Medical billing for 500+ practices, built entirely on referrals
ProvidaRCM handles billing, coding, credentialing, and denial management for practices in every state. Every client we have came from a referral or a result, so we report our own performance the same way we report yours.
Six people touch every claim
Billing breaks when one person is asked to do all of it. Your account runs through named roles with defined ownership, and you get a direct line to the one who answers for the result.
Eligibility and benefits
Coverage is verified before the visit, so claims do not come back for reasons that were knowable on day one.
Certified coding
AAPC-certified coders assigned by specialty, coding against the documentation and the payer's own policy.
Clean submission
Claims scrubbed, attachments attached, and filed to the correct payer the first time, with a daily submission cut.
Posting and reconciliation
Payments posted against contracted rates. Underpayments are flagged the day they land, not at month end.
Denials and appeals
Every denial worked on deadline and appealed to the last available level, with the root cause corrected so it stops repeating.
Account management
A named account manager answers within one business day, walks you through the reporting every month, and escalates on your behalf. No call centers and no ticket queues.
Why we built ProvidaRCM
We watched practices lose money to billing errors, staff turnover, payer policy changes, and denied claims nobody had time to appeal. The people treating patients were left fighting a system that seemed built to work against them.
So we built the billing department we wished those practices had. One that knows the specialty, knows the payer contracts, answers the phone, and takes accountability for what lands in the bank account.
Founded on a real problem
Our founding team spent years inside medical practices, watching revenue leak through billing errors, staffing gaps, and denials that were never challenged.
Grown by referral
Every client we have came from a referral or a result. We have never spent a dollar on cold outreach, and we do not plan to start.
Built to stay
We do not lock clients into contracts. They stay because collections improve, aging A/R shrinks, and the front desk gets its time back.
What happens to your claims, in order
The same sequence runs for every client in every state. It is why first-pass acceptance holds where it does.
Eligibility verified
Benefits checked before the visit, including coordination of benefits.
Charges reviewed
Codes and modifiers checked against payer policy and documentation.
Claim submitted
Scrubbed, attachment-complete, and filed to the right payer.
Payment posted
Reconciled to contracted allowables, shortfalls flagged same day.
Denials worked
Appealed on deadline and corrected at the source.
Results reported
Monthly reporting that shows what changed and what it was worth.
Five billers to fifty states
We grew one practice at a time. The geography is the clearest record of it.
Five billers, three states
Started with five certified billers serving 12 practices, built on the conviction that billing could be done better.
100th practice
Crossed 100 active clients across 28 states, launched real-time reporting, and expanded the denial team.
All 50 states
Full nationwide coverage, with working knowledge of every state Medicaid program and its regional payer rules.
500+ practices
More than 500 providers across 40+ specialties, holding a 99% first-pass acceptance rate as we grow.
What usually happens, and what we do instead
Most billing problems are structural rather than technical. These are the five we hear about most, and the difference in how we run them.
The usual billing arrangement
How ProvidaRCM runs it
Our standardQuestions we get before the first call
If yours is not here, ask it on the assessment call. We will answer it straight.
How did ProvidaRCM start?+
Do you work with small or solo practices?+
Who owns our data and our payer relationships?+
What happens in the first 90 days?+
Do you require a long-term contract?+
Which specialties do you bill for?+
Start with a free billing assessment
Send us 90 days of claims. We will show you what is being missed, what it is worth, and what we would do about it. No charge, and no commitment.
Book a free billing assessment