San Diego practices bill a payer mix the rest of California does not see at scale. TRICARE West (Humana Military) covers a third of military families. Community Health Group runs the largest Medi-Cal MCP locally. Then there is Sharp, Kaiser, and the standard commercial mix on top. Most billing companies treat all of it the same. That is why claims sit.
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 Community Health Group, Molina, TRICARE West (Humana Military), Anthem, Blue Shield, Health Net, Sharp, Kaiser commercial, and Medicare. TRICARE has its own timely-filing rules, its own auth requirements, and its own appeal process. We know them. Most billers do not.
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.
