Our Mindset
People who know EMS.
Software built for it.
Full-service revenue cycle management isn't just software or just people — it's both, working together. Experienced EMS billing specialists backed by a platform purpose-built for ambulance services.
No Margin, No Mission.
98.5%
First-pass acceptance
Our Mindset
Five principles that shape everything we do.
These aren't slogans on a wall. They're the lens we use to make every hiring decision, product choice, and operational call. Here's what each one means for your agency.
Unified Operations
One system. Every department.
Most billing companies bolt together a dozen disconnected tools — one for claims, one for scheduling, another for reporting. We built a single platform where billing, workforce, clinical QA, inventory, and analytics all share the same data layer. When something changes in one place, every downstream process already knows.
Our People
Our billing specialists, coders, and account managers all work inside the same system your agency uses. No hand-offs between disconnected apps, no 'let me check with another department.' Every team member sees the full picture.
Our Platform
Connected data means a coding change automatically updates the claim, triggers a compliance check, and refreshes your dashboard — in real time. No exports, no re-keying, no waiting for syncs.
Collections MTD
$142,850
Clean Claim Rate
94.2%
Denial Rate
3.8%
Days in AR
28
Avg Days to Bill
1.4
Total Transports
847
Claims Pipeline
124
312
87
1,248
Patient-Centric Service
Your brand. Your patients.
EMS billing can feel impersonal when patients receive confusing letters from a company they've never heard of. We operate as an extension of your agency — every call, text, email, and statement goes out under your name and branding.
Our People
Our patient support team answers calls with your agency's name. They're trained on compassionate communication specific to EMS — explaining balance responsibility, setting up payment plans, and guiding patients through insurance processes without jargon.
Our Platform
White-labeled patient portals, automated text and email campaigns, online payment plans, and insurance discovery tools — all branded as your agency. Patients never see our name.
Full Visibility
See everything. Question anything.
Transparency isn't a feature we add on — it's the foundation of how we work. You log in and see exactly what we see. Every claim, every denial, every dollar collected. Nothing is hidden behind a monthly PDF.
Our People
Your dedicated account manager walks you through performance monthly, but you never have to wait for that meeting. Any member of your team can pull up real-time data at any time.
Our Platform
Real-time dashboards, 11 built-in reports, a Performance Scorecard that grades your revenue cycle across 9 dimensions, and drill-down claim tracking from submission to payment. If a claim is sitting somewhere, you'll know exactly where and why.
Reports
Revenue Cycle Summary
Charged vs. Paid with Net Collection Rate trend
Data Intelligence
Connected data. Smarter decisions.
When your billing, operations, and workforce data all live in the same system, you stop guessing and start seeing patterns. Which payers are slowing down? Which call types generate the most denials? Where are you leaving money on the table?
Our People
Our analytics team reviews your data monthly and proactively identifies opportunities — renegotiating payer contracts, flagging coding patterns, surfacing collection bottlenecks before they become problems.
Our Platform
Custom dashboards, payer mix analysis, denial trend detection, and revenue forecasting — all powered by data that flows automatically from operations into intelligence. No manual data pulls required.
Revenue Cycle Summary
$82K
Billed in period
$1K
Payments received
$566
Contractual / write-offs
$80K
Accounts receivable
9 metrics need attention: NCR · DSO · Sub Lag · Denials · FPR · AR 90+ · RPT · Medicare · Risk
Health Score
Weighted across 9 metrics
Performance Scorecard
| Metric | Current | Target | Status | Industry | Action |
|---|---|---|---|---|---|
| Net Collection Rate | 70.5% | ≥ 95% | Needs Attention | 90-98% | Review contractual adjustment rates and payer contracts |
| Days Sales Outstanding | 120 days | < 45 days | Needs Attention | 30-60 days | Accelerate claim submission and follow up on aging AR |
| Claim Submission Lag | 8.3 days | < 2 days | Needs Attention | 1-7 days | Automate claim creation from ePCR data |
| Denial Rate | 18.2% | < 5% | Needs Attention | 3-12% | Analyze top CARC codes and improve pre-submission scrubbing |
| First Pass Resolution | 71% | ≥ 90% | Needs Attention | 75-95% | Improve documentation quality and coding accuracy |
| AR Aging (90+ days) | 42.6% | < 10% | Needs Attention | 5-15% | Escalate aged claims and review denial management workflow |
| Revenue Per Transport | $285 | ≥ $500 | Needs Attention | $350-$700 | Review coding accuracy and payer reimbursement rates |
| Payer Mix (Medicare %) | 28.4% | 40-45% | Needs Attention | 35-50% | Review patient insurance verification processes |
| Compliance Risk Rate | 15.7% | < 5% | Needs Attention | 3-12% | Address documentation gaps in PCS, ABN, and medical necessity |
Predictive Automation
Anticipate. Don't react.
The best billing operation isn't the one that fixes problems fastest — it's the one that prevents them. Our platform uses machine learning to predict denials before submission, automatically discover active insurance, and prioritize follow-up on claims most likely to pay.
Our People
Automation handles the routine so our team can focus on the complex — appealing difficult denials, negotiating with payers, and solving the edge cases that machines can't.
Our Platform
AI-powered auto-coding, predictive denial scoring, automated insurance discovery, intelligent follow-up sequencing, and smart work queues that surface the highest-value tasks first.
Claim Lifecycle Tracker
Intake
Mar 8, 2:14 PM
ePCR imported
Coding
Mar 8, 2:15 PM
AI auto-coded
Validation
Mar 8, 2:15 PM
12 rules passed
Submission
Mar 8, 2:16 PM
EDI transmitted
Acknowledgment
Awaiting 999/277
Payment
Pending
4 / 6
Steps Completed
12
Validations Run
Yes
Clean Claim
What We Do
Every step of the revenue cycle, handled.
Claims Management
- Electronic claim submission within 24–48 hours
- Real-time status tracking through every stage
- Primary and secondary payer billing
- Crossover and coordination of benefits handling
- 98%+ first-pass acceptance rate
Denial Management & Appeals
- Automated denial identification and routing
- Root cause analysis by payer and denial code
- Multi-level appeals with supporting documentation
- Predictive denial scoring to prevent rejections
Patient Billing & Collections
- White-labeled statements and communications
- Multi-channel outreach (mail, text, email, phone)
- Flexible payment plans and online payments
- Insurance discovery and eligibility verification
- Compassionate, agency-branded patient interactions
Coding & Compliance
- Certified EMS coding specialists
- Medical necessity and level-of-service review
- CMS compliance monitoring and updates
- Audit preparation and support
Reporting & Analytics
- Real-time revenue cycle dashboards
- Performance Scorecard with 9 health dimensions
- Payer mix and denial trend analysis
- Custom reporting and data exports
Our Team
Real people behind every claim.
Technology makes us efficient, but people make us effective. Every agency works with a dedicated team of EMS billing professionals who understand ambulance services — not generic medical billing staff learning on the job.
We hire for EMS knowledge first. Our coders, billers, and patient support specialists have deep experience in ambulance transport billing, Medicare/Medicaid rules, and the unique compliance requirements that come with emergency services.
98.5%
First-pass acceptance
96.2%
Net collection rate
24–48hr
Claim turnaround
11+
Built-in reports
EMS-Focused Expertise
Our team lives and breathes EMS billing. We understand NEMSIS, ground and air transport nuances, Medicare/Medicaid rules, and the compliance landscape that generic billing companies miss.
Dedicated Account Management
Every agency gets a named account manager who knows your payer mix, your operational challenges, and your goals. Not a call center — a partner.
Certified Coders & Billers
Our coding team holds current EMS-specific certifications and undergoes continuous education on payer policy changes, ensuring accurate coding from day one.
Responsive Patient Support
Patients call and speak to a real person who answers in your agency's name. Our support team is trained in empathetic communication for the unique situations EMS patients face.
We Handle
- Claim submission & tracking
- Coding & medical necessity review
- Denial management & appeals
- Patient billing & collections
- Payment posting & reconciliation
- Insurance discovery & eligibility
- Reporting & analytics
- Compliance monitoring
You Keep
- Full visibility into every claim and dollar
- Final authority on write-off thresholds
- Your brand on all patient-facing communications
- Direct access to your data — anytime, anywhere
Ready to see what full-service actually looks like?
Schedule a call to see how our team and platform work together for your agency.