EZClaim-Online

What EZClaim-Online does

EZClaim is a US-based, cloud-hosted SaaS provider of medical billing and scheduling software targeting small and mid-sized healthcare practices and outsourced medical billing companies. Founded in 1997 and operating as Fullstream Software Holdings LLC DBA EZClaim Software under the Fullstream Operations LLC holding company, the company is headquartered in Rochester, Michigan (legal entity in Auburn, Alabama) and serves customers across all 50 states, processing more than 4 million medical claims per month. Its customer base is concentrated in general practice, therapy, vision, surgical, home health, and outsourced billing firms, with vertical-specialized integrations supporting each segment.

The platform is built around four integrated products: EZClaim Billing (core claims management with scrubbing, real-time eligibility, electronic submission, ERA auto-posting, and CMS 1500/UB-04 support), EZClaim Scheduling (appointment management with conversion-to-claims), EZClaim Portal (low-cost read-only provider access), and EZClaimPay (integrated credit/debit/HSA-FSA payment processing). Technology is delivered as a multi-tenant cloud SaaS accessible via web browser, with integrations spanning major clearinghouses (TriZetto, Availity, Waystar, Change Healthcare, Claim.MD, Etactics), EHRs (AmazingCharts, Practice Fusion, WebPT, ElationHealth, Sevocity, BestNotes, and others), and ancillary services (Alpha II claim scrubbing, Health eFilings MIPS reporting, BillFlash statements, ReminderCall). Version 8.0.x cadence (2023-2024) added recurring payments, email receipts, multi-tenant library copying, HL7 import improvements, and database upgrades preparing for an upcoming API release.

EZClaim monetizes primarily through per-seat SaaS subscriptions ($199/month first user, $149/month each additional user, $50/user/month second-product add-on), a per-file add-on for billing companies managing multiple tenants ($40/file/month), storage add-ons ($3/GB/month), and EZClaimPay transaction fees with both flat-fee and percentage pricing models. The company employs a hybrid go-to-market combining self-service online subscription (PLG) for smaller accounts with consultation-led direct sales for larger customers, supported by US-based customer service, designated onboarding coaches, webinars, eBooks, and partner co-marketing. The customer evidence base is overwhelmingly SMB (solo practitioners and owner-operated billing firms), with no enterprise or health-system anchors, yielding low customer-concentration risk but granular per-account churn exposure.

Name

EZClaim-Online

Legal name

Fullsteam Software Holdings LLC DBA EZClaim Software

Website

https://ezclaim.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1–10 employees

Short description

EZClaim provides cloud-based medical billing and scheduling software to small and mid-sized healthcare practices and outsourced billing companies across the United States, offering subscription claims management, integrated payment processing, and broad EHR and clearinghouse integrations.

Ownership category

akta.pro rank

Product category

Medical Billing Software

NAICS

Software Publishers (5132), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Medical Billing & Coding Automation (HLACACAA)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Patient Billing, Statements & Payment Processing (HLACACAG), Accounts Receivable (A/R) & Collections Management (HLACACAJ)

Keywords

• Medical billing software
• Revenue cycle management
• Healthcare claims processing
• Medical scheduling software
• Healthcare payment processing

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Subscription (Core): Monthly or annual subscription fees for cloud-based medical billing and scheduling software access. The subscription model provides ongoing access to the software, nightly backups, program support, updates, and dedicated onboarding coaching.
2. User Licenses: Per-user pricing where the first user costs $199/month (or $189/month annual), with additional users at $149/month (or $144/month annual). This tiered per-seat model allows practices to scale based on team size.
3. EZClaim Portal Add-on: $15/month per user for read-only portal access (or $19/month for higher tier). Provides additional revenue from customers wanting provider-facing access to billing data.
4. EZClaimPay Payment Processing: Integrated payment processing with credit card, debit card, and HSA/FSA payment acceptance. Generates transaction/merchant fees for payment processing at point of service.
5. Additional Company Files: $40 per file per month (or $37/month annual) for billing companies managing multiple practice accounts. Provides incremental revenue from multi-tenant customers.
6. Additional Storage: 1 GB storage included; $3/month for each additional GB. Revenue from storage add-ons for practices with large data requirements.
7. Second Product Add-on: $50 per user per month (or $45/month annual) for customers adding a second product (e.g., Scheduling when purchasing Billing, or vice versa).

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

EZClaim provides cloud-based medical billing and scheduling software for small to medium healthcare providers and outsourced billing firms. Its core product, EZClaim Billing, manages the full claims lifecycle from data entry through claim scrubbing, electronic submission, eligibility verification, and payment posting, supported by integrated add-on modules for scheduling, portal access, and payment processing.

Product overview

EZClaim offers a cloud-based medical billing and scheduling software platform consisting of four integrated products: EZClaim Billing (core platform for claims management), EZClaim Scheduling (appointment management), EZClaim Portal (read-only access), and EZClaimPay (integrated payment processing). The platform serves small to medium-sized provider offices and outsourced medical billing firms, supporting specialties including general practice, therapy, vision, surgical, medical specialties, home health, and outsourced billing services. All products are delivered as SaaS subscriptions with US-based support and onboarding coaching.

Differentiator

Problem solved

Functional benefit

Brands

• EZClaim Billing: Core medical billing software for claims management from data entry to payment posting.
• EZClaim Scheduling
• EZClaim Portal
• EZClaimPay

Products and services

• EZClaim Billing

Quantifiable outcome

• 30% fewer outstanding balances for practices collecting at time of service
• +4 more outcomes

Named customers9 records

Segments7 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration31 records

Feature6 records

Partnerships

Four partnerships are on record, tiered core.

• TriZetto Provider Solutions (a Cognizant Company)coreTechnology or IntegrationPrimary clearinghouse partner with over 15-year relationship. TriZetto provides electronic claims submission and RCM services to EZClaim customers. As a clearinghouse partner, TriZetto enables EZClaim users to submit claims electronically and access comprehensive revenue cycle management services. Contact: Emily Runco, [email protected], 1-800-969-3666.
• AvailitycoreTechnology or IntegrationClearinghouse partner providing electronic claims submission and payer connectivity services. Database update implemented for Availity Clearinghouse SFTP connection in recent software versions.
• WaystarcoreTechnology or IntegrationClearinghouse partner integrated with EZClaim for electronic claims submission and revenue cycle management services.
• BillFlashcoreTechnology or IntegrationStatement and payment services partner. BillFlash OfficePay integration allows EZClaimPay customers to use BillFlash services. Enables electronic statement delivery and online payment processing for patient billing.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Office Ally: Office Ally provides clearinghouse, practice management, and billing services for small healthcare providers and billing firms, competing head-to-head with EZClaim on claim submission and RCM workflows.
• Practice Fusion: Practice Fusion is a cloud-based EHR with integrated billing, targeting independent practices. It is both an EZClaim integration partner and a competing EHR+billing suite for the same SMB market.
• CareCloud: CareCloud (formerly MTBC) provides cloud-based EHR, practice management, and RCM/billing services to small and mid-sized physician practices — competing directly with EZClaim in medical billing software for ambulatory providers.
• CollaborateMD: CollaborateMD is a cloud-based medical billing and practice management software for small practices and medical billing companies — essentially the same product category, customer type, and pricing model as EZClaim.
• Tebra (Kareo): Tebra, formed from the merger of Kareo and PatientPop, offers cloud-based medical billing, practice management, and EHR for independent practices — the same SMB healthcare provider segment EZClaim serves.
• TherapyNotes: TherapyNotes is a practice management and EHR platform purpose-built for therapy and behavioral health practices — directly overlapping one of EZClaim's named primary segments (therapy practices) and serving similar SMB customers.
• AdvancedMD: AdvancedMD provides cloud medical billing, scheduling, and practice management software to independent practices and billing services — directly overlapping EZClaim's core products and customer segments.
• DrChrono: DrChrono offers cloud-based EHR, practice management, and medical billing with RCM services targeting small and mid-sized practices — comparable SaaS model and SMB positioning to EZClaim.

Broad incumbents

• Waystar: Waystar is a leading healthcare payments and RCM technology platform that operates both as an EZClaim clearinghouse integration partner and a broad competitor in revenue cycle and claims-management technology.
• athenahealth: athenahealth is a large, established cloud-based EHR + RCM platform serving practices of all sizes. It competes broadly with EZClaim but typically targets larger ambulatory groups via enterprise sales rather than the long-tail SMB.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Ezclaim
• YouTubeyoutube.com/ezclaim
• Facebookfacebook.com/EZClaimSoftware
• LinkedInlinkedin.com/company/ezclaim
• Instagraminstagram.com/ezclaimsoftware

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 EZClaim-Online