06/30/2026
I lost a client this week. To price.
They found a biller charging a fraction of what we do, and I understand the math behind that decision. I wish them genuine success โ no hard feelings, truly.
Then their new billing company sent the practice a few requests. And I think every practice owner deserves to see what they were, because the lesson is bigger than any one company.
First, they explained that they know the full revenue cycle โ but that every payer, specialty, place of service, and code has its own rules. True. Then they asked the practice to send sample CMS-1500 claims that had already been billed, broken out for each payer and each provider, so they'd know how to do it.
Sit with that. We're a U.S.-based, U.S.-owned company with teams trained specifically in TMS, psychiatry, behavioral health, Spravato, OT, speech therapy, and ABA. We don't ask clients to teach us their specialty using their own claims. We already know how those claims move, where denials happen, and how to get them paid.
When a billing partner needs your completed claims as templates, they aren't just billingโthey're learning. And that learning curve often shows up as denials, delayed payments, and lost revenue.
Then came the second request: they asked for the login credentials to the previous biller's software.
Those systems contain protected health information. A billing company confident in its own processes shouldn't need access to a competitor's platform. That's not just a pricing issueโit's a data security issue.
Cheap billing isn't always billing. Sometimes it's tuition, and the practice pays for the lesson.
To the client who left: I hope you thrive. Our door stays open, and I mean that. To everyone else weighing a switch โ ask these questions before you sign, not after.
Help Those Who Help the Hurting.
