For California Medical Practices

California medicine deserves California billing.

We’re an owner-led, California-based medical-billing team. A real human picks up the phone. We work claims like they’re our own money. And here’s the part most billers won’t say. We only bill on paid claims.

  • Owner-led California team. Not a call center.
  • Knows Medi-Cal MCPs, IEHP, LA Care, Health Net
  • Free 30-day AR audit before you sign anything
  • Works with Epic, Athenahealth, Kareo, eClinicalWorks
Or talk to us now. (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 big 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.

Medi-Cal MCPs, IEHP, Health Net, Blue Shield Promise, LA Care, Anthem CA, Kaiser commercial, Medicare. We’ve worked these payers daily 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. 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. 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. 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. 4

    Monthly review with the owner

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

We’d been with a national billing company for four years. The number that changed everything: days in AR went from 38 to 17 in the first six months. The phone got picked up by a person. That alone was new.

Practice Administrator · Family Medicine · Inland Empire
Illustrative example until verified
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.
Because Medi-Cal MCP rules, IEHP and LA Care quirks, and the way commercial CA payers handle out-of-network claims are different from anywhere else. We get faster results because we’re not trying to be experts in 50 states. We’re experts in this one.
Free 30-day AR audit

Want to see what we’d recover for you?

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.

1st Medical Billing  ·  California-based, owner-led  ·  HIPAA-compliant  ·  (818) 741-2620