Most billing companies will not put a number on a page. We will put the structure on one, and the exact figures for everything that has a fixed price. The only thing set per practice is the percentage itself, because it genuinely depends on your specialty, volume and payer mix.
EMBC charges a percentage of what we actually collect for you. Everything in the billing cycle is included in that percentage — coding, denials, A/R, eligibility, prior authorisation, patient statements and clearinghouse fees. There is no set-up fee. If you want one service rather than full billing, that is priced separately and those figures are below.
You pay a share of what reaches your bank account. Not a share of what was billed, not a fee per claim submitted — a share of collections. If a claim never pays, we do not get paid for it either.
That alignment is the point. A billing company on a flat monthly fee earns the same whether your aged claims get chased or quietly written off. One on a percentage does not.
All of it. Specifically:
And the thing most practices get caught by: there is no set-up fee and no onboarding charge.
Because any number we printed would be wrong for most of the people reading it. The rate depends on your specialty, your claim volume, your average claim value and your payer mix. A high-volume lab and a two-provider behavioural health practice are not the same business and should not pay the same rate.
What we will do is give you a figure on a short call, before you send us anything. If you want to sanity-check it first, the cost calculator lets you put your own numbers against an in-house biller's true cost — and it will tell you when staying in-house is the cheaper answer.
Some practices have billing handled and need one part of the cycle covered — cover for a vacancy, a backlog, or a function they never built. That is priced per month rather than as a percentage:
These are not add-ons to the percentage model. They are the alternative to it, for practices that do not want to move their whole billing operation.
Included when we run your billing end to end. It is part of the percentage, not a line item.
If you want credentialing on its own, without billing:
If you are not sure which of those you need, the difference between credentialing and payer enrollment is worth five minutes, because they are not the same thing and the timelines differ.
We are obviously not neutral here, so here is the honest version.
A percentage suits you if your volume moves around, you have an A/R problem you need someone motivated to fix, or you are a newer practice where a fixed monthly cost is a risk you cannot carry yet.
A flat fee may suit you better if your collections are high, steady and predictable, and your A/R is already clean. At genuinely high volume a flat fee can cost less. The trade is that it pays the same whether the hard claims get worked or not, so it only makes sense when you trust the operation.
If you are at that volume, price both and make us compete for it. A company that will not quote against a flat fee is telling you something.
Most medical billing companies charge a percentage of what they collect for you, so the fee scales with your revenue and nobody gets paid for claims that never pay. Some charge a flat monthly fee instead, or a fee per claim. EMBC works on a percentage of collections, set per practice, with everything in the billing cycle included and no set-up fee.
Everything in the billing cycle: medical coding, claim submission, denial management and appeals, accounts receivable follow-up, payment posting, eligibility and benefits verification, prior authorisation, patient statements and patient collections, and clearinghouse fees. Provider credentialing and payer enrollment are included too when EMBC runs your billing end to end. There is no set-up fee.
No. There is no set-up fee and no onboarding charge.
Standalone services are $1,500 per month per user. Medical coding on its own is $2,000 per month. These apply when a practice wants support on one part of the cycle rather than end-to-end billing.
Credentialing and payer enrollment are included when EMBC handles your billing end to end. Credentialing on its own is $1,500 per month for bundled or multiple applications, or $600 for a single application.
It depends on how predictable your volume is. A percentage ties the billing company's income to yours, so unworked claims cost them too, and it flexes if your volume drops. A flat fee is easier to budget and can cost less at high volume, but it pays the same whether claims are chased or not. A practice with steady, high collections should price both. A practice with variable volume is usually better off on a percentage.
Send an A/R aging report and three months of denials. We will come back with a rate for your practice and what we think is recoverable. No charge, no obligation, and if your billing is already working we will tell you that instead of pitching you.
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