01
Revenue Cycle Management
One accountable team manages every claim from the eligibility check to the final payment, with reporting you can actually read.
Eligibility
Claims
Posting
Denials
Reporting
Medical billing company · Headquartered in Austin, TX
Our medical billing services cover eligibility, claims, denials and collections for practices in all 50 states. You get paid faster, and your staff stays focused on patients.
HIPAA-compliant
49+ specialties
Serving all 50 states
Free practice consultation
No software switch needed. Our billing teams already work in multiple billing software.
What we handle
Hand us the full cycle or a single function. Either way, each piece connects to the next, so nothing stalls between hand-offs.
01
One accountable team manages every claim from the eligibility check to the final payment, with reporting you can actually read.
Eligibility
Claims
Posting
Denials
Reporting
02
Coverage, copays and authorization needs are confirmed before the patient arrives.
03
Charges are checked against payer rules and filed promptly, electronically or on paper.
04
Provider records, payer applications and follow-ups stay organized, so you can bill sooner.
05
Every denial is worked, appealed within filing limits and traced to its root cause.
06
ERAs and checks are posted and reconciled against the original charge.
07
Coding, documentation and payer performance are reviewed to find the revenue you're missing.
Keeping billing in-house means hiring and training billers, paying for software and clearinghouse fees, and covering the desk when someone is out. Outsourcing moves that work to a team that bills every day.
Hire, train and replace billers yourself
A billing team covers your claims every day
Often tied to one biller’s setup
We work in your EMR, PM system and clearinghouse
Worked when there is time
Worked first and traced to the root cause
Learned claim by claim
Tracked for Medicare, Medicaid and commercial payers
Informal or on request
Weekly or monthly reports on filed, paid and open claims
Not ready to hand over everything? Start with one service, such as credentialing or denial management, or read how we outsource medical billing services end to end.
How it works
Five connected steps, run by one team. Each one sets up the next so claims move and cash comes in.
1
Eligibility and benefits are verified before each visit, so every claim starts clean.
2
Charges are checked against payer rules, then submitted electronically or manually.
3
ERAs and checks are posted and matched to the original charge.
4
Denials get first priority, and corrected claims go back out within filing limits.
5
Weekly or monthly reports show what was filed, what was paid and what's still open.
Denials are common and expensive. In a Premier Inc. survey, nearly 15% of claims sent to private payers were denied at first. More than half of those, 54.3%, were later overturned and paid, and fighting each one cost an average of $43.84.
On HealthCare.gov plans, insurers denied 19% of in-network claims in 2024, and fewer than 1% of those denials were appealed, according to KFF. Money left on unworked denials is simply lost.
Sources: Premier Inc. and KFF.
Weekly or monthly reports, emailed straight to your office
Why Prime Medical Revenue
As a medical billing company, we keep your fee schedules current with CMS guidelines, work inside your existing systems and show you exactly what is happening with every claim.
No forced switch. Our teams already bill in multiple billing software, and with any clearinghouse.
Regular reports show what we filed and what you received. No guessing.
Denials are worked as a priority, which keeps A/R under control and cash moving.
From primary care to surgery, we bill for 49+ specialties and know their payer rules.
From solo providers to multi-location groups, the same accountable team handles your claims. Here is who we work with most.
Affordable, hands-on billing without hiring a full billing department. See billing for small practices.
One billing process across every site, with reports you can compare by location.
Coding, modifiers and authorizations handled by billers who know your specialty.
Therapy, psychiatry and ABA claims, including telehealth. See mental health billing.
High claim volume with eligibility checked at check-in and fast follow-up.
Credentialing and payer enrollment first, then clean billing from the first visit.
49+
Medical specialties billed
24/7
Open 7 days a week
15
Billing & RCM services
50
States served nationwide
Specialties we serve
Our physician billing services cover cardiology to behavioral health. Your claims are handled by billers who know your specialty’s codes, modifiers and payer rules.
Cardiology
Internal Medicine
Family Medicine
Behavioral Health
Orthopedics
Pediatrics
OB/GYN
Gastroenterology
Dermatology
Urgent Care
Don't see yours? We likely bill for it.
See All SpecialtiesWhere we work
Our Austin team provides medical billing to practices in all 50 states, with dedicated local support in Austin, Houston and Dallas.
01
Headquarters
5900 Balcones Drive STE 100, Austin, TX 78731
Explore Austin
02
Gulf Coast
Explore Houston
03
North Texas
Explore Dallas
04
Remote partnership
See states we serve
Outside Texas? See the states we serve
Client reviews
Sample review: "Our claims go out clean and denials are worked the same week. The monthly report finally shows us where every dollar stands."
SR
Sample Reviewer
Replace with a real Google review
Sample review: "They work inside our existing EMR, so nothing changed for our front desk. Collections improved within the first few months."
SR
Sample Reviewer
Replace with a real Google review
Sample review: "Credentialing for our new provider was handled start to finish. We always know who to call and get a straight answer."
SR
Sample Reviewer
Replace with a real Google review
Common questions
Short answers to what practices ask us most. The full list is on our FAQ page.
Prime Medical Revenue is a medical billing company headquartered in Austin, Texas, serving practices across the USA with value-added billing services across 49+ specialties at an affordable price. We act as a one-stop shop for your practice's billing and revenue cycle.
No. Our specialized billing teams have experience working in many different software systems, so you can keep the one you use today.
Yes. Our billing staff handles the full revenue cycle and gives denials first priority, so corrected claims are resubmitted on time and payment comes in sooner. Addressing denials promptly and fixing their causes keeps A/R under control.
Transparency is our core value. We email your office weekly or monthly reports, giving you a complete picture of what we have filed and what has been received.
Most medical billing companies charge a percentage of what they collect or a flat fee per claim. The right model depends on your claim volume, specialty and payer mix. We offer value-added billing at an affordable price and give you a quote after a free consultation.
Yes. Our billing is HIPAA-compliant, and we work inside your own systems rather than copying patient data into new ones.
Yes. We work with solo providers and small clinics as well as larger groups. You can start with one service and add more as you grow.
We review your open A/R first, keep older claims moving while new claims start, and agree on what we take over before day one.
Tell us about your practice. A billing specialist will get back to you within one business day.
5900 Balcones Drive STE 100, Austin, TX 78731
Open 24 hours, 7 days a week
Free consultation
Tell us about your practice. We will show you where revenue is slipping and how we would fix it. The consultation is free.