What Altos does

Altos Inc. is a privately held healthcare business process outsourcing company founded in 2002 by Anjay Bajaj and headquartered in Irvine, California, with a wholly-owned delivery subsidiary (Altos Global Services Pvt. Ltd.) in Noida, India. The company provides medical transcription, medical billing and collections, and end-to-end revenue cycle management services primarily to hospitals, multi-specialty medical practices, and individual physicians in California, with remote delivery capability extending to US clients more broadly. Its product portfolio spans core offerings (medical transcription, billing and collections) and specialized modules including Qualified Medical Evaluator (QME) management, credentialing and provider enrollment, EMR system integration, appointment scheduling, workers' compensation and personal injury collections, AMA impairment rating, medical records review, and request-for-authorization tracking.

The underlying technology stack is conventional rather than proprietary: Google-based cloud scheduling, Six Sigma quality management for transcription, HIPAA-compliant secure communications using ShareFile, Dropbox, and FileZilla, and integration with multiple EMR systems and Olympus dictation hardware. Quality control relies on two levels of human audits achieving 99%+ accuracy above AHDI standards. No AI, machine-learning, or autonomous decisioning capabilities are disclosed across the product line.

Commercially, Altos operates a sales-led B2B model with multiple pricing structures including percentage-of-collections (subscription), transaction-volume-based, dedicated-agent subscription, Build-Operate-Transfer (BOT) multi-year contracts for billing, and per-line tiered transcription pricing (SUPER STAT, STAT, RUSH). The company emphasizes alignment with provider cash flow ("we don't get paid until you get paid"), targets the California market through SEO and content marketing, and uses free no-commitment audits as a lead-generation mechanism. The business is founder-led with no disclosed institutional investors and no parent company, and Altos's own strategic capital deployment has included participation in a $6M seed round for Squid.

Name

Altos

Legal name

Altos Inc.

Website

https://altosinc.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Altos Inc. is a privately held California healthcare BPO founded in 2002 providing medical transcription, medical billing and collections, revenue cycle management, and specialty practice management services to hospitals, multi-specialty groups, and individual physicians primarily in California, with delivery supported from India.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Office Administrative Services (5611)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Programming Services (7371)

akta.pro primary industry

Dental Support Services Organizations (Non-Clinical MSO/Back-Office Platforms) (HLABAKAN)

akta.pro secondary industries

Provider Credentialing, Licensing & Compliance Enablement (multi-state) (HLALAKAM), Application Outsourcing (AO) (BPAEAMAA)

Keywords

• Medical billing services
• Revenue cycle management
• Medical transcription services
• Healthcare outsourcing
• QME management

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing and Revenue Cycle Management Services: Altos Inc generates revenue primarily through percentage-of-collections-based pricing for medical billing and revenue cycle management services. They also offer transaction volume-based pricing, dedicated agents-based pricing, and Build-Operate-Transfer (BOT) models. The company emphasizes they don't get paid until the client gets paid, aligning their incentives with healthcare providers' financial outcomes.
2. Medical Transcription Services: Revenue generated from medical transcription services billed on a per-line basis using automated line counting tools. Pricing depends on customization level, editing complexity, template usage, and volume. The company offers tiered pricing including SUPER STAT (same day, charges apply), STAT (next day, no charge), and RUSH (two days, no charge) options.
3. QME and Medical Management Services: Comprehensive Qualified Medical Evaluator management services including appointment scheduling, report submission, coordinating, billing, and phone support. Revenue generated through service fees for these back-office operations management services.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Altos Inc. provides healthcare back-office outsourcing for medical providers in California, delivering Medical Billing and Collections, full Revenue Cycle Management (coding, claims, A/R follow-up), Medical and Legal Transcription, QME Management, Credentialing and Provider Enrollment, Workers' Compensation and Personal Injury collections, and EMR integration. Services are sold under flexible commercial models (percentage of collections, transaction volume, dedicated agents, BOT) and supported by US and India delivery centers.

Product overview

Altos Inc. is a multiservice medical billing and transcription company established in 2002, providing Medical Transcription and Medical Billing and Collections services as its core products. The company operates as a unified platform offering Revenue Cycle Management as the primary module covering the full billing lifecycle, supplemented by specialized add-on services including QME Management, Credentialing & Provider Enrollment, Appointment Scheduling, EMR Integration, Healthcare Data Entry Outsourcing, Workers' Compensation Collection, Personal Injury Collection, Medical Records Reviews and Summaries, AMA Impairment Rating, Medical History Preparation, and Request for Authorization Services. The company serves physicians, medical practices, clinics, and hospitals throughout California from offices in Irvine, CA and NOIDA, India.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical and Legal Transcription Provides medical and legal transcription services including dictation, chart notes, exam forms, and customized templates with 99%+ accuracy exceeding AHDI standards, using a Six Sigma quality management process and tiered turnaround (SUPER STAT, STAT, RUSH). Target customers are physicians, medical practices, and legal professionals handling workers' compensation and personal injury cases.
• Medical Billing and Collections Provides reliable medical billing solutions that improve cash flow through timely and accurate claim submission, higher first pass percentages, denial management, and accounts receivable follow-up. Pricing is percentage-of-collections aligned. Target customers are hospitals, medical practices, and clinics in California.
• Revenue Cycle Management Full revenue cycle management covering the complete lifecycle of medical billing, coding, and insurance claim processing for Commercial, Workers' Compensation, Personal Injury, and Behavioral Health claims. Delivered by 70+ in-house RCM experts across facility and professional billing.
• QME (Qualified Medical Evaluator) Management Qualified Medical Evaluator management services including scheduling, report submission, coordinating, billing, and phone support throughout the QME evaluation process. Target customers are QME providers and workers' compensation practitioners in California.
• Credentialing and Provider Enrollment Manages the credentialing and provider enrollment process including CAQH maintenance, PECOS updates, NPI registration (Type I and Type II), and payor requirement reviews. Target customers are physicians and medical practices needing payer credentialing.
• Healthcare Data Entry Outsourcing BPO services for healthcare including patient admission, charge capture, verification of benefits, treatment authorization, document processing, claims processing, and accounts receivable management. Target customers are hospitals and medical practices.
• Workers' Compensation Collection Workers' compensation collection services including WCAB and ADR representation, electronic filing, lien processing, and legal compliance monitoring. Target customers are California healthcare providers handling workers' compensation cases.
• Personal Injury Collection Personal injury collection services with charge submission to law offices, case status follow-ups, pro-rata negotiations, and customized reporting. Target customers are healthcare providers and attorneys handling personal injury cases.
• Appointment Scheduling Cloud-based appointment scheduling using Google technology for real-time patient schedule management with multi-location and multi-provider synchronization. Target customers are medical practices and QME providers.
• EMR System Integration Services EMR system integration services with experience across multiple EMR systems, providing data input and extraction capabilities while maintaining HIPAA compliance. Target customers are medical practices using various EMR platforms.
• Medical Records Reviews and Summaries Organizes medical record summaries based on relevancy and chronology including hospital records, specialist consultations, laboratory notes, diagnostic reports, and operative records. Target customers are attorneys and workers' compensation/personal injury practitioners.
• AMA Impairment Rating AMA impairment rating services compliant with AMA Guidelines 5th Edition for the State of California, including Almaraz-Guzman compliance. Target customers are QME providers and workers' compensation practitioners.
• Medical History Preparation Bilingual (English/Spanish) medical history preparation service for workers' compensation and personal injury cases, including interviews, typed drafts, and scheduling attempts. Target customers are attorneys and workers' compensation practitioners.
• Request for Authorization Services Request for Authorization tracking services ensuring all parties are served, tracking request lifecycle, and providing follow-up decisions before patient visits. Target customers are medical practices and workers' compensation providers.

Quantifiable outcome

• 99%+ accuracy exceeding AHDI standards with two levels of Quality Control audits
• +2 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

Integration4 records

Feature4 records

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• AdvancedMD: AdvancedMD provides cloud-based practice management, EHR, and RCM solutions for small to mid-sized medical practices — a broad incumbent competing with Altos on the RCM layer, though delivered via SaaS rather than outsourced services.
• Waystar: Waystar is a healthcare payments and RCM technology platform serving hospitals and large practices — a broad incumbent whose automation-driven approach puts structural pricing pressure on outsourced billing services like Altos.
• athenahealth: athenahealth offers an integrated EHR + RCM platform widely used by medical practices — a broad incumbent that addresses the same billing and revenue cycle workflows Altos performs, but via a tech platform rather than human-delivered services.
• R1 RCM: R1 RCM is a leading enterprise RCM services and technology company serving large hospital systems — a broad incumbent operating at scale in the same end market as Altos, with significant automation and tech capability.
• Experian Health: Experian Health provides RCM, patient access, claims management, and identity/healthcare data solutions to hospitals and providers — a broad incumbent whose automation and analytics tools compete with outsourced billing workflows.

Emerging players

• Kareo (Tebra): Kareo/Tebra offers an integrated EHR, practice management, and medical billing platform targeting independent practices — an emerging player overlapping with Altos on RCM and billing for the small practice segment, delivered via SaaS.

Direct peers

• BillingParadise: BillingParadise provides end-to-end medical billing, RCM, and coding services to healthcare providers across multiple specialties — directly competing with Altos in outsourced revenue cycle management for physician practices and specialty groups.
• MediBill MD: MediBill MD is a medical billing company providing RCM, billing, and practice management services to physicians and healthcare organizations — competing head-to-head with Altos in outsourced billing for SMB medical practices.
• Medical Billing Experts (MBE): MBE is a healthcare BPO offering medical billing, RCM, credentialing, and transcription services to US medical practices — directly comparable to Altos in service mix, target customer (small/mid practices), and outsourced delivery model.
• P3 Healthcare Solutions: P3 Healthcare Solutions offers medical billing, coding, and RCM services for practices and clinics — a direct peer with overlapping specialty coverage (including workers' comp) and a similar outsourced services model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 record

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 Altos