Bay Area medical practices operate the highest-cost healthcare market in California. Underpayments hurt more here than anywhere else. SF Health Plan covers the city’s Medi-Cal, Anthem and Health Net carry most commercial mix, and Sutter Health Plus and Kaiser commercial dominate by hospital affiliation. Most billing companies do not adjust their work to the Bay Area’s payer mix. That is why your AR sits.
Figures reflect 1st Medical Billing’s California book, trailing 12 months. Industry comparison: MGMA / HBMA published medians.
If a claim doesn’t get paid, we don’t get paid for it. No retainer, no per-claim fee, no monthly minimum. The math means we chase your denials like they’re our own.
We work San Francisco Health Plan, Anthem, Health Net, Blue Shield, Kaiser commercial, Sutter Health Plus, UnitedHealthcare, and Medicare across San Francisco, Oakland, San Jose, the Peninsula, and the East Bay. We know SF Health Plan’s two-step appeal process. We know which Bay Area commercial payers are slow-paying right now.
Not a ticket queue. Not a chatbot. The owner is on the line, or one ring away. You’ll know your account manager by name within the first week.
Send us your last 90 days of remits and aging report. Within a week we’ll send back a written read on what’s leaking and how much we’d recover.
We confirm credentialing is current with every CA payer you bill. Anything missing, we re-credential. Clearinghouse handoff happens behind the scenes.
Charges from your EMR start flowing into our system. Aging AR is worked in parallel. We don’t write off old claims to “start fresh.”
A real meeting, not a PDF. Numbers, trends, denials worked, what’s blocked, what we’re recommending.
Send us your aging report and last 90 days of remits. We’ll send back a written read inside a week. A real human picks up the call you place.
