Medical Billing
Comprehensive Revenue Cycle Management for Modern Practices
PHB partners with practices to manage every aspect of the medical billing process—from accurate claim submission through timely payment collection. Our consultative approach helps reduce denials, accelerate reimbursements, and improve overall financial performance, so your team can stay focused on delivering exceptional patient care
How Our Process Works
You provide secure access to your documentation and clinical note systems
We import and validate daily charges to ensure accuracy and compliance
Claims are submitted promptly and actively monitored through each stage
Denials are analyzed and appealed strategically when appropriate
Payments are posted accurately, with discrepancies identified and resolved
Patient statements are generated and coordinated with your team for follow-up
What Our Medical Billing Service Includes
The Benefits to Your Practice
Claim submission through both electronic and manual channels to ensure timely processing
Accurate charge entry with thorough cross-checking against clinical documentation
Proactive denial management with timely and strategic appeals
Payment posting and remittance reconciliation to ensure accuracy
Patient statement generation with coordinated follow-up on outstanding balances
A/R follow-up on underpayments, unprocessed claims, and aging accounts
Monthly financial reporting, including revenue analysis and KPI tracking
Improved cash flow — faster reimbursements and reduced days in A/R
Fewer denials — proactive claim review and real-time status monitoring
More efficient operations — your team stays focused on patient-first care
Clear financial insight — actionable monthly reports that highlight growth opportunities
Stronger compliance — accurate charge capture aligned with clinical documentation
WHY CHOOSE PRIME HEALTHCARE
Industry expertise
We specialize in behavioral and mental health Medical billing
Customizable service levels
From light AR support to full Medical billing teams
EHR / PM integration
Seamlessly working with your systems
Transparent Medical billing dashboards
Monthly reporting on performance and KPIs
Monthly Support Plans
At Prime Healthcare Billing & Consulting, we believe billing should feel clear, fair, and easy to understand—not overwhelming or unclear. Our pricing is designed with transparency in mind, so you always know exactly what you’re paying for and what you’re receiving in return. We don’t believe in hidden fees or surprises. Instead, we focus on straightforward pricing, open communication, and real value. On this page, you’ll see how our plans are structured, what factors influence cost, and the level of support you can expect at each stage.
Whether you’re a solo provider or a growing practice, our goal is to provide support that feels aligned, reliable, and tailored to your needs—so you can focus on your patients while we handle the rest.
Solo providers who need core billing support with excellent service
5% of income
Min. $500 if gross income ≤ $6,500
Benefits verification & eligibility
Claims submission daily
Posting insurance payments
Claims appeals
Customized end-of-month reporting
Bi-weekly A/R reviews
Patient collection assistance (notify provider of declines)
Direct access to your billing team
We act as your business office providing financial assistants to questions
7% of income
Everything in Essential, plus
Intake paperwork management
Sending superbills for self-pay patients
Monthly meetings with your account team
Group practices needing advanced billing and patient service integration
8% of income
Everything in Growth, plus
Expanded patient interaction
High-touch billing & account management
Dedicated support for scaling providers and teams
Virtual receptionist & scheduling
Which Plan is Right For You?
Choosing the right level of support should feel simple—not overwhelming. At Prime Healthcare Billing & Consulting, we take a personalized approach, because no two practices operate the same way.
If you’re looking for peace of mind and want to free up your time to focus fully on your patients and growing your practice, the Growth Plan is often a great fit. It offers a balance of consistent billing support and patient-facing coordination, helping your operations run smoothly day to day.
For larger or scaling practices that need a more hands-on, high-touch approach, the Premium Plan provides deeper support and integration. It’s designed to help manage more complex workflows while keeping your revenue and patient experience strong.
If you prefer to stay more involved while still having dependable billing support in place, the Essential Plan is a solid foundation—especially for solo providers who want reliability without overextending their resources.
Most importantly, our plans are not one-size-fits-all. We understand that every practice has different needs, workflows, and financial considerations. Our rates are flexible and can be adjusted to ensure they feel fair, manageable, and aligned with your practice.
If you’re unsure which direction makes the most sense, we’re here to help. We’ll take the time to understand your goals and guide you toward the best fit—no pressure, just honest support.
Add-On Services
In addition to our monthly support plans, PHB offers a select range of add-on services for practices that need extra help beyond billing. These options are available as needed and can be tailored to your practice priorities.
Setup & Account Management
ERA (Electronic Remittance Advice) setup – $65/hour
EFT (Electronic Funds Transfer) setup – $100/Application
Address changes – $100/Application
Bank changes –$100/Application
Meetings & Credentialing
Additional meetings (at provider request) – $65/hour
Contracting & credentialing – $200.00 per application
Missing progress notes reports – $30/report
Practice Support
Dedicated practice phone number – $15/month
Dedicated practice email address – $15/month
Corrective work (all payments posted by PHB are chargeable regardless of payment date) – Custom quoted