QRS Healthcare Solutions

What QRS Healthcare Solutions does

QRS Healthcare Solutions (QRS, Inc., formerly Quality Rep Services, Inc.) is a privately held U.S. vertical-market software vendor founded in 1983 and headquartered in Knoxville, Tennessee, with an additional office in Niagara Falls, New York. The company develops, sells, and supports the PARADIGM suite — an integrated Electronic Health Records (PARADIGM EHR) and Practice Management (PARADIGM PM) platform that runs on a single shared database rather than being assembled from acquired modules. PARADIGM is ONC-ATCB Certified and HIPAA-aligned, with add-on modules for real-time insurance eligibility verification (PARADIGM Verify), automated appointment reminders (PARADIGM ARS), patient portal access (PARADIGM Health Portal), merchant payment processing, and electronic statement delivery. QRS also operates its own claims clearinghouse that has processed more than 2 million claims per year for over 15 years, providing direct electronic claims and remittance processing rails that are tightly coupled to the EHR/PM workflow.

The company monetizes primarily through subscription-based licensing of PARADIGM software (implementation included), recurring telephone/software and hardware support contracts priced by product coverage, hardware sales and installation, professional services for training, data conversion, and custom programming, plus transaction-fee revenue from clearinghouse, payment processing, and electronic statement services. Distribution is direct-sales-led targeting small and mid-sized medical practices across the U.S., with all sales, implementation, and support handled by a 100% U.S.-based, long-tenured employee team. The company has no disclosed external funding, no parent company, no subsidiaries, and no recent M&A activity on record, though an indirect signal — privacy/CCPA contact email routed through harriscomputer.com — warrants ownership-structure diligence.

Customer evidence indicates a fragmented, multi-specialty base with notable long-tenured accounts including University Radiology, MD Billing Services (13+ years), and Franklin Dermatology Group (15+ years). QRS differentiates on platform integration (single-database architecture), longevity (40+ years), U.S.-based in-house support, ownership of the claims clearinghouse, and a turnkey bundle that extends to network services, hardware, and disaster recovery — a positioning aimed at practices that prefer a single vendor over best-of-breed assembly.

Name

QRS Healthcare Solutions

Legal name

QRS, Inc.

Website

https://qrshs.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

101–250 employees

Short description

QRS Healthcare Solutions is a privately held U.S. vendor founded in 1983 that develops and supports the PARADIGM integrated EHR and Practice Management platform for small and mid-sized medical practices, monetized through subscription software licensing, support contracts, hardware sales, and transaction-fee services including a proprietary claims clearinghouse processing over 2 million claims per year.

Ownership category

akta.pro rank

Product category

Healthcare Practice Management Software

NAICS

Software Publishers (5132), Custom Computer Programming Services (541511)

SIC

Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)

akta.pro secondary industries

Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO), EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Electronic health records
• Practice management software
• Medical billing software
• Healthcare IT solutions
• Claims clearinghouse services

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Licensing (EHR & Practice Management): Sale and licensing of PARADIGM EHR and Practice Management software systems to medical practices. Implementation is included in software cost.
2. Support Contracts: Telephone/software support contracts and hardware support contracts. Telephone support hours are Monday-Friday 8AM-6PM Eastern Time. After hours support available for hourly fee. Cost based on products covered.
3. Hardware Sales and Installation: Sale of hardware including servers, Windows PCs, printing solutions, peripheral devices, and network products. Includes installation and cabling services.
4. Training Services: Training offered at company facility in Knoxville, over phone/internet, or onsite at client location.
5. Claims Processing Services: Clearinghouse services for electronic claims and remittance processing.
6. Payment Processing: Merchant services and payment processing including text-to-pay, payment plans, and copay/balance posting.
7. Statement and Mailing Services: Electronic statement services, printing and mailing services for collection letters. Statements address-corrected and pre-sorted before delivery.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

QRS Healthcare Solutions sells the PARADIGM suite of integrated Electronic Health Records (EHR) and Practice Management (PM) software built on a single shared database to medical practices across the United States. Around these core products, the company sells discrete add-on solutions including PARADIGM Verify insurance eligibility, PARADIGM ARS appointment reminders, the PARADIGM Health Portal, a proprietary claims clearinghouse, payment processing, electronic statement services, disaster recovery, network services, hardware installation, custom programming, data conversion, training, implementation, and ongoing U.S.-based support. The company is positioned as a turnkey technology and services provider for clinical documentation, practice operations, and revenue cycle management.

Product overview

QRS Healthcare Solutions offers a unified platform-plus-modules architecture centered around the PARADIGM suite of healthcare software products. The core offerings consist of PARADIGM EHR (Electronic Health Records) and PARADIGM PM (Practice Management), which share a single database for seamless data flow between clinical and administrative functions. These integrate with add-on modules including PARADIGM Verify (insurance eligibility), PARADIGM ARS (appointment reminders), and the PARADIGM Health Portal (patient engagement). Supplementary services include EDI/clearinghouse operations, payment processing, disaster recovery, electronic statements, network services, hardware installation, custom programming, data conversion, training, implementation, and ongoing support—all designed to provide medical practices with complete turnkey solutions for clinical documentation, practice management, and revenue cycle operations.

Differentiator

Problem solved

Functional benefit

Brands

• PARADIGM EHR: Premium Electronic Health Records software product that integrates scanning, electronic documents, note generation and workflow into one system. ONC-ATCB Certified.
• PARADIGM PM
• PARADIGM Verify
• PARADIGM ARS
• QRS Clearinghouse

Products and services

• PARADIGM EHR ONC-ATCB Certified Electronic Health Records software that integrates scanning, electronic documents, note generation, and workflow into one unified system for medical practices, enabling complete automation of patient charts without paper copies.
• PARADIGM PM (Practice Management) Practice Management software that streamlines appointment scheduling, medical billing, patient management, insurance verification, claims scrubbing, electronic claims, remittance processing, and comprehensive reporting for medical practices of all sizes.
• PARADIGM Verify (Insurance Eligibility Verification) Real-time insurance eligibility verification service that connects practices to thousands of payers and automatically checks eligibility 24 hours before scheduled appointments to reduce claim denials.
• PARADIGM ARS (Appointment Reminder Service) Automated appointment reminder messaging solution delivering notifications via text, email, and phone with patient confirmation, cancellation options, and recall reminders to reduce no-shows.
• PARADIGM Health Portal Patient-facing web portal allowing patients to access health records, schedule appointments, and communicate with their healthcare practice online.
• Electronic Data Interchange (QRS Claims Clearinghouse) Claims clearinghouse service clearing over two million claims per year, providing direct access from PARADIGM to electronic claims submission and remittance processing.
• Payment Processing Merchant services and payment processing including text-to-pay, payment plans, and copay/balance posting that meets HIPAA requirements and posts directly to billing software and patient accounts.
• Disaster Recovery Service Automated backup service that copies PARADIGM data every 24 hours to the Knoxville office and a secondary offsite secure server for redundant recovery, complying with HIPAA Security Standards.
• Electronic Statement Services Electronic statement processing and mailing service that eliminates printing, stuffing, and mailing tasks for patient statements and collection letters, with same-day processing and address correction.
• Network Services IT monitoring, management, and security services including real-time monitoring, policy management, firewall maintenance, SonicWall router provision, and PC/server management with monthly reporting.
• Custom Programming Custom development services including reports, data conversions, interfaces, custom forms, and scripting for QRS clients.
• Data Conversion Migration service to convert data from other practice management systems into PARADIGM EHR, including consultation, timeline establishment, and coordination with implementation and training.
• Hardware Installation Hardware provision and installation services including integrated server platforms, Windows PCs, printing solutions, peripheral devices, network products, and custom project design.
• Training Training services delivered at the company's Knoxville facility, over the phone/internet, or onsite at client practice locations, tailored to specific practice needs.
• Ongoing Support Contracts Telephone/software and hardware support contracts providing Monday-Friday 8AM-6PM Eastern Time coverage, free custom reports, updates, and new releases, with after-hours support available for an hourly fee.
• Implementation Services System implementation including data collection meetings, chart design, scanning plan, forms review, testing, and go-live coordination, with timelines of 12-16 weeks for PARADIGM EHR and 4-8 weeks for PARADIGM PM.
• Business Services Business technology services including email encryption, threat protection, information archiving, secure file share, hosted exchange, Microsoft 365, and cloud backup for medical practices.

Quantifiable outcome

• Substantial increase in collections per procedure and overall revenue
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature7 records

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Greenway Health: Ambulatory EHR, practice management, and revenue cycle management vendor targeting small-to-mid-sized medical practices, overlapping directly with PARADIGM's primary customer base.
• athenahealth: Cloud-based EHR, practice management, and revenue cycle platform for ambulatory practices; competes head-to-head with PARADIGM for medical groups seeking integrated EHR/PM and claims services.
• NextGen Healthcare: Ambulatory EHR and practice management vendor with strong specialty coverage (including radiology, dermatology, and DME); directly comparable to PARADIGM's specialty-focused go-to-market.
• AdvancedMD: Cloud-based EHR, practice management, and medical billing platform for small and independent medical practices; directly competes with PARADIGM's integrated EHR + PM + clearinghouse bundle.
• eClinicalWorks: Major ambulatory EHR and Practice Management vendor serving medical practices of all sizes across the U.S. with integrated clinical and billing workflows, directly competing with PARADIGM in the mid-market and specialty space.

Broad incumbents

• Veradigm (formerly Allscripts): Diversified EHR and practice management suite serving ambulatory practices of varying sizes; overlaps with PARADIGM in mid-market and specialty ambulatory segments.
• Oracle Health (Cerner): Major EHR and revenue cycle platform expanding its ambulatory footprint through the Cerner acquisition; competes for larger practice consolidations that historically would have been PARADIGM's market.
• Epic Systems: Largest inpatient-and-expanding ambulatory EHR vendor; competes less on niche mid-market deals but increasingly encroaches on specialty and multi-specialty practices that QRS targets.

Emerging players

• Tebra (Kareo + PatientPop): Cloud-native practice management, EHR, billing, and patient engagement platform built for independent practices; an emerging threat to legacy on-premise-style vendors like PARADIGM in the small-practice segment.

Others

• Harris Computer (Pulse Systems): Constellation Software-owned healthcare IT conglomerate that operates multiple EHR/PM businesses; the ccpa contact email routed to harriscomputer.com suggests a possible corporate relationship, making it adjacent and potentially a roll-up acquirer in QRS's space.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/qrs_inc

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 QRS Healthcare Solutions