DME Service Solutions

What DME Service Solutions does

DME Service Solutions is a privately held healthcare-focused business process outsourcing (BPO) provider headquartered in San Diego, California, with delivery operations in Bonifacio Global City (Philippines) and San Pedro, Mexico. Founded in 2021/2022, the company employs more than 1,000 people and serves enterprise healthcare organizations — including Durable Medical Equipment (DME) providers, health systems, specialty clinics, telehealth and remote patient monitoring companies, and medical device manufacturers — across four integrated service lines: Revenue Cycle Management (eligibility verification, authorization management, claims submission, denial management, payment posting, patient collections), Customer Engagement (new patient sales, intake, reorders, retention, multi-channel support, scheduling), Back Office Support (account creation, data entry, medical criteria validation, document lifecycle management), and Clinical Support Services staffed by US-licensed nurses (medical triage, utilization management, clinical review).

The underlying technology stack is Microsoft Azure-based, delivered through secure VPN access and platform-agnostic integration with clients' EHRs, CRMs, and billing systems. Operations are governed by HITRUST r2, SOC 2 Type 2, ISO/IEC 27001:2022, HIPAA, GDPR, and PCI DSS certifications, with real-time performance dashboards and KPI tracking used for service monitoring. The company does not operate a software product; delivery is human-powered by healthcare-experienced client-facing hires.

DME Service Solutions sells exclusively through a direct, consultative enterprise sales motion, pricing its services on a flexible FTE (Full-Time Equivalent) basis with all-inclusive coverage of workforce, infrastructure, training, and management. Engagements are typically piloted over 3-6 months before full implementation, with month-to-month initial terms and no minimum FTE commitments. Revenue is generated from per-FTE managed services across the four service lines, supported by documented client outcomes including 94%+ CSAT, up to 60% operational cost savings, and triple-digit percentage productivity improvements in claims handling and pre-authorization. The company is privately held with no disclosed external funding.

Name

DME Service Solutions

Legal name

DME Service Solutions

Website

https://dmeserve.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

DME Service Solutions is a privately held, 1,000+-employee healthcare BPO operating across the US, Philippines, and Mexico, delivering Revenue Cycle Management, Customer Engagement, Back Office Support, and Clinical Support Services to enterprise healthcare organizations on a flexible FTE-based managed services model.

Ownership category

akta.pro rank

Product category

Healthcare BPO / Healthcare Outsourcing Services

NAICS

Telephone Call Centers (56142), Business Service Centers (56143), Office Administrative Services (561110)

SIC

Services-Help Supply Services (7363), Services-Management Services (8741)

akta.pro primary industry

Business Process-Aligned IT Outsourcing (ITO + BPO Integrated) (BPAEAMAJ)

akta.pro secondary industries

General Customer Service (Order/Account/Inquiries) (BPAAABAA), Insurance Claims Intake & FNOL Support (BPAAAFAA)

Keywords

• Healthcare BPO services
• Revenue cycle management
• Customer engagement outsourcing
• Clinical support services
• Back office support

Headquarters

HQ city

San Diego

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare BPO Managed Services: Comprehensive outsourcing solutions covering workforce, infrastructure, training, and management. Pricing based on FTE (Full-Time Equivalent) model with flexible engagement without minimum FTE requirements. Revenue derived from providing dedicated teams for RCM, clinical support, customer engagement, and back-office operations to healthcare organizations.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels10 records

Core offering

DME Service Solutions is a healthcare-specialized business process outsourcing (BPO) call center that provides dedicated teams to healthcare organizations for Revenue Cycle Management, multi-channel Customer Engagement, Back Office Support, and U.S.-registered nurse-led Clinical Support Services. Engagements are sold on a managed-services, per-FTE basis with flexible month-to-month terms and a 3–6 month pilot program, delivered across hubs in the United States, Philippines, and Mexico.

Product overview

DME Service Solutions offers a portfolio of four integrated healthcare BPO service lines: Revenue Cycle Management (covering eligibility verification, authorization management, claims submission, denial management, payment posting, and patient collections), Customer Engagement (spanning new patient sales, intake, reorders, retention, support, and scheduling across voice/email/chat/SMS channels), Back Office Support (including account creation, data entry, medical criteria validation, document management, and account management), and Clinical Support Services (providing U.S.-registered nurses for medical triage, utilization management, and clinical review). The company operates as a services-based healthcare outsourcing provider rather than a software platform, delivering human-powered solutions designed to optimize healthcare operations, improve patient experiences, and maximize revenue for healthcare organizations.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management End-to-end Revenue Cycle Management services for healthcare organizations, covering eligibility verification, authorization management, claims submission, denial management, payment posting, and patient collections to reduce friction and maximize revenue.
• Customer Engagement Multi-channel customer engagement services covering new patient sales, intake, reorders, retention, customer support, and scheduling across voice, email, chat, and SMS — with HIPAA-compliant communication and 24/7 availability to build patient trust and improve retention.
• Back Office Support Accurate, efficient administrative back-office support for healthcare organizations, including account creation, data entry, medical criteria validation, document follow-up, document scanning, document request, and account management with SLA/KPI monitoring.
• Clinical Support Services Clinical-grade services delivered by U.S.-registered healthcare professionals, including medical triage (U.S.-licensed nurses), utilization management, and clinical review — supporting emergency response, remote patient monitoring, and compliance/audit readiness.

Quantifiable outcome

• 94%+ customer satisfaction (CSAT) score maintained
• +6 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Optum (UnitedHealth Group): Optum is the largest healthcare services and innovation company globally, offering RCM, clinical operations, and customer engagement BPO services to providers and payers. It is a direct competitor for healthcare BPO contracts, particularly at the enterprise health-system level, with vastly greater scale and capital.
• Cognizant (Healthcare): Cognizant's healthcare business provides IT, BPO, and digital transformation services to payers, providers, and pharma — including RCM, member engagement, and clinical operations. It competes with DME for enterprise healthcare BPO contracts at much larger scale.
• Sutherland Global Services: Sutherland is a large global BPO with significant healthcare operations covering claims, customer engagement, clinical support, and back-office services. It competes with DME for healthcare BPO deals at the enterprise end of the market.
• NTT Data (Healthcare): NTT Data provides IT services and BPO to healthcare payers and providers, including claims processing, member engagement, and care management outsourcing. It is a broad incumbent competitor for healthcare BPO engagements.

Direct peers

• Conifer Health Solutions: Conifer Health Solutions is a healthcare-specific BPO specializing in revenue cycle management, patient engagement, and clinical services for hospitals and health systems. It is one of DME Service Solutions' closest direct competitors in the healthcare RCM and patient engagement outsourcing space.
• GeBBS Healthcare Solutions: GeBBS is a healthcare-focused BPO offering RCM, coding, utilization management, and patient access services, primarily delivered through offshore hubs in India and the Philippines. It directly competes with DME on healthcare RCM outsourcing for provider and payer clients.
• Omega Healthcare: Omega Healthcare is a healthcare BPO focused on RCM, coding, accounts receivable, and clinical documentation improvement, with large offshore delivery operations. It is a direct competitor for healthcare provider RCM outsourcing work.
• Access Healthcare: Access Healthcare provides healthcare RCM, revenue cycle, and robotic process automation-enabled business services to hospitals, physician practices, and DME providers. It is a direct competitor in healthcare BPO with similar offshore delivery economics.
• Firstsource Solutions: Firstsource is a global BPO with a dedicated healthcare practice covering RCM, claims processing, member engagement, and provider services. It directly competes with DME in healthcare BPO, particularly on payer and provider outsourcing contracts.

Emerging players

• Avaap (now part of Casey): Casey (formerly Avaap) provides healthcare-focused IT, RCM, and EHR-related business services to provider organizations. It is an emerging specialist competitor with overlapping healthcare BPO and back-office service capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@DMEServiceSolutions
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/dme-service-solutions

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about DME Service Solutions