Captivate Billing

What Captivate Billing does

Captivate Billing is a privately held, Longmont, Colorado-based revenue cycle management company founded in 2015 that specializes exclusively in medical billing for emergency and non-emergency ambulance transport. The firm serves public ambulance services (fire departments, ambulance districts, municipal EMS agencies), private ambulance operators, and hospital districts across the United States, with a customer base spanning Colorado, California, Idaho, and other states. Service offerings span the full revenue cycle: pre-transport verification of patient demographics and insurance eligibility, prior and post authorizations, credentialing and payer enrollment, claims preparation and submission through multiple clearinghouses, denial management, accounts receivable follow-up, and reporting via real-time dashboards. The company also offers billing consulting services to organizations not yet ready to fully outsource.

Underlying the service is a proprietary medical billing software platform that integrates with multiple clearinghouses to route electronic and paper claims, automates movement of claims between work queues, and surfaces real-time AR statistics and future collection expectations to customers. Billers are formally credentialed through Certified Ambulance Coder (CAC) classes offered by the National Academy of Ambulance Compliance (NAAC), providing specialized ambulance-coding expertise.

The business operates on a transaction-fee model for core EMS billing services, supplemented by professional-services revenue from consulting engagements. The go-to-market is sales-led and direct, targeting enterprise and government buyers via the company website, phone, and email inquiries. Headcount is in the 11-50 range, the firm is privately held with no disclosed funding rounds, and it self-describes as rapidly growing while actively recruiting into its revenue cycle management department.

Name

Captivate Billing

Legal name

Captivate Billing

Website

https://captivatebilling.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

Captivate Billing is a Longmont, Colorado-based revenue cycle management firm that provides specialized EMS medical billing, claims processing, and consulting services exclusively to public and private ambulance services, fire departments, and hospital districts across the United States.

Ownership category

akta.pro rank

Headquarters

HQ city

Louisville

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. EMS Billing Services: Revenue cycle management and billing services for emergency and non-emergency ambulance transports. Services include verification, prior/post authorizations, credentialing, payer enrollment, and full claims processing for public and private ambulance services.
2. Billing Consulting Services: Consulting services for organizations not ready to fully outsource billing. Includes a wide range of support services designed to support and grow organizational success in revenue management.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Captivate Billing provides end-to-end revenue cycle management and billing services exclusively for emergency and non-emergency ambulance transport. Its core offering covers pre-transport verification of patient demographics and insurance eligibility, claims preparation and submission via multiple clearinghouses, automated work queue processing, denial management, accounts receivable follow-up, and customer-facing AR dashboards. The firm supplements billing with credentialing, payer enrollment, compliance support, and consulting services for ambulance providers not ready to fully outsource billing.

Product overview

Captivate Billing is a unified EMS revenue cycle management service provider offering an integrated suite of billing and consulting services for emergency and non-emergency ambulance transport. The core offering centers on Billing Services (their primary revenue management platform), complemented by Pre-Billing Verification, Repeat Patient Assessments, Prior/Post Authorization Services, and Credentialing/Payer Enrollment services. Supporting services include Compliance Support, CAC Staff Training, Billing Consulting Services, and Reports & Dashboards. These services work together through a streamlined process encompassing pre-transport verification, claims processing with automation, transparency via customer dashboards, and ongoing follow-up to maximize revenue collection.

Differentiator

Problem solved

Functional benefit

Products and services

• EMS Billing Services
• Billing Consulting Services

Quantifiable outcome

• Improved revenue generation for customers

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators3 records

Recent moves1 record

Expansion highlights4 records

Direct peers

• ZOLL Data Systems (PST Services): ZOLL's PST Services division provides outsourced EMS billing and revenue cycle management to ambulance services, directly competing with Captivate Billing in the same vertical with similar transaction-fee revenue models.
• Digitech Computer: Long-standing provider of EMS billing software and services to ambulance agencies; offers comparable claims processing, clearinghouse integration, and AR management for the same public/private EMS customer base.
• AMBTRAN: Specialist ambulance billing service focused on EMS revenue cycle management, credentialing, and payer enrollment; serves a similar mix of public and private ambulance agencies with comparable service depth.
• EMS Management & Consultants: EMS-specific billing consultancy and outsourced billing service, providing credentialing, compliance, and full revenue cycle management to public and private ambulance agencies nationwide.

Broad incumbents

• Coronis Health: Larger diversified RCM provider that includes EMS and ambulance billing as part of a broader healthcare revenue cycle portfolio; competes for the same EMS customers while also serving hospitals, physician groups, and other specialties.
• RevSpring: Healthcare patient engagement and billing communications vendor offering statements, payments, and analytics across providers; overlaps with Captivate on patient billing/collections workflows but at a much broader enterprise scale.
• Waystar: Large healthcare revenue cycle platform offering claims management, clearinghouse, and patient billing; competes with Captivate at the clearinghouse/claims layer and could expand down-market into EMS billing.
• Experian Health: Enterprise healthcare RCM and patient access platform with eligibility verification, claims management, and patient collections; competes indirectly with Captivate through clearinghouse and eligibility verification capabilities.

Emerging players

• ImageTrend: Provider of EMS ePCR and pre-hospital data platforms with adjacent billing-related data capture and reporting capabilities; competes at the workflow/data layer and could bundle billing services into its clinical software.
• Aviacode: Medical coding and RCM services company focused on accurate coding and denial prevention; overlapping value proposition with Captivate around coding accuracy and denial reduction, including for transport-related claims.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

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 Captivate Billing