What Credit Bureau Systems does

Credit Bureau Systems, Inc. (CBS) is a privately held healthcare revenue cycle management (RCM) company founded in 1952 as the Credit Bureau of Paducah and headquartered at 100 Fulton Court, Paducah, Kentucky. The company operates seven integrated divisions (ABS, AMB, CBS Collection, CRD, HIRS, MARS, USCS) plus the HARP patient-financing program, employing nearly 400 people and serving more than 3,000 customers across 24 U.S. states. It is led by President & CEO Lloyd Ledet, a 38-year healthcare RCM veteran, alongside CFO Michael Lavender and CIO Michael Rich.

Its core offering is a single-point integrated RCM platform that spans the full revenue cycle: early-out patient billing (ABS), ambulance medical billing (AMB), third-party primary debt collection (CBS), consumer credit and tenant screening (CRD), insurance claims follow-up and denial management (HIRS), full-cycle physician billing (MARS), coding and compliance consulting (USCS), and patient financing (HARP). The technology stack includes 24/7 real-time client dashboards accessible via web and mobile, custom interfaces with every major U.S. hospital billing system (Epic, MediTech, Soarian, McKesson STAR/Paragon, Siemens Invision), integrations with multiple ePCR platforms for EMS clients, and CITRIX-enabled remote operations from U.S.-based call centers in Kentucky and Tennessee. The company maintains a compliance posture covering SOC 1 Type II, HIPAA, PCI DSS, FDCPA, FCRA, ACA, CDIA, 501r, and BBB A+ accreditation.

Revenue is generated through a mix of pricing models: contingency-based collection and insurance recovery fees, flat-rate billing services (ABS, MARS), hourly insurance follow-up (HIRS), and transaction-based credit reporting (CRD). Go-to-market is enterprise field sales targeting hospitals, physician practices, EMS providers, and healthcare shared service centers nationwide, supported by dedicated client services representatives from representative to CEO level and active participation in industry associations (ACA, HBMA, HFMA, CDIA, NAAC). Notable enterprise customers include HCA Columbia & HealthTrust (27 hospitals, 7 states), Baptist Health, Bon Secours Mercy Health, Dougherty County EMS, Twin Lakes Regional Medical Center, and Appalachian Regional Healthcare. Pricing is quote-based and not publicly disclosed.

Name

Credit Bureau Systems

Legal name

Credit Bureau Systems, Inc.

Website

https://credit-bureau.com

Company type

Private

Founded year

1952

Operating status

Operating

Headcount range

251–500 employees

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Collection Agencies (561440), Credit Bureaus (561450), Custom Computer Programming Services (541511)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Accounts Receivable (A/R) & Collections Management (HLACACAJ)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Patient Billing, Statements & Payment Processing (HLACACAG), Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Credit Bureaus & Consumer Credit Reporting Agencies (FSAKAKAA), Medical Billing, Coding & Revenue Cycle (EDAOAJAE)

Keywords

• Healthcare revenue cycle management
• Medical billing services
• Debt collection services
• Ambulance billing solutions
• Patient financing programs

Headquarters

HQ city

Kentucky

HQ country

Australia

HQ region

Oceania

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Collection Services: Third-party primary debt collection services with both commission-added zero-cost options and contingency-based pricing. Revenue generated when debts are successfully recovered, with costs borne by the debtor through contract law and state/federal statutes rather than the client.
2. Medical Billing Services (ABS, AMB, MARS): Full revenue-cycle billing and accounts receivable management services offered on contingency and flat rate pricing models. Services include data entry, coding, posting, reporting, and accounts receivable management.
3. Health Insurance Recovery (HIRS): Supplemental insurance collection services provided on both hourly-rate and contingency basis. Flexible staffing model that can be deployed short-term or long-term based on client needs.
4. Coding Services (USCS): Coding, compliance, consulting, and educational services performed by certified industry professionals. Cost-effective fees for inpatient, outpatient, physician practice, and specialty-specific coding.
5. Credit & Consumer Services (CRD): Consumer credit information products including credit reports, tenant screenings, public record information, and marketing lists. Services provided as marketing service agent for TransUnion.
6. Healthcare Affordable Repayment Plans (HARP): Patient financing program offering alternative payment methods for high deductibles. Provider receives free servicing and up to 25% of revenues as income source.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels5 records

Core offering

Credit Bureau Systems operates an integrated healthcare revenue cycle management business through seven divisions covering early-out patient billing (ABS), ambulance medical billing (AMB), third-party debt collection (CBS), consumer credit reporting and tenant screening (CRD), insurance claims follow-up and denial management (HIRS), full-cycle physician billing and accounts receivable (MARS), and medical coding, compliance and consulting (USCS). The offering combines contingency-based collections, flat-fee early-out billing and hourly insurance follow-up staffing, supported by custom interfaces to every major U.S. hospital billing system, a 24/7 real-time account dashboard, CITRIX-powered remote staffing, and dedicated client services representatives serving more than 3,000 customers across 24 states.

Product overview

Credit Bureau Systems is a comprehensive Revenue Cycle Management company offering a platform-plus-modules architecture through seven operating divisions. The core offering integrates ABS (early-out patient billing), AMB (ambulance medical billing), CBS (collection services), CRD (credit/consumer services), HIRS (health insurance recovery), MARS (medical accounts receivable), and USCS (coding/compliance consulting) into a single-point integrated revenue cycle management solution. These divisions work together to serve healthcare providers from initial billing through insurance follow-up to debt collection and patient payment plans, with the proprietary real-time dashboard providing unified access across all services.

Differentiator

Problem solved

Functional benefit

Brands

• ABS (Accounts Billing Service): Hospital early-out patient billing and pre-collection services
• AMB (Ambulance Medical Billing)
• CBS (Collection Services Division)
• CRD (Credit & Consumer Services)
• HIRS (Health Insurance Recovery Solutions)
• MARS (Medical Accounts Receivable Systems)
• USCS (US Coding Solutions)
• HARP (Healthcare Affordable Repayment Plans)

Products and services

• Accounts Billing Service (ABS) Early-out patient billing and pre-collection services for hospitals and large healthcare systems. Includes customized statements, outbound and inbound patient calls, payment posting, charity identification, and credit-friendly collections designed to recover self-pay balances before accounts become bad debt.
• Ambulance Medical Billing (AMB) Ambulance-specific medical billing, coding and accounts receivable management for EMS providers, with 100% certified coders and integrations with major ePCR platforms (ESO, ImageTrend, Zoll, EMS Charts, Sansio, iPCR, Documed).
• Collection Services (CBS Division) Third-party primary debt collection services for healthcare providers, with both commission-added zero-cost and contingency-based pricing, FDCPA- and FCRA-compliant processes, custom interfaces to hospital billing systems (Epic, MEDITECH, Soarian Clinicals), and affiliated collection law firms in every U.S. state.
• Credit & Consumer Services (CRD) Consumer credit information services operating as marketing service agent for TransUnion, providing credit reports, FICO-score bundled tenant screening, public record information, portfolio reviews and marketing lists for landlords, employers and credit grantors.
• Health Insurance Recovery Solutions (HIRS) Insurance claims follow-up and denial management services for hospitals and healthcare shared service centers, delivered by U.S.-based call center staff using CITRIX remote access into client patient accounting systems on either hourly-rate or contingency pricing.
• Medical Accounts Receivable Systems (MARS) Full revenue-cycle billing and accounts receivable management for physician practices and specialty clinics (cardiology, oncology, orthopedics, pediatrics, family practice, etc.) with integrations to multiple EMR/EHR systems.
• US Coding Solutions (USCS) Coding, compliance, consulting and educational services delivered by certified U.S.-based coders (AAPC, RCCB, AHIMA, ACMCS) for inpatient, outpatient, physician practice and specialty-specific coding engagements.
• Healthcare Affordable Repayment Plans (HARP) Patient financing program offering alternative payment methods for patients unable to afford high deductibles or self-pay balances, with provider free servicing and up to 25% of revenues shared back to providers.

Quantifiable outcome

• 46% of revenue returned to clients within first 30 days
• +4 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration28 records

Feature6 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• TransUnioncoreTechnology or IntegrationCRD division has been a marketing service agent for TransUnion for over 30 years, enabling credit grantors and consumers to access credit reports from across the U.S. and internationally. This partnership allows access to comprehensive credit reporting data and consumer information services.
• Elliott Davis Decosimo, PLLCcoreOthersIndependent auditor performing annual SOC 1 Type II audits for CBS and AMB divisions. Provides external validation of internal controls and compliance standards.
• Medical Compliance Services, Inc.minorImplementation/ SI/ Consulting PartnerPartnership for operational, compliance, and documentation matters for ambulance medical billing operations.
• Chris Kelly EMS Legal AttorneyminorImplementation/ SI/ Consulting PartnerLegal partnership for EMS-related compliance and documentation matters.
• Page, Wolfberg and Wirth LLC (PWW)coreImplementation/ SI/ Consulting PartnerNational law firm specializing in EMS provides seminars and ongoing education for AMB executives and managers. Michael Lavender serves as Ambulance Financial Officer representing the EMS industry with PWW and NAAC.
• National Academy of Ambulance Compliance (NAAC)coreOthersNAAC provides national certification programs for ambulance coders (CAC), compliance officers (CACO), and privacy officers (CAPO). AMB exclusively employs nationally certified ambulance coders through NAAC.
• CITRIXcoreTechnology or IntegrationRemote access technology powered by CITRIX enables HIRS staff to access client patient accounting systems securely from US-based call centers, providing Extended Business Office services.
• Practice Express / Success EHScoreTechnology or IntegrationPrimary billing system for MARS division using Success EHS electronic medical records platform.
• Collection Law Firms (Every State)coreOthersAffiliated with collection law firms in every state in the U.S. representing clients for litigation and post-judgment recovery services.

Scale indicators13 records

Recent moves13 records

Broad incumbents

• R1 RCM: R1 RCM is a leading U.S. healthcare revenue cycle management company serving large hospital systems with end-to-end RCM, patient access, and coding services. Directly comparable to Credit Bureau Systems as a healthcare RCM peer, but operating at significantly greater scale and with deeper technology investment.
• Waystar: Waystar provides cloud-based revenue cycle management, claims processing, and patient billing/engagement software to hospitals and physician practices. Comparable to CBS as a healthcare RCM and patient billing peer, with stronger technology positioning in software-led RCM.
• Conifer Health Solutions: Conifer Health Solutions delivers revenue cycle management, patient access, and healthcare business process outsourcing services to hospitals and health systems. Directly comparable to Credit Bureau Systems' ABS, MARS, and HIRS divisions in managed-services RCM.
• Parallon: Parallon provides revenue cycle management, patient access, and healthcare business services to hospitals and physician practices nationwide. Closely comparable to CBS's MARS physician billing and ABS hospital early-out services at scale.
• Ciox Health: Ciox Health (now a Datavant company) provides health information management, release-of-information, and clinical data exchange services to healthcare organizations. Adjacent comparable to CBS in healthcare data management but more focused on clinical information rather than revenue cycle.

Direct peers

• MedAssist (Firstsource): MedAssist, part of Firstsource Solutions, provides healthcare revenue cycle management, eligibility, and patient billing services to U.S. hospitals. Directly comparable to CBS's ABS and HIRS divisions in hospital early-out and patient engagement services.
• IC System: IC System is a U.S. debt collection agency serving healthcare, retail, and financial services clients. Directly comparable to CBS's Collection Services Division in third-party debt recovery, and a previous employer of CBS CEO Lloyd Ledet.
• Digitech Computer LLC: Digitech Computer provides ambulance billing software and revenue cycle management services for EMS providers. Directly comparable to CBS's AMB division in specialized ambulance medical billing and ePCR integrations.
• Transworld Systems (TSI): Transworld Systems provides third-party debt collection and accounts receivable management services to healthcare, commercial, and consumer clients. Directly comparable to CBS's Collection Services Division in contingency-based primary debt recovery.

Others

• Availity: Availity operates a payer-provider data exchange and revenue cycle management platform used by hospitals and physician practices for insurance follow-up. Comparable to CBS's HIRS division in payer connectivity, and already a technology integration partner.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/credit-bureau-systems

Compliance16 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries8 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 Credit Bureau Systems