Medbill

What Medbill does

Medbill is a privately held US-based company, founded in 2005 by Keith Kuhn and headquartered in Plum, Pennsylvania, that delivers billing and revenue cycle services exclusively to durable medical equipment (DME) and home medical equipment (HME) providers. The company employs US-based billing staff and positions itself as a specialist partner rather than a generalist vendor, with leadership holding seats on industry bodies such as PAMS and the Medicare Jurisdiction C Council.

Its core technology is TrueSight, an AI-enabled SaaS platform launched in 2018 that originated from internal billing tools Medbill had used for more than a decade. TrueSight combines workflow automation, real-time clearinghouse connectivity with instant error feedback, denial management, automated resupply, drop-ship inventory, patient autopay, and dynamic reporting. It is SOC 2 Type II certified across four Trust Service Criteria (including the uncommon Processing Integrity criterion) and is HIPAA compliant by design, with an open-API framework integrating distribution partners such as McKesson, Cardinal Health, and Medline alongside CMS, NPPES, shipping carriers, and collections vendors.

Medbill operates a platform-plus-services model. TrueSight is sold as a subscription ($500/month base plus per-user and transaction-based usage fees, with a one-time onboarding and optional data migration fee). Around it, Medbill bundles full-service RCM (eligibility, prior authorization, claims submission, A/R collections, cash posting, audit assistance), managed IT services for DME operators, and provider enrollment/advisory services for emerging DME businesses. GTM is sales-led and consultative, with revenue cycle consultants performing needs analyses and channel partners in credentialing referring new providers; marketing leans on content, SEO, case studies, and industry conference participation rather than paid acquisition.

Name

Medbill

Legal name

Medbill

Website

https://medbill.net

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

101–250 employees

Short description

Medbill is a private, US-based DME and HME billing specialist founded in 2005, providing AI-powered TrueSight software alongside full-service revenue cycle management, managed IT, and provider enrollment advisory to independent durable medical equipment providers nationwide.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Business Support Services (5614)

SIC

Services-Prepackaged Software (7372), Services-Health Services (8000)

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• DME billing services
• HME billing software
• Revenue cycle management
• Healthcare claims management
• Medical billing automation

Headquarters

HQ city

Monroeville

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, Others

Revenue model

1. TrueSight Software Subscription: SaaS subscription model for TrueSight DME billing software with tiered pricing based on user count. Includes one-time onboarding fee and optional data migration services. Transaction-based fees for clearinghouse and optional communication services (texting, email, faxing, credit card processing).
2. Revenue Cycle Management Services: Full-service or modular RCM services including document review, claims management, AR collections, cash posting, and audit assistance. Billed as professional services engagement.
3. Managed IT Services: Managed IT support services including help desk, cybersecurity, HIPAA compliance, and infrastructure management for DME providers.
4. Provider Enrollment & Advisory Services: Consulting and advisory services for new DME providers including payer insights, feasibility analysis, and compliance guidance.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Medbill delivers DME/HME billing software (TrueSight) and end-to-end outsourced revenue cycle management services exclusively for U.S. durable and home medical equipment providers. Its offerings span claims management, A/R collections, cash posting, document review, audit assistance, denials and appeals, plus managed IT and provider enrollment/advisory services. The company employs only U.S.-based staff and uses its proprietary TrueSight platform to optimize cash flow for DME/HME businesses nationwide.

Product overview

Medbill offers a platform-plus-services model centered on TrueSight, its AI-powered DME billing software. TrueSight serves as the core technology product providing real-time clearinghouse connectivity, workflow automation, instant error validation, resupply management, drop-ship inventory, and patient autopay. The software is complemented by a comprehensive suite of revenue cycle management services including DME/HME billing, claims management, document review, A/R collection, cash posting, audit assistance, managed IT, and provider enrollment advisory services. All services are designed exclusively for DME providers, with TrueSight serving as both a standalone software and the technological backbone powering Medbill's internal operations.

Differentiator

Problem solved

Functional benefit

Brands

• TrueSight: AI-powered DME billing software platform designed to streamline the entire claims process. Features include patient communication, resupply revenue maximization, workflow configuration, drop-ship + inventory management, and real-time clearinghouse connection. SOC 2 certified and HIPAA compliant.

Products and services

• TrueSight DME Billing Software AI-powered SaaS billing platform purpose-built for DME providers that streamlines the entire claims process from patient intake through payment posting. Capabilities include real-time clearinghouse connectivity with pre-submission error feedback, workflow configuration, automated resupply management, drop-ship inventory processing, patient autopay, dynamic reporting, SOC 2 Type II certified security and HIPAA-compliant architecture. Sold as a standalone subscription product and used internally by Medbill for its own RCM operations.
• DME Billing Services End-to-end outsourced DME billing services covering eligibility verification, prior authorization, claims management, payment posting, A/R collections, and custom reporting and analytics for durable medical equipment providers.
• HME Billing Specialized home medical equipment billing services including order entry, documentation review, claim submission, rejection management, payment posting, A/R follow-up, denial management, and appeals for HME providers.
• Revenue Cycle Management Comprehensive RCM services for DME/HME providers covering document review, claims submission, A/R management, cash posting and reconciliation, denial management, appeals, and ongoing performance monitoring across the full revenue cycle.
• Claims Management Claims submission, medical coding, denial management and appeals, A/R follow-up, and reporting and analytics tailored for DME providers.
• Document Review Pre- and post-submission claim documentation review ensuring compliance with LCDs and payer guidelines, medical necessity evaluation, order and delivery validation, and fraud prevention for DME claims.
• A/R Collection Accounts receivable collection and management services including proactive follow-up, denial management, appeals, aging AR reduction, and patient balance collection for DME providers.
• Cash Posting Accurate payment recording, adjustment and denial tracking, secondary and tertiary billing support, and real-time revenue reconciliation services for DME providers.
• Audit Assistance Pre-submission claim review, error alerts and resolution, clean claim submission, and proactive audit protection services for DME providers.
• Managed IT Services Full-service IT support for DME businesses including software implementation, help desk support, cybersecurity (endpoint detection, email threat filtering, SIEM monitoring, phishing simulations), HIPAA-compliant solutions, Microsoft 365 and Google Workspace support, cloud backups, and system monitoring.
• Provider Enrollment & Advisory Services Launch and enrollment support for new DME businesses including payer insights, feasibility analysis, consulting, credentialing and accreditation assistance (in partnership with credentialing experts), Medicare and Medicaid compliance guidance, and tailored business planning.

Quantifiable outcome

• 29% cost saving in employee salaries and benefits
• +4 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration16 records

AI capability3 records

Feature10 records

Partnerships

Eight partnerships are on record, tiered core.

• McKessoncoreTechnology or IntegrationMcKesson is listed as an integration partner on TrueSight's integrations page. McKesson is a major healthcare distribution and IT company, and their logo appears alongside other integration partners suggesting bidirectional data flow or connectivity with TrueSight platform.
• Cardinal HealthcoreTechnology or IntegrationCardinal Health is listed as an integration partner on TrueSight's integrations page. As a major healthcare products and services company, Cardinal Health integration enables streamlined ordering and inventory management for DME providers using TrueSight.
• BA-SYS (basyspro.com)coreTechnology or IntegrationBA-SYS (basyspro.com) is listed as an integration partner. Their ERP/billing integration with TrueSight provides seamless data exchange for DME providers using their business management systems.
• CMS / NPPEScoreTechnology or IntegrationIntegration with CMS (Centers for Medicare & Medicaid Services) NPPES (National Plan and Provider Enumeration System) enables provider verification and Medicare enrollment workflows within TrueSight platform.
• data.cms.govcoreTechnology or IntegrationIntegration with CMS open data portal enables access to Medicare pricing data, coverage information, and regulatory updates directly within TrueSight platform for DME providers.
• InovaloncoreTechnology or IntegrationInovalon is listed as an integration partner. Their healthcare data analytics and quality measurement platforms integrate with TrueSight to enhance clinical and billing data insights for DME providers.
• MedlinecoreTechnology or IntegrationMedline integration enables product catalog access, ordering, and inventory management within TrueSight for DME providers sourcing medical supplies.
• Credentialing and Accreditation ExpertscoreStrategic or Co-development PartnerMedbill partners with credentialing and accreditation experts to help new and emerging DME providers navigate enrollment, accreditation, and compliance requirements. These partnerships are specifically referenced as part of Medbill's Provider Enrollment & Advisory Services offering.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/medbill
• Xx.com/MedBillDME
• Facebookfacebook.com/MedbillDME

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Medbill