Free Billing Audit

Medi-Cal Billing Services

(818) 741-2620
For California Medi-Cal Practices

Medi-Cal Billing Services

If half your patients are on Medi-Cal Managed Care, your billing is not the same as a private-payer practice. Each MCP runs its own claim format, its own auth process, its own appeal window. LA Care, IEHP, Health Net, Anthem Partnership, CalOptima, Community Health Group, Partnership HealthPlan, San Francisco Health Plan, and a dozen others. Plus DHCS Fee-for-Service for crossover claims. Most billing companies treat Medi-Cal like a footnote. We treat it as our specialty.

  • ✓Owner-led California team. Not a call center.
  • ✓Knows Medi-Cal MCPs: LA Care, IEHP, Health Net, Anthem Partnership, CalOptima, Community Health Group, Partnership HealthPlan, SF Health Plan, plus DHCS FFS.
  • ✓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 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.

We work every Medi-Cal Managed Care plan in California. LA Care and Health Net in LA County. IEHP and Molina in the Inland Empire. CalOptima in Orange County. Community Health Group and Molina in San Diego. Anthem Blue Cross Partnership across most of the state. Partnership HealthPlan in the North Bay and Solano. SF Health Plan in San Francisco. Each plan has its own auth rules, claim format, and appeals window. We know them all and we work them daily.

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.

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

Medi-Cal 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
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