Prior Authorization Companies in the USA

Who We Are Wise Medical Billing LLC (WMB) is a technology-driven revenue cycle management company headquartered in Newark, Delaware. With decades of combined industry experience, we specialize in optimizing medical billing, coding, and administrative processes across a wide range of healthcare specialties. Our goal is to simplify the financial operations of healthcare practices, empowering providers to focus on delivering quality care while we manage the complexities of revenue recovery. At WMB, we blend professional expertise with advanced billing tools to deliver streamlined, compliant, and highly efficient solutions. Our certified team is trained across multiple specialties and payer guidelines, ensuring claims are submitted accurately and in a timely manner. By minimizing rejections and accelerating reimbursements, we help healthcare organizations boost revenue and reduce administrat...

Who We Are We are Premier Medical Billing LLC, a trusted, locally owned and operated medical billing and revenue cycle management firm headquartered in Rehoboth Beach, Delaware, with an additional presence in Massachusetts. For over two decades, we have been a valued partner to healthcare providers across the United States, delivering tailored billing solutions with a personal touch and a commitment to excellence. Founded on the core values of integrity, compassion, and transparency, our mission has always been to alleviate the complex administrative and financial burdens that often distract providers from their true focus, patient care. Led by our experienced CEO Lindsay Everson, our leadership team brings both empathy and results-oriented strategy to every client relationship. We pride ourselves on being more than just a billing company. We operate as a dedicated extension of your prac...

Who We Are We are eClaim Solution LLC, a U.S.-based revenue cycle management and full-service medical billing firm founded in 2018 and headquartered in Lewes, Delaware. Our team is comprised of seasoned billing and coding professionals with extensive expertise across diverse medical specialties and practice management systems. We are available 24/7 to address your inquiries and committed to safeguarding patient data through full HIPAA compliance. Our core philosophy is simple: by providing comprehensive, expert-led billing support, we give healthcare providers the freedom to devote their full attention to patient care and strategic growth. Our staff becomes an integrated part of your practice, bringing professionalism, accuracy, and responsiveness to every engagement. We proudly serve physicians, therapists, chiropractors, hospital-based clinics, urgent care centers, and DME providers na...

Who We Are We are Jubilee Billing Services, a revenue cycle management and medical billing firm based in Lewes, Delaware. For over a decade, we’ve been driven by a mission to enhance financial performance, streamline billing workflows, and alleviate administrative burdens for healthcare providers. With our headquarters along Coastal Highway, we serve clients across America, from corporate hospitals to solo practices, empowering them to focus on delivering high-quality patient care while we handle the intricacies of billing, compliance, and billing technology. Our team consists of seasoned professionals, including medical billing specialists, coders, credentialing experts, and operational leaders like CEO Sagar Panchal and Head of Operations Gurmukh Singh, who guide every project with precision and care. With a global mindset and deep industry insight, we build long-lasting relationships...

Who We Are We are Healthcare Profit Assurance LLC (HPA Billing), a Boca Raton, Florida-based firm offering full-service medical billing, coding, credentialing, and revenue cycle management (RCM). Since our founding in 2007, we've specialized in helping healthcare providers, from solo practices to small groups, streamline their administrative tasks and maximize reimbursement. Located at 980 N Federal Hwy, we maintain compliance with industry standards and leverage advanced technologies to boost efficiency and accuracy. Our team, led by founder Vashti Oyamielen, CPC, a certified AAPC professional, includes experienced billers, coders, credentialing specialists, and telehealth RCM experts. We partner closely with clients to alleviate administrative burdens, enabling clinicians to focus entirely on patient care. Our person-centered approach ensures we act as extensions of our clients’ teams,...

Who We Are We are Bay Medical Billing Services, Inc., a trusted billing partner based in Palm Harbor, Florida, proudly serving healthcare providers across the greater Tampa Bay area. Founded by Maritza Gomez with deep-rooted values of honesty and respect, we’ve built our reputation on being responsive, ethical, and dedicated. Over time, we have become a trusted ally to practices seeking personalized revenue cycle expertise. Our focus is on delivering reliable, confidential billing solutions that prioritize efficiency and clarity. Whether you're a solo practitioner or part of a community clinic, we streamline billing processes to improve financial outcomes and allow you to concentrate on patient care. What Services We Offer Bay Medical Billing provides a complete suite of in-house billing services, tailored to meet the distinct needs of Tampa Bay-area practices and beyond: Claims Processi...

Who We Are We are Billing Dynamix, LLC, a Florida-based, technology-forward firm founded in 2007 and headquartered in Clearwater, FL. We specialize in delivering a 100% cloud-based, ONC-ATCB certified practice management platform, combined with professional medical billing and revenue cycle management services tailored to outpatient settings, especially physical therapy and chiropractic care. Our focus is on empowering healthcare providers with streamlined billing, real-time data insights, and operational clarity. Our team blends deep technical expertise with industry knowledge, offering not just tools but full-spectrum support. We go beyond traditional billing, offering integrated scheduling, EMR, patient engagement, and telehealth services under one unified system. With a strong emphasis on client relationships, we act as a true extension of your office, transparent, responsive, and al...

Who We Are We are Capital Billing Services, Inc., a family-owned, full-service medical billing, credentialing, and consulting firm based in Atlanta, Georgia. Established in 2008, we bring over three decades of collective healthcare revenue cycle experience to the practices we serve. Operating with a foundation of security, integrity, and patient-focused data protection, our mission is to act as a strategic partner who proactively improves billing results and operational workflows for healthcare providers across the nation. Our leadership team is steered by James Irungu (President), with Achsha Irungu overseeing client relations and operations as CEO/COO. They are supported by a team of experienced specialists in revenue operations, credentialing, client services, and quality assurance. This executive group ensures strategic oversight and seamless service delivery, bringing together admin...

Who We Are We are Providers Priority Billing Services, a committed and professional medical billing company built on a foundation of certified healthcare administration and technical expertise. Although our exact founding year and physical office location are not listed, our identity and values are unmistakable. We aim to be more than just a billing company, we are a partner that healthcare providers can rely on. Our services are crafted to lift the administrative load off clinicians so they can fully concentrate on delivering quality care. Our operations are centered around precision, transparency, and accountability. We are highly responsive and detail-oriented, ensuring that each claim is processed thoroughly and followed up from submission to resolution. What Services We Offer Our services reflect a complete approach to revenue cycle management, allowing providers to optimize their f...

Who We Are We are I‑Med Claims LLC, a professional medical billing and revenue cycle management firm serving physicians, clinics, and healthcare providers across the United States. Founded in 1997 and currently headquartered in Oakbrook Terrace, Illinois, our company has been built on a foundation of industry excellence, comprehensive service delivery, and uncompromising integrity. Over the past 28 years, we have combined strategic insight, cutting-edge analytics, and meaningfully human service to alleviate the administrative burdens on healthcare providers, allowing them to focus fully on patient care. Our team comprises revenue cycle managers, certified coders, billing specialists, credentialing experts, EHR/PM implementers, and digital marketing professionals. We take pride in the depth and breadth of our experience, enabling us to customize service delivery to the specific needs of p...

Who We Are We are Med Solutions 360, a dedicated revenue cycle management and healthcare operations partner headquartered in Naperville, Illinois. Our mission is grounded in reducing the administrative burdens placed on healthcare providers so they can stay focused on delivering quality patient care. Acting as an integral extension of each client’s internal team, we manage the full spectrum of billing and administrative workflows, from the first patient appointment to the final payment reconciliation. Our team is comprised of seasoned professionals with deep knowledge in medical billing, coding, collections, credentialing, and compliance. We pride ourselves on delivering custom-built solutions designed to enhance revenue capture and practice efficiency. At the core of our operations lies a strong belief: effective healthcare administration should elevate, not obstruct, the patient experi...

Who We Are We are Missing Piece Billing and Consulting Solutions, proudly serving ABA therapy providers as a specialist billing partner since the early 2010s. Based in Kokomo, Indiana, our company was founded to remove the administrative burden from ABA clinics and families struggling to navigate insurance for autism services. Over more than a decade, we have built our practice on the values of care, compassion, and deep expertise in behavioral health billing. With a mission to let providers focus on patient care, our dedicated team integrates seamlessly into clinical operations, taking the weight of billing complexities off your shoulders. We operate as an extension of your practice, proactively managing billing workflows, educating staff, and maintaining transparent collaboration. Grounded in relationships and inspired by personal stories from families and practitioners, our approach b...

Who We Are We are Golden Bee Billing Services, a boutique medical billing and consulting firm specializing in insurance billing for mental health practices. Based out of Ralston, Nebraska, we offer personalized and structured billing solutions designed to relieve growing practices from administrative burdens. Our founder and CEO, Ashley Christenson, credentialed with AAS, HIT, RHIT, CPB, CPC, and CPPM, leads a dedicated team with more than a decade of focused experience. We believe billing should enhance care, not distract from it. Our partnership model ensures providers focus on clients while we manage claims, compliance, and revenue efficiency. What services we offer Our comprehensive services span every step of the revenue cycle, specifically tailored to mental health practices: Full Revenue Cycle Management: From insurance eligibility verification and claim entry to submission, track...

Who We Are We are Advantum Health, a Louisville-based, privately held medical billing firm. Since our founding in 1996, we have served as a trusted and comprehensive revenue cycle management partner for physicians, hospitals, and health systems across the nation. Our team brings decades of collective expertise in revenue cycle management, medical coding, credentialing, and technology-enabled healthcare services. We are committed to combining hands-on, people-centered engagement with the power of advanced automation to ensure our clients receive responsive, high-quality support around the clock. Our company stands at the intersection of healthcare and technology, offering solutions that are not only efficient but also scalable and secure. By blending our team’s experience with proprietary technological tools, we have created a results-driven environment that prioritizes client success and...

Who We Are We are Altruis, a Louisville-based revenue cycle management (RCM) company founded in 2003. Since our inception, we have remained fully dedicated to helping healthcare providers improve their financial health and streamline their billing operations. As a committed team of professionals, we combine deep human expertise with cutting-edge technology to support a wide range of healthcare organizations, including clinics, hospitals, Federally Qualified Health Centers (FQHCs), behavioral health facilities, and ambulatory surgery centers. Our people-first approach is the foundation of our service delivery. We provide seamless, 24/7 support in all critical areas of the revenue cycle, including medical billing, claims processing, accounts receivable management, and payment posting. By offering reliable, efficient, and transparent services, we empower our clients to focus on what matters...

Who We Are We are Advanced Medical Billing, a full-service revenue cycle management firm proudly headquartered in Lafayette, Louisiana. Since our inception, we’ve dedicated ourselves to helping healthcare providers across the country eliminate the complexities of billing and collections so they can focus on delivering excellent patient care. Our leadership team brings decades of experience in the medical, compliance, insurance, and IT industries. Our operations are led by Principal Kevin McBride, who brings strategic leadership to the organization, supported by Vice President Earl Venable, Vice President D’Anna McBride, and credentialing specialist Monica Ramirez Lake. Alongside them is a team of certified billing and coding professionals, compliance experts, and client support specialists who ensure each practice we serve receives personalized attention, transparency, and results. What...

Who We Are We are Pediatric Medical Billing of Colorado (PMBC), a locally owned and operated medical billing service dedicated exclusively to pediatric and pediatric therapy practices. Our leadership team includes a Certified Professional Coder (CPC), a Certified Billing Professional (CBP), and a Licensed Pediatrician, collectively bringing over 40 years of experience in pediatric healthcare and medical billing. Founded with the mission to alleviate administrative burden from pediatric providers, PMBC was created to offer an alternative to the impersonal, outsourced billing models that often dominate the healthcare landscape. At PMBC, we believe that billing support should be as specialized as the care our clients provide. That’s why we are deeply involved in the unique workflows, coding challenges, and patient communication requirements specific to pediatric practices. We don’t see ours...

Who We Are We are Shared Response Health Systems, LLC, a Connecticut‑based firm specializing in medical coding, billing, and consulting for healthcare providers. With deep expertise in revenue cycle management and clinical reimbursement, we support practices across the state, leveraging our knowledge to streamline billing operations and optimize financial performance. We pride ourselves on acting as a trusted partner, delivering clarity and confidence in navigating the complexities of payer systems. What services we offer At Shared Response, we offer a comprehensive suite of services designed to meet the administrative needs of medical practices: Medical Coding & Billing: We handle the entire billing cycle, from charge entry and claims submission to payment posting and denial correction, ensuring accurate, timely reimbursement. Revenue Cycle Management (RCM): Our services cover everythin...

Who We Are We are Medical Recovery Services (MRS), a specialized third-party debt collection and medical billing recovery company serving healthcare providers exclusively. Headquartered in Idaho Falls, Idaho, we are a team of legal and financial professionals with over 30 years of combined experience in collections, medical billing disputes, and healthcare compliance. Our firm is fully bonded, insured, and licensed to operate across various jurisdictions, offering peace of mind and full compliance to every client we serve. At Medical Recovery Services, we believe in more than just collecting debt, we believe in restoring financial health to medical practices and preserving the dignity of provider-patient relationships. Our team includes attorneys who directly oversee collection activity, provide expert legal counsel, and ensure that every step of the process follows all applicable health...

Who We Are We are H & H Billing and Credentialing Services, a boutique medical billing and credentialing agency based in Carter Lake, Iowa. Our team was founded on a commitment to integrity, personalized service, and attention to detail. We believe in assembling a team of friendly, experienced professionals, because the quality of our people defines the quality of our work. With that in mind, we meticulously select our staff through a rigorous process to ensure every project is handled with dedication and high standards. We build lasting partnerships by customizing our services to reflect your unique operational needs. We do not rely on templated processes or generic solutions, our work is tailored to each client’s goals, timelines, and expectations. Since day one, client satisfaction and trust have been our top priority. What services we offer Our offerings encompass both billing and cr...