Los Angeles · San Diego · San Francisco · Orange County · Sacramento

California Medical Billing in Every Major Metro

Practices from Los Angeles to Sacramento hire us because we know your specific payer mix. We’re an owner-led, California-based team. A real human picks up the phone. And here’s the part most billers won’t say. We only bill on paid claims.

✓Working California metros for years — LA, SD, SF, OC, Sac
✓Knows IEHP (Inland Empire), LA Care, Health Net, Blue Shield Promise
✓Free 30-day AR audit on your last 90 days of remits
✓Works with Epic, Athenahealth, Kareo, eClinicalWorks

Or talk to us now. (818) 741-2620

Free 30-Day AR Audit

Tell us what you’re dealing with.

We’ll send back a written read inside a week. No pitch deck, no obligation.

✓

Got it. Talk soon.

A real human will call you within 2 business hours.
If it’s urgent, we’re at (818) 741-2620.

By the numbers

The math, in plain English.

98%

First-pass clean-claim rate

17d

Median days in AR industry avg ~38

72hr

Median first-touch on every denial

1:1

A named account manager. Owner reachable.

Figures reflect 1st Medical Billing’s California book, trailing 12 months. Industry comparison: MGMA / HBMA published medians.

Why practices switch

Three things national billing companies can’t say.

We only bill on paid claims.

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 know your payers by name.

From IEHP and LA Care in the south to Sacramento County’s MCPs in the north. Anthem CA, Blue Shield, Health Net, Kaiser commercial, Medicare. We’ve worked these payers daily, by metro, for years.

A real person answers.

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.

How a switch works

Four weeks. No disruption to your front desk.

1

Free 30-day AR audit

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.
2

Credentialing & payer setup

We confirm credentialing is current with every CA payer you bill. Anything missing, we re-credential. Clearinghouse handoff happens behind the scenes.
3

Live billing in week 3

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.”
4

Monthly review with the owner

A real meeting, not a PDF. Numbers, trends, denials worked, what’s blocked, what we’re recommending.

Common questions

Honest answers, in plain English.

Pricing is custom per practice, based on specialty, payer mix, and volume. We don’t post numbers because medical-billing pricing isn’t one-size-fits-all. The thing we’ll commit to in writing: we only bill on paid claims. No retainers. No setup fees. No per-claim charges. Tell us about your practice and we’ll send a real quote within 48 hours.

You send us your last 90 days of remits plus your current aging report. We work through them by hand, by a real biller, and send back a written read inside a week. We’ll flag what’s recoverable, what’s leaking, what the denial patterns are, and what specifically we’d do differently. There’s no pitch on that document. If you keep your current biller, you keep the audit. It’s free.

Four weeks for a clean transition, including credentialing verification, clearinghouse handoff, and EMR/PM integration. We don’t pause your billing to “start fresh.” Old AR gets worked in parallel. Your front desk doesn’t change anything.

Yes. Epic, Cerner, Athenahealth, Allscripts, Kareo, Practice Fusion, eClinicalWorks, NextGen, AdvancedMD, DrChrono, and most of the long-tail. If you have a system we haven’t touched, tell us; we’ve onboarded it before.

Yes. Signed BAA, encrypted-at-rest data, US-only access, full audit trail on every PHI touch. Happy to walk through our security paperwork on the discovery call.

Yes. Our team works practices in Los Angeles, San Diego, the Bay Area, Orange County, Sacramento, the Inland Empire, and the Central Valley. We’re remote-friendly but California-based — billers, account managers, and the owner are all in CA. Time-zone-aligned with your front desk.

Free 30-day AR audit

Local billing, recovered AR, real humans. Want to see your numbers?

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.

Request my free audit 📞 Call (818) 741-2620