Prior Authorization Companies in the USA

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...

Who We Are Medical Billing Group, Inc. is a privately held revenue cycle management and healthcare financial services firm founded in 2014 and based in Brooklyn, New York. We operate as a trusted extension of provider offices, bringing a personalized and aggressive approach to billing and collections without sacrificing the meticulous attention to detail that drives clean claims. Our team of healthcare billing professionals focuses on delivering ongoing communication, proactive issue resolution, and full advocacy for each provider we serve. With 11–50 employees, our firm offers the continuity and reliability of a mid-sized organization while maintaining small-firm dedication to quality and responsiveness. What Services We Offer Medical Billing Group delivers a comprehensive suite of billing and payment facilitation services designed for practices across multiple specialties: Billing & Co...

Who We Are We are Pro Medical Billing Solutions, also known as PROMBS. Based in Houston with offices across multiple states, we are a full‑service medical billing, coding, and revenue cycle management firm founded in 2010. Our organization is staffed by a team of around 400 highly skilled professionals who bring deep expertise in medical billing, accounts receivable and denial management, and coding. From day one, our commitment has been to streamline billing processes, reduce compliance risks, and maximize revenue for healthcare providers of all specialties. We view ourselves not as an outsourced vendor but as an integral extension of your administrative team. What Services It Offers At Pro Medical Billing Solutions, we specialize in comprehensive end‑to‑end revenue cycle services. Our medical billing and coding team ensures claims are prepared with precision and submitted promptly. We...

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

We are Pure Billing, a revenue cycle management company built on a commitment to accuracy, transparency, and partnership. Founded in 2021, with our U.S. headquarters located in Burbank, California, and operational headquarters in Ahmedabad, India, we have grown into a trusted RCM partner for healthcare providers across the country. Our foundation is rooted in a simple yet powerful principle: your focus should be on patient care, while we handle the financial operations that keep your practice thriving. Who We Are We are a team of professionals driven by precision and a passion for improving healthcare finance. Our staff includes certified coders, billing specialists, credentialing experts, analysts, and client service managers, all working together to streamline and optimize your revenue cycle. With over five years of collective industry experience, we bring a proactive and hands-on appr...

We are Aspect Billing Solutions, a Delaware-based medical billing and revenue cycle management company founded in 2010. With a decade of experience, we specialize in providing comprehensive billing services to healthcare providers across the United States. Our mission is to alleviate the administrative burdens of medical billing, allowing clinicians to focus on delivering quality patient care while we handle the complexities of revenue cycle management. Who We Are We are a dedicated team of professionals committed to optimizing the financial operations of healthcare practices. Our team comprises certified medical coders, experienced billing specialists, and credentialing experts who work collaboratively to ensure accurate and timely reimbursements. We understand the intricacies of the healthcare industry and strive to offer personalized solutions that meet the unique needs of each practi...

We are Fast Billing Solutions, a medical billing and revenue cycle management company founded in 2021 and based in Melville, New York. With a commitment to simplifying healthcare billing, we provide comprehensive and customized solutions to healthcare providers across the United States. Our mission is to relieve clinicians from the complexities of billing and revenue management so they can focus fully on delivering quality patient care. Who We Are We are a passionate team of certified medical coders, billing specialists, and credentialing professionals dedicated to optimizing the financial operations of healthcare practices. Our expertise and industry knowledge allow us to offer tailored billing solutions that ensure accurate, timely reimbursements and help practices maintain financial health. What Services We Offer We offer a wide range of medical billing and revenue cycle management se...

We are Pyramids Global, a healthcare revenue cycle management company headquartered in Austin, Texas. Since our founding in 2013, we have dedicated ourselves to transforming the financial side of healthcare delivery by offering accurate, efficient, and fully compliant billing solutions. With over a decade of experience in the industry, our mission is to empower medical practices of all sizes to thrive by removing the stress of billing and revenue cycle complexities. We take pride in our strong reputation, built on performance, transparency, and a 99% client retention rate that speaks volumes about the trust we've earned. Who We Are We are a team of passionate professionals driven by a shared commitment to supporting healthcare providers. Our staff includes certified medical coders, billing experts, credentialing professionals, front-desk support, and patient help desk teams. Every member...

We are AllStars Medical Billing, a dedicated medical billing and revenue cycle management firm headquartered in Walnut Creek, California. Since our founding in 2019, we’ve grown to serve healthcare providers across all 50 states, focusing on streamlining billing processes, boosting collections, and reducing administrative workload. With a staff spanning certified coders, credentialing specialists, billing experts, and IT professionals, we tailor our solutions to the unique requirements of practices of every size and specialty. Who We Are With decades of combined experience, our team brings deep expertise in revenue cycle management across hospitals, clinics, ambulatory surgery centers, nursing homes, and specialty practices. We operate as an extension of your internal office, offering a single point of contact who understands your workflows. We serve providers nationwide and work with ov...

We are Meraki RCM Solutions, a U.S.-based medical billing and revenue cycle management company headquartered in Los Angeles, California, with operational delivery centers in India. Since our inception in 2017, we have focused on providing highly specialized billing solutions tailored to the needs of healthcare providers, especially those involved in California workers’ compensation. Our journey began with servicing large medical groups, and over time, we have expanded into broader segments including private payers, Medicare billing, and additional healthcare support services. Our purpose is to bring order, efficiency, and transparency to medical billing operations, helping providers focus on what matters most, delivering quality patient care. What Services We Offer We offer comprehensive revenue cycle management solutions that are technology-driven and process-oriented. Our services incl...

Who We Are We are Cross Country Medical Billing, a full-service medical billing and revenue cycle management firm based in Temecula, California. Founded by Jeri Sanchez, who brings over twenty years of firsthand experience in the industry, we launched in 2021 with a mission to relieve healthcare providers of billing burdens so they can focus on delivering quality patient care. We are built on principles of integrity, transparency, and professionalism, and we measure our success by the success of the practices we serve. Our ethos is simple: respect for your work becomes our respect for your success. What We Offer We provide end-to-end revenue cycle management, from patient eligibility verification and prior authorization to claims submission, payment posting, denial management, and patient collections. Our coding team meticulously applies CPT and ICD-10 coding, ensuring clean claims and c...

Who We Are At MedRevenu, we are a California-based Revenue Cycle Management (RCM) company established in 2005. From our headquarters in Upland, California, we provide comprehensive revenue cycle solutions to physician practices across a range of healthcare settings. Our philosophy is simple: to maximize physician reimbursement, the right system, skilled billers, and effective accounts receivable managers must work seamlessly together. That’s why we’ve built our approach around advanced technology, strong data analytics, and a team of seasoned professionals dedicated to enhancing the financial performance of our clients. What Services We Offer We offer a wide range of services designed to optimize the revenue cycle for healthcare providers. Our Billing & Collections services ensure efficient claim submission and accurate payment posting, so reimbursements are received on time and without...

Who We Are We are ClarityMed Solutions, a dedicated provider of full-service Revenue Cycle Management (RCM) based in Braselton, Georgia. Since our inception, we've built a team of onshore experts committed to handling every aspect of the administrative process for healthcare practices. From patient registration and billing to collections and credentialing, our goal is simple: to deliver optimal efficiency and accuracy so providers can focus on delivering exceptional patient care. What Services It Offers At ClarityMed Solutions, we offer a customized and hassle-free approach to streamline revenue cycle management. Our services cover the full spectrum, from the moment a patient registers to the final resolution of revenue collection. We handle patient registration, claims preparation and submission, payment posting, and follow-up. We guide credentialing processes for healthcare providers a...

MedSole RCM, LLC** is a trusted, U.S.-based provider of comprehensive **medical billing** and **revenue cycle management (RCM)** solutions, dedicated to helping healthcare providers maximize their financial performance. The company partners with physician practices, hospitals, specialty clinics, and independent providers across the country, delivering customized solutions that streamline complex billing processes and drive operational efficiency. MedSole RCM’s core mission is to remove the administrative burden from healthcare providers, enabling them to concentrate fully on delivering quality patient care without being distracted by time-consuming billing and collections tasks. By managing every stage of the revenue cycle, from patient registration and eligibility verification to claims submission, follow-up, and payment posting - MedSole RCM helps healthcare organizations optimize cash...

Thrive Medical Billing is a full-service medical billing company committed to helping healthcare providers streamline their financial operations. We specialize in accurate medical coding, claims submission, denial resolution, credentialing, and full-cycle RCM. Our solutions are designed to reduce billing errors, increase cash flow, and ensure HIPAA compliance. Whether you’re a solo provider or multi-location clinic, Thrive delivers results you can count on.  Thrive Medical Billing is a trusted billing company for physicians, private practices, and healthcare facilities seeking accurate medical billing, coding, denial management, and RCM services. Our U.S.-based team ensures faster reimbursements, clean claims, patient-friendly collections, and end-to-end revenue cycle optimization. From eligibility verification to payer enrollment and audits, we handle it all, so you can focus on patient...