P3 Healthcare Solutions

What P3 Healthcare Solutions does

P3 Healthcare Solutions (operating as P3Care) is a US-based healthcare revenue cycle management (RCM) outsourcer headquartered in Ontario, California. Founded in 2015, the company serves more than 500 physicians and practices across all 50 US states, with particular depth in California, Nevada, and Texas and across 40+ medical specialties including cardiology, OBGYN, nephrology, and chiropractic. Its core offering is end-to-end medical billing — coding, claims submission, denial management, accounts receivable follow-up, and credentialing — delivered primarily on a percentage-of-collected-revenue basis that ties vendor compensation to client outcomes.

The technology foundation is the proprietary P3Merge practice management and billing platform, supplemented by Robotic Process Automation (RPA) workflows that automate claims submission, clearinghouse routing, and denial resubmission to improve first-pass acceptance rates. The company also monetizes P3Merge as a standalone subscription software product for practices that prefer in-house billing. Adjacent services include MIPS quality reporting (including the newer MVP framework and ACO reporting), HIPAA security risk analysis, medical billing audits, coding analysis, CCM/RPM care management programs, pharmacy billing, and bookkeeping and tax filing for healthcare practices.

Go-to-market is sales-led, relying on free consultations and audit offers, dedicated inbound phone lines, and a content-marketing engine (blog, email newsletter, social, SEO) targeting small and mid-sized practices. The company is privately held with no disclosed external funding or institutional investors. Leadership is founder-led, with Shams Aftab as Co-founder and CEO and Salman Naqi as Co-founder and COO.

Name

P3 Healthcare Solutions

Legal name

P3 Healthcare Solutions

Website

https://p3care.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

101–250 employees

Short description

P3 Healthcare Solutions (P3Care) is a US-based revenue cycle management and medical billing outsourcer serving 500+ physicians across all 50 states, using its proprietary P3Merge platform and RPA automation to deliver percentage-of-collections billing, MIPS reporting, credentialing, and care management services to small and mid-sized practices.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)

SIC

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

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

akta.pro secondary industries

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Medical Debt Collection & Revenue Cycle Bad-Debt Recovery (FSAKAJAM), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

Keywords

• Medical billing services
• Revenue cycle management
• MIPS quality reporting
• Medical coding services
• Healthcare credentialing

Headquarters

HQ city

Ontario

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing Services: Comprehensive end-to-end medical billing services including coding, claims submission, denial management, and accounts receivable management. Revenue is generated through a percentage of collected revenue model (performance-based), ensuring alignment with client outcomes.
2. MIPS Reporting Services: MIPS consulting and reporting services that help healthcare providers achieve high performance scores, avoid penalties, and qualify for incentives. Includes specialty-specific reporting and data submission to CMS.
3. Credentialing Services: Provider credentialing services that verify credentials for payer networks, changing status to in-network providers.
4. P3Merge Software Licensing: Practice management and billing software platform licensed to healthcare practices for in-house use.
5. Medical Billing for Small Practices: Specialized billing services for small practices with RPA solutions, charged typically as a percentage of collected revenue to make it affordable and performance-based.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

P3 Healthcare Solutions (P3Care) provides outsourced medical billing and end-to-end revenue cycle management (RCM) to U.S. healthcare providers and physician practices. Its services span medical billing, medical coding, claims submission, denial and accounts receivable management, MIPS/MACRA quality reporting, provider credentialing, HIPAA security risk analysis, and care management programs (CCM/RPM), delivered through a combination of trained specialty-specific staff and its proprietary P3Merge billing software augmented by RPA-based automation.

Product overview

P3 Healthcare Solutions operates as a unified healthcare billing services platform offering a comprehensive portfolio of interconnected services. The core platform consists of Revenue Cycle Management (RCM) supported by specialized billing software called P3Merge. Key service modules include Medical Billing Services, Medical Coding Services, and MIPS Reporting Services for quality-based incentives. The offering is augmented by credentialing, denial management, medical billing audit, coding analysis, HIPAA compliance, care management programs (CCM/RPM), and automated RPA billing solutions. Specialty-focused services cover pharmacy billing and span over 40 medical specialties including cardiology, OBGYN, nephrology, and chiropractic. The company provides state-specific billing services for California, Nevada, Texas, and all 50 U.S. states, with solutions tailored for practices of all sizes from solo providers to large clinics.

Differentiator

Problem solved

Functional benefit

Brands

• P3Merge Billing Software: Automated practice management and billing software solution provided by P3Care for healthcare providers.

Products and services

• Revenue Cycle Management (RCM) Comprehensive end-to-end revenue cycle management solution handling claims submissions, payment posting, collections, and revenue optimization for U.S. healthcare practices.
• Medical Billing Services Complete medical billing services assisting practices through the entire billing process until physicians receive timely payments from insurance companies.
• Medical Coding Services Professional medical coding services ensuring accurate coding and billing of claims according to the latest coding and billing guidelines.
• MIPS Reporting Services MIPS (Merit-based Incentive Payment System) reporting services helping healthcare providers achieve high performance scores, avoid penalties, and qualify for incentives up to 3%.
• P3Merge Billing Software Proprietary automated practice management and billing software solution that streamlines financial management for clinicians, enabling them to manage finances without administrative burden.
• Credentialing Services Provider credentialing services that verify credentials for payer networks, changing provider status to in-network and helping practices gain benefits and referrals.
• Accounts Receivable Management Management of accounts, patient declarations, and appeal management with timely follow-up on submitted claims and denial management.
• Denial Management Services Efficient denial management services to optimize revenue by minimizing claim rejections through strategic resubmission and follow-up.
• Medical Billing Audit Expert auditing services that identify and rectify billing mistakes in the billing process, optimizing practice performance.
• Medical Coding Analysis Analysis services to prevent upcoding or under coding in claims, ensuring faster and more accurate claim submissions.
• HIPAA Security Risk Analysis Security risk analysis services to identify compromised billing practices and ensure full HIPAA compliance.
• Care Management Programs (CCM/RPM) Comprehensive Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services with specialized coordination programs.
• Automated Medical Billing (RPA) RPA-based automated medical billing solutions that help avoid claim denials, reduce costs, and save time through process automation.
• Pharmacy Billing Services Specialized pharmacy billing outsourcing services including prescription data entry, patient charging, refill management, and medication cycle verification.
• Bookkeeping & Tax Filing Services Financial management services including bookkeeping and tax filing tailored for healthcare practices.
• ACO Reporting Accountable Care Organization reporting services for healthcare providers participating in value-based care arrangements.
• MVP Reporting MIPS Value Pathways reporting services, representing the next evolution of MIPS reporting requirements.

Quantifiable outcome

• More than 500 satisfied physicians rely on P3Care's worth and expertise
• +3 more outcomes

Named customers4 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

Feature4 records

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Tebra (Kareo): Tebra, formed from the merger of Kareo and PatientPop, offers a cloud-based medical billing and practice management platform targeting independent practices. Directly comparable to P3Care in serving small and mid-sized physician practices with integrated RCM, EHR, and patient engagement tools.
• AdvancedMD: AdvancedMD provides cloud-based medical billing, practice management, and EHR software targeted at independent practices and small medical groups. It directly competes with P3Care's P3Merge platform and RCM service offering.
• DrChrono: DrChrono offers a medical practice management, EHR, and medical billing platform built for small practices and specialty providers. It overlaps with P3Care on billing software, claims processing, and revenue cycle management for independent physicians.
• RXNT: RXNT offers integrated medical billing, EHR, and practice management software for ambulatory practices. It competes directly with P3Care's software (P3Merge) and RCM services in the small-to-mid-sized physician segment.
• BillingParadise: BillingParadise is a specialized medical billing and RCM services company serving physician practices across multiple specialties. Its end-to-end billing, coding, and AR management offering directly overlaps with P3Care's core services portfolio.
• Medusind: Medusind provides medical billing, coding, and RCM services along with dental and anesthesia-specific billing for healthcare practices. Its specialty-focused billing services model is comparable to P3Care's 40+ specialty coverage approach.
• Invensis Technologies: Invensis offers outsourced medical billing, claims processing, and revenue cycle management services to US healthcare providers. It is comparable to P3Care in the offshore-enabled, percentage-of-collections billing services model for ambulatory practices.

Broad incumbents

• Athenahealth: Athenahealth is a large, established healthcare IT platform offering RCM, EHR, and patient engagement to physician practices and health systems. It competes with P3Care in the medical billing services market but operates at significantly larger scale and with a broader portfolio.
• eClinicalWorks: eClinicalWorks is an established healthcare IT vendor offering EHR, practice management, and RCM services to physician practices of all sizes. Its billing and revenue cycle services compete with P3Care, particularly for ambulatory practices.
• Practice Fusion: Practice Fusion, part of Veradigm, provides cloud-based EHR and integrated billing solutions targeting small and independent practices. Its billing functionality overlaps with P3Care's RCM offering, though Practice Fusion is software-led rather than a services-led RCM partner.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/p3hsolutions
• Facebookfacebook.com/P3HealthcareSolutions
• LinkedInlinkedin.com/company/p3-care
• Instagraminstagram.com/P3HealthcareSolutions

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 P3 Healthcare Solutions