Trusted by 125+ Clinics
Thinkitive is a third party medical billing company providing end-to-end billing, coding and denial management, with a 98% net collection rate. Full billing handover in 7-14 days.
Free billing audit in 48 hours. No setup fees. Works with your EHR and clearinghouses.
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A senior billing specialist will reach out within one business day to set up your walkthrough. Want to lock in a time right now?
Collect more while spending less time managing billing in-house. Outsource coding, claim verification, denial follow-up, and A/R management to an expert medical billing company.
Claims are checked for coding, eligibility, and documentation issues before submission, so more get accepted the first time.
AI reviews claims against payer requirements and billing rules before submission, helping your team identify potential issues and fix them earlier.
Eligibility, coding, documentation, and payer requirements are checked before submission to help prevent avoidable claim denials.
Claims keep moving from submission to payment, with timely follow-ups helping prevent aging A/R from slowing down your cash flow.
Every claim gets reviewed by certified coders familiar with specialty-specific rules, payer requirements, and coding guidelines.
Denied claims are reviewed, appealed, and followed through to turn more lost revenue into recovered payments.
Calculate how much you can save and collect with us.
See What You Could Collect →Keep more of what you earn. Certified coders and pre-submission claim checks help reduce errors and underpayments, so more of your billed revenue makes it to collections.
One dedicated team manages your billing cycle from eligibility through A/R, reducing administrative burden and giving your practice a single point of accountability.
Pre-submission checks for eligibility, coding, documentation, and payer requirements help prevent avoidable denials, reduce rework, and speed up payments.
Your dedicated billing team of certified coders and billers handles everything inside your existing EHR, from eligibility and coding to denials, A/R, and billing. Spend less time managing workflows and more time with your patients.
Your front desk stops chasing payer portals while coverage issues are caught before they become denials.
55% faster turnaround, without your staff spending hours chasing payer approvals.
AAPC- and AHIMA-certified coders working under signed BAA and HIPAA safeguards across 20+ specialties, delivering 99%+ coding accuracy without the recruiting burden.
97% first-pass acceptance, without the cost or management of an in-house claims team.
Cut denials and get +25% cash flow within 90 days, with a dedicated team focused on appeals and root-cause resolution.
18 fewer days in A/R, with specialists you never have to manage.
We handle statements, payment plans, and the patient calls that follow, so your front desk doesn’t have to.
A monthly dashboard, a dedicated account manager, and your billing data exportable whenever you need it.
See exactly how we’d handle your billing inside the system you already use.
Choose a healthcare billing company that understands your specialty, payer requirements, and revenue cycle workflows.
We took the full cycle: eligibility before the session, session-based charge capture, and the 90837 and unit-count edits behavioral health payers reject most often, scrubbed pre-submission. Charges now reconcile against sessions daily, and denials are worked to appeal inside the platform their clinicians already document in.
Breshaun Black & Brittany BlackCo-Founder, Bright Care We took ownership of the rule set and keep it current as policies shift, so claims go out clean the first time rather than being corrected after rejection. Rejections that do occur are appealed rather than written off, and the monthly pack shows which payer is responsible for what.
Dean ShaferManaging Director, Mind Clinic We moved authorization tracking ahead of the appointment, coded E/M with therapy add-ons correctly, and pursued the payer when an authorized visit was denied anyway. The practice stopped absorbing denials for care that had already been approved.
Chad CryderFounder/President, My Psych Center We scrub modifiers and place-of-service before submission, capture the collaborative-care codes that were being dropped, and work the aged bucket weekly. The 90+ bucket is now a weekly worklist with an owner rather than a month-end report.
Troy FultonFamily Psychiatric Mental Health Nurse Practitioner, Mesquite Valley Integrated Health We keep enrollment current across every payer, reconcile 835 remits line by line, and flag every payment that lands under the contracted rate. Underpayments now surface in the month they happen rather than at year end.
Crystal QuinceOwner / CEO, Talquin Health We split coding by specialty, so the person coding orthopedics is not the person coding behavioral health, then reconciled both books into a single report. The CEO now reads one A/R report instead of assembling several.
JaimeChief Executive Officer, Synergy We separated the two ledgers, and run card-on-file and payment plans against patient balances. Self-pay and insured performance can now be read independently.
Italo PignanoCEO & Co-Founder, Eon Medical & Wellness We code those three details from the note itself and write the appeal when a payer downcodes without justification. Downcoded claims are now contested rather than accepted.
MosayebFamily Nurse Practitioner, OWC We track billable minutes per patient per month, submit the recurring codes on schedule, and reconcile every remit against what was submitted. Enrollment documentation is now maintained to survive review, not just to get a claim out.
Mr. Muthu KrishnanChairman and CEO, Kencore Health We took the claim side end to end, including eligibility verification before a device ships. Their product team stopped building billing logic.
Ali El-KerdiCOO, Sozen We keep coding documentation attached to each claim and reconcile remits against expected reimbursement every month. Product and finance now work from the same monthly reconciliation.
Daniel NichitaSr. Product Manager, ESCAVO We separate the two at charge entry, invoice the employer side directly, and keep the insured side moving through the clearinghouse. Employer and payer revenue are now tracked as two distinct streams.
Joe BartonContractor, America Scouting Hear It Directly From Our Clients
Switch your billing without disrupting your current operations. Your existing team stays active while Thinkitive, a third-party medical billing company, handles the transition and prepares for a smooth handover in 7–14 days. You stay informed at every step while your billing keeps moving.
A working audit of your A/R, denials, claims, and billing workflow to find where revenue is getting stuck.
Key Deliverables
We establish secure access, payer connections, fee schedules, and billing workflows so your operation is ready to go live.
Key Deliverables
We work alongside your existing billing team, process live claims, reconcile every batch, and compare performance before taking ownership.
Key Deliverables
Once the parallel run reconciles, we take full ownership of billing from day 15 while your practice keeps control of its systems, data, and reporting.
Key Deliverables
Answer three quick questions and see how much you could save with a 2.5% flat billing fee. Compare our pricing model with other medical billing and coding companies.
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Enter your current billing fee as a percentage of collections.
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Every specialty has different billing requirements. Get a team that understands your coding, payer rules, and workflows, so claims keep moving and billing stays on track.
Specialized Billing for Time-Based Therapy
We also support Family Medicine, OB/GYN, ENT, Urology, and other medical specialties.
Let’s talk about your billing needs and see how we can support your practice.
Keep your existing workflows while our billing experts work inside 30+ EHRs, 10+ clearinghouses, and the billing systems your practice already relies on.
*No migration. Works with 30+ EHRs & 10+ Clearinghouses. We work inside what you already run, using your existing access and submitter IDs under a signed BAA. No platform switch, no rerouting your billing, and no migration back if you ever leave.
As a healthcare billing company serving practices across the USA, Thinkitive accounts for state Medicaid programs, Medicare Administrative Contractor (MAC) jurisdictions, and payer-specific requirements. Select your state to explore the billing rules and programs relevant to your practice.
Find your state
50 states supported — tell us yours on the audit call and we'll confirm your exact payer setup.
Medi-Cal managed care plans add their own balance-billing limits, and major commercial payers each apply their own edits that are not interchangeable.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in California or any other state. Check my payers →
Managed-care MCOs administer most Medicaid claims separately from TMHP fee-for-service, so eligibility and timely-filing rules vary by plan.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Texas or any other state. Check my payers →
Medicaid managed care plans layer their own prior-auth and timely-filing rules on top of eMedNY base requirements.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in New York or any other state. Check my payers →
Statewide Medicaid Managed Care (SMMC) routes most claims through MCOs, each with its own authorization and appeal windows.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Florida or any other state. Check my payers →
Managed care organizations administer the bulk of NJ FamilyCare claims, with plan-specific credentialing and filing deadlines.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in New Jersey or any other state. Check my payers →
HealthChoice Illinois managed-care plans apply their own prior-auth rules layered on top of HFS fee-for-service policy.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Illinois or any other state. Check my payers →
Your patient data stays protected with controlled access, secure systems, and safeguards built into every billing workflow. From BAAs and role-based access to MFA, encryption, and audit controls, security is part of how we manage your billing.
We put the right agreements, access controls, and safeguards in place before anyone gets access to your patients' records.
Our security controls cover how billing data is accessed, handled, monitored, and protected throughout the work.
Our certified coders follow current coding guidelines, payer requirements, and specialty-specific rules so supported services are coded correctly the first time.
We stay on top of payer and government requirements that affect coding, documentation, authorization, filing, and reimbursement.
Your billing is handled by trained, certified professionals who understand the standards, workflows, and specialty requirements behind the claims they work.
When you outsource medical billing to Thinkitive, a dedicated team manages your billing operations inside your existing EHR and clearinghouse. Services include insurance verification, prior authorization, coding, charge entry, claims, payment posting, denial management, appeals, A/R follow-ups, patient billing, and reporting. You can outsource the entire revenue cycle or select individual services.
Thinkitive's revenue-share pricing starts at 2.5% of collections. Other engagement models include volume-based monthly pricing and dedicated billing resources. Your final quote depends on specialty, claim volume, collections, A/R aging, denial complexity, and service scope. Each proposal is provided in writing, with dedicated quality assurance and management support.
No. Our billing team works directly inside your existing EHR and practice management system, keeping claims, payments, and billing records accessible to your practice. You receive monthly performance reports covering first-pass acceptance, denial trends, days in A/R, and net collection rates, along with support from a dedicated US-hours account manager.
We use a parallel billing approach during the transition. From days 8–14, our team processes claims alongside your existing billing team, reconciles submissions, and compares performance. Full handover happens after the transition is validated. We also review legacy A/R and outstanding denials to prevent existing reimbursement opportunities from being overlooked.
No. Thinkitive's medical billing team works inside your existing EHR and practice management system. We support platforms such as AdvancedMD, eClinicalWorks, athenahealth, Tebra, DrChrono, NextGen, Practice Fusion, and TherapyNotes, along with supported clearinghouses. System compatibility and access requirements are reviewed before onboarding.
No. Following onboarding, Thinkitive offers month-to-month engagement without requiring a long-term commitment. Your practice retains ownership of its billing data, records, payer information, and system access. If you decide to discontinue the service, your billing history and records remain accessible within your existing systems.
Your account is supported by a dedicated billing team that may include AAPC- and AHIMA-certified coders, A/R specialists, and denial management professionals. A US-hours account manager serves as your primary contact for communication, performance reviews, and escalation. Our global delivery team operates under applicable HIPAA safeguards and documented security controls.
Yes. A Business Associate Agreement (BAA) is executed before our team accesses your systems or PHI. Security controls include role-based access, encryption in transit and at rest, audit logging, documented incident response, quarterly access reviews, and annual HIPAA training for account personnel. Our SOC 2 Type II report is available under NDA.
Yes. You can outsource selected revenue cycle activities instead of transferring the entire billing operation. Common engagements include A/R cleanup for claims aged over 90 days, denial management and appeals, medical coding, prior authorization, and insurance eligibility verification. This allows your practice to address specific billing gaps before expanding the engagement.
You can transition billing operations back to your internal team without changing systems. Your billing records, claim notes, appeal details, and payer information remain in your existing EHR and practice management platform. We also document workflows and follow-up requirements to help your new billing staff continue operations without starting from scratch.
The initial consultation and demonstration can typically be arranged within one or two days. Scoping and BAA execution follow, with system access and payer setup targeted for days 3–7. Parallel billing runs through day 14, with full handover targeted from day 15. Existing billing backlogs may be prioritized when immediate support is needed.
Third-party medical billing companies manage revenue cycle activities externally, helping practices reduce recruitment, staffing, and billing management responsibilities. In-house teams offer direct operational control but require ongoing staffing and oversight. When comparing providers, evaluate pricing, specialty expertise, EHR compatibility, security practices, reporting, and accountability for claims and collections.
Choose a healthcare billing company with experience in your specialty, qualified coding professionals, transparent pricing, and reliable denial management. Also evaluate its security controls, EHR compatibility, reporting capabilities, and account management. The right billing partner should work within your existing systems while maintaining visibility into collections and outstanding claims.
Doctors should evaluate a medical billing agency based on specialty expertise, coding accuracy, payer knowledge, and revenue cycle management capabilities. Look for a billing company for doctors that offers transparent pricing, dedicated account management, reliable A/R follow-ups, and compatibility with existing EHR and practice management systems.
Small medical billing companies may offer personalized support and direct communication, but size alone shouldn't determine your choice. Compare medical billing and coding companies based on specialty coverage, staffing continuity, security controls, pricing, and reporting. Choose a partner that can manage your current billing requirements and support your practice as it grows.
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