EMS Billing Services
Powered by our Medical Billing Services, EMS billing accelerates cash flow for high-acuity mobile care
Billing for EMS providers whether hospital-owned, fire-based, municipal, or private — is uniquely complex due to the fragmentation of field data, transport variables, and payer-specific coding rules. MedsIT Nexus streamlines the EMS revenue cycle from dispatch to reimbursement, reducing AR days, ensuring compliance, and maximizing collections. Outsource your EMS billing to a partner who understands real-time field care, evolving compliance, and scalable RCM performance.
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Billing complications slow down operational efficiency. Get rid of the hassle with our qualified billing experts and boost your revenue
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EMS Billing vs. Emergency Room Billing
Managed with MedsIT Expertise
With over 15 years of experience, MedsIT Nexus provides comprehensive billing solutions for ambulance providers, EMS units, and hospitals ensuring accurate coding, strict compliance, and efficient claims to each care setting.
Processed Annually
Experience
Rate
| Attribute | EMS Billing | Emergency Room Billing |
| Setting |
Pre-hospital (Field, en route, critical transfers)
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In-facility ER- after patient arrival
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| Providers Involved |
EMTs, Paramedics, Critical Care Flight Teams
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Emergency Physicians, PAs, Hospital Nurses
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| Billing Codes Used |
HCPCS Level II to te (A0425–A0436), mileage, service level, transport
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CPT/HCPCS treatment and diagnostic codes, tied to ER evaluation/treatment
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| Modifiers Required |
RH, HN, QL, GM, SH — accurate use is Medicare-mandated
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Limited to procedure or setting-based modifiers
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| Transport Requirement |
Yes-transport must occur to bill
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Not required - services billed after patient arrives
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Why MedsIT Nexus Is Trusted by EMS Agencies & ER Networks
We Manage Over 1 Million EMS/ER Claims Annually With Deep Specialization In Prehospital And Emergency Department Revenue Cycles.
Compliance & Security HIPAA-Compliant Workflows Plus Regular Audits Ensure Data Protection And Billing Integrity. Local Expertise Trusted By Municipal EMS, Private Ambulance Companies, & Critical Access Hospitals In New York And Beyond.Certified Ambulance Coders (CAC) And AAPC-Certified ER Billing Specialists On Staff.
Transparent Reporting Real-Time Dashboards And Payer-Specific Compliance Tracking With Transparent Denial Reporting. Proven Results Our Mission Is To Protect Your Revenue While Upholding The Strictest Standards In Clinical Documentation And CMS Compliance.Don't Let Coding Confusion Put Your Reimbursement at Risk
Protect your EMS revenue with certified billing experts who understand the nuances of pre-hospital and emergency department billing.
EMS & ER Billing: Separate or Bundled?
Why It Matters — And How MedsIT Nexus Gets It Right
In the chaos of emergency care, it's easy for billing lines to blur. However, from a revenue cycle perspective, EMS & Emergency Room billing must remain distinct, each governed by its own set of codes, compliance rules, & payer expectations. At MedsIT Nexus, we’ve spent over a decade working alongside municipal EMS providers, critical access hospitals, & private ambulance agencies across the U.S. We don’t just understand the difference we’ve engineered compliance-verified workflows to keep both revenue streams accurate, optimized, & protected.
Key Points
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EMS and ER billing require separation
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Bundled billing risks revenue and compliance.
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MedSIT ensures accurate, compliant billing.
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Trusted by EMS and ER providers.
Why Billing Them Separately Is Essential
Bundling these two billing types can lead to
MedsIT Nexus Expertly Separating What Others Bundle
EMS and ER billing are not interchangeable, and neither is your billing partner.
At MedsIT Nexus, we ensure that every transport, every treatment, and every claim is coded, submitted, and reimbursed correctly — and separately.
EMS Revenue Cycle Management Services
Unlock full reimbursement potential from every dispatch with MedsIT Nexus's EMS RCM solutions. From accurate transport coding to payer-specific claim workflows, we ensure compliance, faster payments, and zero revenue leakage. Trust our certified EMS billing experts to streamline your prehospital revenue lifecycle with our comprehensive revenue cycle billing services.
Seamless EMS Dispatch Starts with Accurate Patient Onboarding.
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Capture dispatch & pickup location accurately
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Pre-authorize non-emergency transports
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Align patient identity with insurance data
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Ensure time-stamped trip initiation
Let MedsIT Nexus Handle Patient Pre-Authorization & Scheduling Accuracy
Seamless EMS Dispatch Starts with Accurate Patient Onboarding
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Verify coverage pre-transport (Medicare / Medicaid)
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Check for prior authorization if required
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Confirm primary vs. secondary payer status
Let Us Validate Every Mile from First Click to Final Claim
Precision EMS Coding that Protects Every Dollar You Earn
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Code transport level: ALS1, ALS2, BLS
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Apply modifiers: RH, QL, GM
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Audit trip sheets against the billed level
Get Credentialed Right with MedsIT Nexus EMS Billing Without Delays
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Enroll EMS providers with Medicare, Medicaid, & private payers
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Manage CAQH, NPI, PECOS, and eMedNY credentialing
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Ensure payer compliance for ambulance transports
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Track revalidations, renewals, & updates for EMS personnel
Secure Your Spot with Payers with our EMS credentialing solution
Track Every Dollar with Precision, No Payment Left Behind
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Post EFTs and ERA responses
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Match trip IDs with payer remits
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Highlight underpayments automatically
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Tag write-offs and post timely adjustments
Let MedsIT Nexus Maximize Your EMS Revenue Accuracy
Turn Denials into Dollars with Expert A/R Recovery
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Appeal incorrectly denied EMS trips
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Resubmit corrected modifier or code claims
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Recover aging receivables > 60 days
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Provide payer-specific denial insights
Reclaim Lost EMS Revenue with MedsIT Nexus Today
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![Patient Registration & Scheduling]()
Patient Registration & Scheduling
Accurate billing begins at the first dispatch. MedsIT Nexus integrates with CAD and EMS ePCR systems to ensure proper patient identification, dispatch timestamps, and location validation — all required by Medicare and Medicaid payers.
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![Insurance Verification]()
Insurance Verification
We help you bill what’s billable. Our real-time insurance verification services eliminate denials from non-covered trips and ensure you’re aligned with Medicare Advantage, state Medicaid, and commercial policies before transport even begins.
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![Medical Coding]()
Medical Coding
EMS transports are complex — our coders simplify them. MedsIT Nexus’s Medical Coding Services are led by NAAC- and AAPC-certified professionals explicitly trained in EMS coding. From ALS emergencies to non-emergent PCS-qualified transfers, every detail is coded with precision to ensure full reimbursement.
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![EMS Medical Credentialing]()
EMS Medical Credentialing
Credentialing isn’t just for physicians it’s critical for EMS billing success. At MedsIT Nexus, we streamline the credentialing process for EMS providers, transport agencies, & hospital-affiliated units to avoid revenue interruptions. From PECOS enrollment to eMedNY integration, our team ensures you're correctly listed, verified, & linked to your payers. Learn how our EMS-focused medical credentialing services help you stay billing-ready and audit-compliant across state and federal programs.
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![Payment Posting & Reconciliation]()
Payment Posting & Reconciliation
Every EMS dollar is tracked. MedsIT Nexus reconciles every remittance with your EMS claims, flagging variances and streamlining ledger accuracy. Transparency is built into every step of your revenue stream.
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![Denial & A/R Management]()
Denial & A/R Management
Your EMS claims deserve a second chance. Our denial management services don’t just fix claim errors we proactively prevent them from recurring. With decades of combined EMS billing experience, we reduce accounts receivable (A/R) aging while safeguarding your audit readiness.
Patient Registration & Scheduling
Insurance Verification
Medical Coding
EMS Medical Credentialing
Payment Posting & Reconciliation
Denial & A/R Management
Not All EMS Entities Bill the Same & Neither Should You
Every EMS operation is unique. That’s why cookie-cutter billing solutions fall short. Whether you’re a fire-based EMS, private ambulance, or a hospital-owned unit, your billing infrastructure, NPI ownership, and reimbursement model must reflect your entity type, not just your providers.
Shared Codes, Different Claims Logic
Think you can apply the same EMS codes across all operations? Think again. While codes like A0429 (BLS) or A0427 (ALS) are shared, how and where you submit, with what modifiers, under which NPI, is entirely entity-specific.
You Run EMS. We Handle the Billing Infrastructure
From credentialing and NPI alignment to claim submission logic and modifier compliance, we customize every element of your EMS billing workflow based on your:
Ownership structure
Payer mix
Transport type
Documentation standards
“Integrated Solutions for Every EMS Entity”
Whether you're a hospital-owned EMS, a standalone municipal service, or a growing private ambulance firm, MedsIT Nexus adapts your billing structure to fit your operational and compliance model.
Ready to Bill Like a Pro?
Let's align your billing with your entity, not the industry average.
Schedule a free consult and see how we optimize EMS billing for fire, hospital, air, and municipal
EMS Billing Isn’t One-Size-Fits-All It Depends on Ownership
Your EMS billing strategy must reflect how your operation is structured, not just the services you provide. Whether your unit is hospital-affiliated or fully independent, MedsIT Nexus delivers tailored billing solutions aligned with your ownership model.
Interactive EMS Billing Classification
Hospital-Affiliated EMS Units
Best Fit: Small Practice Billing Services
Billing Context
These EMS teams are tied to hospital-owned physician groups, outpatient clinics, or urgent care extensions. Though hospital-affiliated, billing is often processed through separate group NPIs or practice-level RCM systems.
How We Help
Handle physician & paramedic billing
Manage claims under CMS-1500
Documentation standards
Standalone Private EMS Companies
Best Fit: Private Practice Billing Services
Billing Context
Fully independent EMS companies manage their own NPI, contracts, and payer relationships. Like private medical groups, these businesses need full-cycle billing, credentialing, and denial prevention.
How We Help
Full revenue cycle support for Medicare, Medicaid, and commercial plans
Dedicated EMS billing teams or vendor coordination
NPI setup and direct payer enrollments
Paramedic-Level Interventions Coded with Clinical Precision
In the high-stakes environment of prehospital care, paramedics deliver life-saving interventions long before patients enter a hospital. From advanced airway management and IV medication administration to defibrillation and trauma stabilization, these procedures form the clinical backbone of emergency medical response.
At **MedsIT Nexus**, we specialize in translating these field-level interventions into **accurate, HCPCS-based billing claims** that reflect the true value of your EMS services. Unlike standard medical coding, EMS billing isn’t based on CPT codes it depends on the **complexity of care delivered**, the **level of service rendered (BLS, ALS1, ALS2)**, and the proper application of origin–destination modifiers.
Whether it's `A0427` for ALS care with one intervention, or `A0433` for cardiac arrest with multiple procedures, our coders ensure that every medically necessary act performed by your crew is accurately coded, documented, and reimbursed.
Want to learn how EMS field services
Differ from traditional Medical Coding, medical-coding-services? Discover how we specialize in clinical coding tailored for pre-hospital care
Bridging EMS Billing with Ambulance Revenue Integrity
At MedsIT Nexus, we don’t just process EMS claims — we engineer every stage of your prehospital billing cycle for maximum reimbursement and audit-ready compliance.
But did you know? A critical pillar of EMS revenue often goes unnoticed: the Ambulance Billing process.
Ambulance Billing Services aren’t just about wheels on the road; they’re about billing precision, from **base rates and loaded miles to ALS/BLS transport coding and origin-to-destination documentation—every mile matters. Every modifier counts.
While EMS billing captures the care performed — triage, interventions, & paramedic documentation — Ambulance Billing zeros in on the transport logistics: the "how, where, and why" your unit rolled.
Together, they form a dual-system workflow that must align for clean claims and cash flow continuity. And that's where we thrive.
Why it Matters:
Why Every Detail Matters:
Missed modifiers = Revenue leakage
Missed modifiers = Revenue leakage
Uncoded miles = Delayed payments
At MedsIT Nexus, we specialize in integrating EMS clinical data with Ambulance operational billing, so you don’t leave money on the table, whether it’s care delivered curbside or transfers across county lines.
Talk to our Expert
Reliable EMS Billing Compliance
At MedsIT Nexus, we understand that every EMS claim is not just a financial transaction it’s a legal document subject to audit, denial, or penalty. That’s why our EMS billing services are designed to align with every major federal, state, and payer-specific requirement, so your agency stays protected, paid, and audit-ready.
Billing EMS without full compliance can result in denials, recoupments, or worse, legal exposure. We help you avoid all three.
Compliance Isn’t Just About Avoiding Risk — It’s About Securing Revenue.
By staying aligned with Medicare, Medicaid, Tricare, private payers, & third-party insurers, our compliance-first approach ensures
Want to learn how our Payer-Specific EMS Billing Strategy works in sync with this compliance model?
Get in TouchSpeak to our EMS billing specialists today & protect your agency’s future one compliant claim at a time.
Why Choose MedsIT Nexus for EMS Billing?
Designed to match the visual structure & tone of your current RCM Analytics slides.
Top Notch Negotiations
MedsIT Nexus negotiates directly with top insurance providers, securing your practice's best reimbursement rates and contract terms. Our professionals analyze your patient base, payer policies, and industry trends to ensure that your agreements align with your financial goals while maintaining compliance and profitability
Maximize Reimbursements & Strengthen Payor Agreements!
Complete Billing Consultancy
Our medical billing consulting services are tailored to the physicians of every medical specialty. We support providers at every step of the RCM. Our group of consultants with expertise in maintaining constant communication with providers, ensuring that all aspects of billing and revenue management are handled efficiently and accurately
Get Expert Billing Guidance & Maximize Your Revenue!!
Medical Billing Software Expertise
MedsIT Nexus has a group of innovative medical billers with experience in all leading medical billing software; with our services, you would have a partnership of medical billing and coding professionals who are highly proficient in handling tricky RCM situations through the effective use of the provider’s software
Optimize Revenue Cycle with Our Software Expertise!
Holistic Payor management
Being a leading medical billing service provider, we are experts in handling the complexities and nuances associated with insurance providers in the USA. This includes commercial ( UnitedHealth, Aetna, Humana) and private (Blue Cross Blue Shield) payors. We ensure that your practice secures favorable reimbursement rates and resolves disputes efficiently
Partner With Our Payer Experts Today!
Group Practice Management
MedsIT Nexus has years of excellence in serving various medical practices, including hospital-affiliated and independent private practices. Our comprehensive medical billing caters to the distinct needs of every size of a physician group, resulting in minimizing the administrative burdens and maximizing your practice revenue
Boost Your Practice’s Revenue!
Certified Billing Specialist
Our Medical billing group is highly proficient in handling a diverse range of insurance billing and claims issues for healthcare providers, ensuring accuracy, efficiency, and compliance in healthcare. With their expertise and commitment to excellence, Our insurance reimbursement specialist ensures maximizing the financial health of our client’s practice
Partner with Our Certified Billing Experts Today
Maximize Revenue Capture with Data-Driven RCM Analytics!
Eliminate Revenue Leakage
Detect and correct under coding to ensure full Reimbursement
Faster Payments
Optimize claims processing for quicker approvals
Stronger Financial Performance
Capture every earned dollar with precision billing
Top Notch Negotiations
MedsIT Nexus negotiates directly with top insurance providers, securing your practice's best reimbursement rates and contract terms. Our professionals analyze your patient base, payer policies, and industry trends to ensure that your agreements align with your financial goals while maintaining compliance and profitability
Maximize Reimbursements & Strengthen Payor Agreements!
Call us at +1 (516) 665-1869 a free review.
93%
72%
94%
80%
Doctors lose up to
$125Billion in U.S
Because of poor billing practices
Outsource Emergency Medical Services Billing
Streamline Your Claims from Dispatch to Reimbursement Without the Risk
Emergency medical billing is more than just data entry — it’s about understanding the real-time clinical journey that starts at dispatch and continues through transport, treatment, and handoff. At MedsIT Nexus, we specialize in turnkey EMS billing solutions that turn complex field activity into clean, payer-ready claims.
What We Handle — So You Don’t Have To
From Dispatch to Patient Transport
We integrate directly with your CAD and ePCR systems to capture time-stamped, real-world data from 911 activation through on-scene care and transport, so no medical necessity or transport detail is missed
Medicare & Medicaid Documentation Requirements
Our billing teams are trained to align your trip reports with strict CMS documentation standards, including medical necessity, mileage, PCS forms (for non-emergency transport), and signatures, thereby reducing audit exposure and ensuring timely approvals
Accurate Modifiers & Levels of Service
Whether it’s a BLS emergency (A0429) or ALS2 cardiac arrest (A0433), we ensure every service level is correctly documented and billed using appropriate HCPCS codes, along with essential modifiers:
- QL – Patient pronounced dead at the scene
- GM – Multiple patients transported
- RH, HN, SH, SN – Origin/destination combinations
With MedsIT Nexus, you're not just outsourcing EMS billing — you're gaining a specialized team that understands what happened in the field, why it matters, and how to get it paid.
Ready to Simplify EMS BillingEMS Billing Services in New York State
Local Compliance. Regional Expertise. Statewide Results.
Navigating EMS billing in New York isn’t just about understanding codes — it’s about knowing how local payers, Medicaid programs, and transport protocols work at the county and city level. At MedsIT Nexus, we bring hands-on experience working with EMS agencies across the state of New York, from NYC boroughs to rural upstate transport units.
We don't just understand EMS billing — we know New York EMS billing
Ready to simplify your agency's claims across the Empire State?
Let's get your revenue cycle compliant, optimized, and built for New York's evolving regulatory demands
How MedsIT Nexus Helped Renowned Hospitals In the USA Cut Costs, Speed Up Reimbursements, & Build Resilient RCM
Get a Free Revenue Cycle Assessment Today
our revenue cycle experts Identify gaps & unlock higher profitability
Our services are trusted by 2000+ providers
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain
" After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Rehabilitation
" I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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Founded in 2015 in New York, MedsIT Nexus delivers healthcare Revenue Cycle Management services powered by AI and cloud technology streamlining billing, enhancing compliance, & improving financial outcomes for providers nationwide.
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Uniondale, NY 11556
