.0

      Steve Deberry's Review Sourced from Google

      I'd like to thank John and his entire staff. They have helped me reclaim in excess of a Year's billing over 500k in and their Continuing assistance in helping me restructure my company. Thank you medatron. hello MD

    • Sabir Quraishi
      Sabir Quraishi Review from Google
      5.0

      Sabir Quraishi's Review Sourced from Google

      It is a pleasure working with John ,Alex and their team for medical billing recover.They are sincere dedicated and hardworking and their team effort has benefited our organization tremendously not only with the recovery process but they have also pointed out flaws in our billing process and helped our biller rectify them.We thank you John and Alex for helping us and hope to keep our work relationship going. I recommend HelloMDs without reservation to my peers who need assistance with their billing.

    • Maria Pattis
      Maria Pattis Review from Google
      5.0

      Maria Pattis's Review Sourced from Google

      It has been a pleasure working with your team! Always so pleasant and professional! I really recommend working with them , always quick to respond to calls and to assist

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • We Delivering Excellence In Every Aspect Our Their Work

    Outsource Work is an Outstaffing Company specializing in Finance Recruitment and Bookkeeping Services. We help businesses hire skilled Ukrainian professionals who deliver accuracy, reliability, and cost savings of up to 70%...

    Top Services:

    • BPO
    • Accounting
    • Staff Augmentation
    • HR Outsourcing
    • Show more
    Location
    Tallinn, Estonia
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000

    Outsource Work Services

    • BPO
    • Accounting
    • Staff Augmentation
    • HR Outsourcing
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • HR Industry
    • Finance Industry
    • Corporate Services Industry
    Data sourced from the agency's DesignRush profile
  • Back Office Support Services

    Outsource2india is a pioneering outsourcing company, providing a variety of Back Office Support services for global organizations...

    Top Services:

    • BPO
    • Business Consulting
    Location
    Princeton, New Jersey
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $40/hr
    Minimal Budget
    $1,000 - $10,000

    Outsource2india Services

    • BPO
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Alcon
    • ARI
    • Maximus
    • Rogers
    • Redwood E-Learning System
    • Yale School of Management
    • Data Infinity
    • Loomis
    • Auto MiddleEast
    • Camnet
    Data sourced from the agency's DesignRush profile
  • For Every Voice, We Deliver a Solution

    We help businesses connect with their customers through fast, friendly and reliable communication...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Show more
    Location
    Denver, Colorado
    Number of Employees
    250 - 499
    Average Hourly Rate
    $8/hr
    Minimal Budget
    $1,000 - $10,000

    Vozaa Solutions Services

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Milestone Constraction
    • Liku Transportation
    • Naseba Animal Nutrition
    Data sourced from the agency's DesignRush profile
  • Execution of campaigns and strategies

    At Linked2U call center, we are more than just a business process outsourcing (BPO) and call center company; we are your dedicated partners in success.Our core belief centers around the transformative power of collaboration.We understand that in today's fast-paced and interconnected business world...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Business Consulting
    • Accounting
    • Show more
    Location
    Barranquilla, Colombia
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000

    Linked2u Services

    • BPO
    • Call Centers
    • Customer Support
    • Business Consulting
    • Accounting
    • Phone Answering Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • GoodPop
    • Ifood
    • Serfinanza Bank
    Data sourced from the agency's DesignRush profile
  • Your Trusted Partner For All Your Business Needs

    Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...

    Top Services:

    • BPO
    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000

    Allianze Infosolution Services

    • BPO
    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Corporate Services Industry
    • Design Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile
  • World-class outbound solutions in the US

    Since 2015, SSR Techvision has provided top-quality outsourcing services, including Back Office Support, Call Center Operations, Sales & Business Development, Healthcare Support, and E-commerce Solutions, across India and the US...

    Top Services:

    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Customer Support
    • Show more
    Location
    Noida, India
    Number of Employees
    100 - 249
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000

    SSR Techvision Services

    • BPO
    • Call Centers
    • Phone Answering Services
    • Business Consulting
    • Customer Support
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • SaiVa System
    • Deebaco
    • Absolute Health Agents
    Data sourced from the agency's DesignRush profile

    SSR Techvision Reviews & Testimonials

    • Simaran Chaudhary
      Simaran Chaudhary Review from Google
      5.0

      Simaran Chaudhary's Review Sourced from Google

      I had done my internship and best place to learn and grow,I completed my internship in the Sampling Department, where my supervisor's behavior was very polite and respectful best brand and their clothes....

    • kratika singh
      kratika singh Review from Google
      5.0

      kratika singh's Review Sourced from Google

      “Great company for work. Management is so supportive and having friendly environment.”Salary and incentives are generally paid on time, and in many cases are substantial.“On‑time salary and huge incentives are paid to almost everyone here.”Employees value flexible timings, project bonuses, and transport perks like one‑way cab services.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews

5 Frequently Asked Questions About Medical Billing Companies

What do medical billing companies do?

Medical billing companies process and generate healthcare claims that are later submitted to insurance companies. The main intent behind the service is to obtain payment for medical services rendered by providers and provider organizations.  

In simpler terms, medical billers act as an intermediary between patients, healthcare providers, and insurance companies to arrange for reimbursement of healthcare services.  

What services do they provide?

Medical billing providers offer administrative services that help healthcare institutions reduce billing burdens and expedite reimbursements. In their day-to-day role, they handle insurance verification, claim denials, patient billing, and ensure compliance with regulations.   

Main services offered by medical billing companies include: 

  • Medical coding: Converting diagnoses and procedures into standardized codes (e.g., ICD-10, CPT) 
  • Claim submission: Electronically sending claims to insurance companies 
  • Denial management: Investigating and resubmitting denied or unpaid claims 
  • Insurance verification: Checking patient coverage before services are rendered 
  • Payment posting and reconciliation: Recording payments and managing accounts receivable 
  • Patient billing: Sending invoices and managing patient queries 

What is the standard medical billing procedure?

Before generating a billing claim, medical billing companies (or billers) collect information pertaining to the patient’s demographics, medical history, insurance coverage, and the procedures that were done. The info is obtained by reviewing patients’ medical charts and insurance plans.   

Once all pertinent information is gathered, a medical claim gets generated, checked for accuracy, and submitted to payers, i.e., the insurance companies. Upon approving the request, the claim is returned to the medical billing company with the amount that needs to be paid. 

Before the next doctor’s appointment, billers prepare the patient's bill wherein they take the price of the service, subtract the insurance coverage, and add any copays, deductibles, or unpaid past bills. Then, they send out the invoices and record the payments. 

How much do medical billing services cost?

On average, medical billing services cost around 4% to 10% of collected revenue. Clients can also opt for a per-claim and hourly model, wherein charges range from $4 to $10 per claim or $20 to $30 per hour, respectively.  

The model is usually determined based on the volume and complexity of claims and requested services. A flat fee is another pricing model for medical billing services that ranges from $1,000 to $100,000+ per month.  

In addition to the base fee, most medical billing providers also charge a one-time setup fee that falls within the $500 to $1,500 range

What factors affect the pricing of medical billing services?

The practice size, claim volume, service scope, tech stack, and team composition affect the pricing of medical billing services. Practice specialty also impacts overall pricing, with oncology, cardiology, and psychotherapy having higher rates due to their complex claims processes.  

Medical billing agencies may charge extra for system migration, denial resubmission, clearinghouse, and patient statement and mailing

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