Active Healthcare Receivables

What Active Healthcare Receivables does

Active Healthcare Receivables (AHR) is a privately held US LLC headquartered in Nashua, New Hampshire, founded in 2018, operating in the healthcare accounts receivable management (ARM) vertical. The company runs two coordinated brands under one umbrella: Active Healthcare Receivables, which provides first-party ARM services to healthcare providers — operating inbound/outbound contact centers that handle telephone calls, texts, email, IVR, and pay portal traffic for non-delinquent self-pay, uninsured, underinsured, and balance-after-insurance patient accounts — and Balanced Healthcare Receivables (BHR), a wholly-owned subsidiary functioning as a third-party healthcare-specific professional debt collection agency that engages guarantors and consumers to resolve past-due obligations. Service modules span healthcare receivables management, insurance recovery (claims adjudication, system conversions, legacy wind-downs), and consulting (portfolio appraisal, revenue per FTE benchmarking).

The firm employs a dedicated-employee model — assigning named staff per client engagement rather than the pooled-agent environment used by many competitors — and positions its privately held, non-PE-owned structure as enabling long-term client investment without short-term profit mandates. Management brings three decades of healthcare ARM experience across previously privately held, venture-backed, and publicly traded firms, and the company maintains industry affiliations with AAHAM, HFMA, and ACA International, plus PCI DSS certification and BBB accreditation for BHR. Distribution combines direct enterprise field sales to hospitals, medical practices, and healthcare systems with consumer-facing payment rails (Apple App Store and Google Play mobile apps, automated pay-by-phone) operated under BHR.

The business model is professional services on a B2B contract basis with healthcare providers; pricing is not publicly disclosed. Revenue is not reported in source materials, no funding rounds or external investors are disclosed, and there are no announced M&A or capital-markets transactions. Headcount is reported in the 51–100 band. Technology architecture is not publicly detailed beyond the use of consumer-facing payment platforms and standard contact-center channels, and no AI/ML capabilities are disclosed.

Name

Active Healthcare Receivables

Legal name

Active Healthcare Receivables, LLC

Website

https://activehrllc.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

51–100 employees

Short description

Active Healthcare Receivables is a privately held US firm that provides first-party healthcare accounts receivable management, insurance recovery, and consulting to hospitals and medical practices via dedicated contact-center teams, complemented by a wholly-owned third-party collection subsidiary (Balanced Healthcare Receivables).

Ownership category

akta.pro rank

Product category

Healthcare Receivables Management

NAICS

Collection Agencies (561440)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

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

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)

Keywords

• Healthcare receivables management
• First-party debt collections
• Third-party collections agency
• Insurance claim recovery
• Revenue cycle consulting

Headquarters

HQ city

Nashua

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Receivables Management Services: First-party accounts receivable management services for healthcare providers, including inbound/outbound contact center operations, insurance follow-up, and consulting. Revenue is generated through professional service fees, likely on a contract or managed services basis.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels2 records

Core offering

Active Healthcare Receivables (AHR) is a first-party healthcare accounts receivable management firm that operates a dedicated contact center for hospitals, medical practices, and healthcare systems, handling inbound/outbound calls, texts, emails, IVR, and pay portal traffic for non-delinquent self-pay, uninsured, underinsured, and balance-after-insurance accounts. The firm also performs insurance claim follow-up, adjudication, trend identification, system conversions, and legacy wind-downs. Its sister brand, Balanced Healthcare Receivables (BHR), acts as a third-party healthcare-specific professional debt collection agency that works with guarantors/consumers to resolve past-due obligations and facilitates payments via mobile apps and automated pay-by-phone.

Product overview

Active Healthcare Receivables operates two distinct product lines under a unified healthcare accounts receivable management umbrella. Active Healthcare Receivables (AHR) functions as a first-party ARM firm providing inbound/outbound contact center services, insurance recovery, and consulting to healthcare providers. Balanced Healthcare Receivables (BHR) operates as a separate third-party professional debt collection agency focused on guarantor/consumer resolution and payment facilitation. Both products share underlying technology infrastructure, customer service resources, and professional expertise, with BHR offering mobile applications (iOS/Android) for consumer payment convenience while AHR emphasizes its dedicated employee model versus pooled environments used by competitors.

Differentiator

Problem solved

Functional benefit

Brands

• Balanced Healthcare Receivables: Third-party healthcare specific professional debt collection agency operating as BHR, LLC

Products and services

• Active Healthcare Receivables (AHR) A first-party healthcare accounts receivable management firm that functions as a dedicated contact center for healthcare providers, managing inbound/outbound telephone calls, texts, emails, IVR, pay portal traffic, and voice message returns for non-delinquent self-pay, uninsured, underinsured, and balance-after-insurance accounts. It deploys dedicated employees per project rather than pooled resources and pairs this with insurance recovery and consulting services.
• Balanced Healthcare Receivables (BHR) A third-party healthcare-specific professional debt collection agency (subsidiary of AHR) that engages with guarantors/consumers to resolve past-due healthcare obligations through phone and email communications, and facilitates consumer payments via mobile apps (iOS/Android) and automated pay-by-phone (844.205.4388). It is BBB Accredited and PCI DSS compliant.

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Balanced Healthcare Receivables (BHR)coreOthersBHR is the company's third-party healthcare-specific professional debt collection agency subsidiary. While AHR handles first-party receivables management, BHR handles third-party collections. Both entities operate under the Active Healthcare Receivables umbrella, serving different stages of the healthcare receivables lifecycle.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Convergent Health (dba Convergent Healthcare Receivables): Healthcare-specialized accounts receivable management firm offering first-party early-out and third-party collections to hospitals and physician groups nationwide. Closely comparable to AHR/BHR in service mix, healthcare-only focus, and dedicated client teams.
• HealthCare Financial, Inc. Long-standing healthcare-focused third-party collection agency serving hospitals, clinics and physician practices. Provides direct peer comparison as a similarly sized healthcare-only ARM/collections specialist.

Others

• Availity: Healthcare information network and revenue cycle clearinghouse connecting payers, providers and technology partners. Adjacent because Availity processes payer-provider data that AHR's insurance-recovery team follows up on.
• Finvi (formerly Ontario Systems): Debt-collection and receivables-management technology and workflow automation vendor serving healthcare ARM and collection agencies like AHR/BHR. A likely underlying technology and compliance backbone rather than a direct competitor.

Broad incumbents

• R1 RCM: Large-scale healthcare revenue cycle management provider (now under private-equity ownership). Sits at the upper end of the RCM outsourcing market that AHR's hospital clients evaluate against the dedicated boutique model.
• Optum (UnitedHealth Group): Diversified healthcare services arm of UnitedHealth Group providing revenue cycle management, patient engagement and collections at massive scale. Competes with AHR for outsourced RCM and patient-payment engagements but across a vastly broader portfolio.
• Waystar: Cloud-based healthcare revenue cycle and patient financial experience platform serving hospitals and physician groups. Represents the technology-enabled alternative to AHR's labor-intensive first-party contact-center and patient-balance work.
• RevSpring: Healthcare patient engagement, billing and payments company offering propensity-to-pay analytics, statements and patient communications. Overlaps with AHR's patient self-pay and balance-after-insurance remediation services via automated channels.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/activehrllc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 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 Active Healthcare Receivables