Marcam Associates

What Marcam Associates does

Marcam Associates is a privately held, female- and veteran-owned healthcare revenue cycle management (RCM) firm founded in 1983 and headquartered in Rochester, New Hampshire. The company delivers a comprehensive suite of eleven interconnected services to U.S. hospitals, health systems, and medical practices, spanning self-pay billing and follow-up, predictive payment-likelihood scoring, third-party bad-debt collections, denial management, worker's compensation billing, presumptive charity eligibility, payment portal management, legacy A/R work-downs, patient notification, No Surprises Act compliance, and provider-side coding and consulting.

Underlying these services is a proprietary technology stack anchored by two predictive analytics engines: one that scores patient propensity to pay and a second that determines presumptive charity-care eligibility based on income, hardship, and government-assistance data. Marcam supplements this proprietary layer with integrated third-party infrastructure, including RevSpring for PCI DSS Level 1, HITRUST CSF, and HIPAA/HITECH-compliant payment processing via the evokepay.com portal, and Solutions by Text for SMS-based patient communications and NSA good-faith estimate delivery. Custom-built secure payment portals and a ShareFile-based client reporting portal round out the operational platform.

Commercially, Marcam operates a sales-led, professional-services model with custom enterprise pricing tied to client size, account volume, and scope, structured around multi-year contracts. Go-to-market is driven by direct enterprise engagement, AAHAM and HFMA chapter sponsorship and thought leadership, content marketing through the company blog, and LinkedIn presence. The principals, CEO Timothy Moore (a U.S. Marine Corps veteran with 30+ years in RCM) and President Christine Telles (CRCE-certified, with two decades in collections), lead a team that holds CRCE, CRCS, CCT, and CRCP certifications. The firm has no external investors, no public funding history, and no disclosed revenue figures.

Name

Marcam Associates

Legal name

Marcam Associates

Website

https://marcamassociates.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

11–50 employees

Short description

Marcam Associates is a privately held, female- and veteran-owned healthcare revenue cycle management firm founded in 1983, serving U.S. hospitals and medical practices with proprietary predictive-scoring software, self-pay billing, bad-debt collections, and No Surprises Act compliance services delivered through custom enterprise contracts.

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)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Patient Billing, Statements & Payment Processing (HLACACAG), RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL), Price Transparency, Estimates & Patient Financial Clearance (HLACACAK), Medical Debt Collection & Revenue Cycle Bad-Debt Recovery (FSAKAJAM)

Keywords

• Healthcare revenue cycle management
• Patient billing services
• Medical accounts receivable
• Bad debt collections
• Denial management services

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management Services: Comprehensive revenue cycle management services for healthcare providers including self-pay billing, statements and follow-up, predictive scoring, denial management, and legacy work-downs. Services are delivered by certified professionals leveraging proprietary software.
2. Bad Debt Collections: Third-party collections services for healthcare receivables. Marcam Associates was initially created as a collection agency in 1983 with extensive experience in patient accounting and third-party collections.
3. Workers Compensation Billing: Specialized billing services for complex workers compensation claims with expertise in regulations surrounding the system.
4. Provider Services: Medical coding services across all physician service lines including auditing, coding, documentation improvement, provider education, and revenue cycle consulting.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Marcam Associates provides healthcare revenue cycle management services to hospitals and medical practices, handling self-pay billing, statements and follow-up, bad debt collections, workers compensation billing, denial management, presumptive charity eligibility, and payment portal operations. The company augments these services with proprietary predictive analytics software that forecasts patient payment likelihood and automates regulatory compliance such as the No Surprises Act, all delivered by AAHAM-certified revenue cycle professionals.

Product overview

Marcam Associates provides a comprehensive healthcare revenue cycle management (RCM) platform centered around proprietary predictive analytics software. The company's core offering integrates eleven distinct services: Self-Pay Billing/Statements/Follow-Up, Predictive Scoring (proprietary payment likelihood software), Bad Debt Collections, Worker's Comp Billing, Presumptive Charity Eligibility (predictive analytics-driven), Denial Management, Payment Portals (RevSpring-powered secure processing), Legacy Work-downs & Insurance Follow-Up, Patient Notification (SMS/email automation), No Surprises Act compliance tools, and Provider Services (medical coding/consulting). The proprietary predictive scoring software serves as a foundational differentiator, enabling customized programs for clients across all service areas.

Differentiator

Problem solved

Functional benefit

Products and services

• Self-Pay Billing, Statements & Follow-Up

Segments1 record

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability4 records

Feature5 records

Partnerships

Eight partnerships are on record, tiered core, supporting and minor.

• RevSpringcoreTechnology or IntegrationRevSpring serves as the payment and print processing partner for Marcam Associates. They handle secure payment processing and are described as a leader in the field. RevSpring maintains PCI DSS Level 1 compliance, Point-to-Point Encryption, HITRUST CSF certification, HIPAA/HITECH compliance, and SOC 2 Type II audit compliance. This partnership enables Marcam to offer secure payment processing compliant with healthcare data standards.
• Solutions by Text (SBT)supportingTechnology or IntegrationSBT serves as the text messaging solution partner for Marcam Associates, enabling automated SMS communications with patients for appointment notifications, reminders, and cost estimates. The partnership supports patient notification and No Surprises Act compliance services.
• American Association of Healthcare Administrative Management (AAHAM)coreStrategic or Co-development PartnerMarcam Associates is an active national member of AAHAM and participates in three local chapters (Massachusetts MAPAM, New Hampshire/Vermont Twin States, Maine Pine Tree). Company principals hold leadership positions including Past President, Chairman of the Board, and Chapter President roles. AAHAM provides certification programs (CRCE, CRCS, CCT, CRCP) that Marcam staff have earned.
• Healthcare Financial Management Association (HFMA)coreStrategic or Co-development PartnerMarcam Associates is involved with HFMA at national and regional levels. The company is a Gold Sponsor of New England and Massachusetts/Rhode Island Chapters of HFMA. Staff members are active with several state chapters of HFMA.
• New England Collectors Association (NECA)supportingStrategic or Co-development PartnerNECA is comprised of member agencies in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. Marcam Associates is a member, gaining access to educational forums, networking opportunities, and legislative representation in the collections industry.
• ACA InternationalsupportingStrategic or Co-development PartnerACA International (Association of Credit and Collection Professionals) was founded in 1939 with over 5,000 members worldwide. Marcam Associates holds membership, accessing industry standards, professional development, and networking in the credit and collection industry.
• Hoops for Youth FoundationminorOthersCharitable partnership supporting the Hoops for Youth Foundation, an organization providing care and tools to vulnerable children in communities. Marcam Associates supports this organization as part of their philanthropy commitment to investing in youth.
• Dover Childrens HomeminorOthersCharitable partnership supporting the Dover Childrens Home, an organization providing life-enhancing care to vulnerable children. Marcam Associates supports this organization as part of their philanthropy commitment to investing in youth and the community.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Waystar: Large healthcare revenue cycle management cloud platform offering end-to-end claims management, patient billing, and denial solutions. Comparable as it competes for the same hospital/medical practice clients with overlapping patient billing and payment processing capabilities, though Waystar operates at much greater scale and as a software platform rather than services firm.
• R1 RCM: Major healthcare RCM outsourcing and technology provider serving large hospital systems. Comparable for outsourced revenue cycle services including patient billing, AR management, and denial resolution—Marcam competes for similar clients but R1 operates as a national-scale public/PE-backed enterprise platform.
• FinThrive (formerly nThrive): End-to-end healthcare RCM technology and services company covering patient access, billing, claims, and analytics. Comparable as it addresses the same hospital RCM workflow that Marcam supports, including patient responsibility/bad debt segments, though at much larger scale and with deeper technology integration.
• Experian Health: Healthcare-specific division of Experian offering patient identity, eligibility, billing, and collections solutions to hospitals and providers. Comparable in addressing patient billing, statements, and self-pay collections, but as a much larger incumbent with broader data and credit-reporting capabilities.
• Ciox Health: Health information management and clinical data exchange company that also offers RCM-adjacent coding and release-of-information services to hospitals. Comparable for medical coding/provider services, though Ciox operates at much greater scale across the broader health information value chain.

Direct peers

• PMMC: Specialty healthcare RCM firm focused on revenue cycle analytics, contract management, and underpayment detection for hospitals. Comparable as a similarly-sized niche player serving healthcare providers with RCM analytics and reimbursement optimization services that directly overlap Marcam's predictive scoring and denial management offerings.
• Aviacode: Medical coding, auditing, and provider services firm serving hospitals and physician groups. Comparable directly to Marcam's Provider Services offering (medical coding, auditing, documentation improvement, coder education) targeting the same healthcare provider customer base.
• Ontario Systems (Finvi): Healthcare and accounts-receivable software firm specializing in collections and recovery workflow tools. Comparable as a long-tenured vendor in healthcare collections technology—Marcam's President Christine Telles received training from Ontario Systems, and both firms serve the healthcare collections/AR market.
• National Recovery Associates: Healthcare-focused third-party debt collection agency serving hospitals and medical providers. Comparable directly to Marcam's bad debt collections and self-pay recovery services for similar healthcare provider clients, with overlapping regulatory and association memberships (ACA International, HFMA).

Emerging players

• PatientPop (by Tebra): Cloud-based practice management and patient engagement platform for small/mid-sized medical practices. Comparable as it addresses adjacent patient billing, statements, and payment workflows for similar healthcare provider customers, though focused on smaller practices with integrated SaaS rather than outsourced services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/marcam-associates

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Marcam Associates