What Elevate does

Elevate Billing Solutions LLC is a U.S. dental-billing services company founded in 2019 and operating as a division of Nobility RCM, a Scottsdale, Arizona-based healthcare revenue cycle management firm. The company provides outsourced dental revenue cycle management — including insurance claims submission, EFT/EOB reconciliation, accounts receivable analysis, denial management, insurance verification, credentialing, coding, and fee schedule negotiation — primarily to independent U.S. dental practices (general dentistry, specialty practices, and increasingly DSOs and out-of-network practices). Service delivery is supported by a proprietary Elevate Hub Dashboard for client reporting and communication, plus secure remote screen-connect access to non-cloud practice management systems; Elevate integrates with 19+ dental software platforms including Dentrix, Eaglesoft, Open Dental, Curve Dental, and Denticon.

The company monetizes primarily on a transaction-fee basis: clients pay 2.75%–4.25% of monthly insurance collections, subject to minimum monthly fees starting at $1,299, with custom multi-year pricing for DSO and specialty engagements. Its differentiated product is Elevate Pre-Funding, an exclusive program in which Elevate pays claims upfront and collects from payers on the practice's behalf, providing 100% predictable revenue. The go-to-market is sales-led: prospects schedule demos via HubSpot or call (844-438-3588), receive a customized proposal, and sign a six-month initial commitment; dedicated U.S.-based account leads are then assigned. Marketing combines content (blog/case studies), co-hosted webinars with dental-industry partners (Burkhart Dental Supply, Ascent Practice Growth, The TeleDentists), and referral channels including Affinity Management Consulting and AADOM.

Elevate operates as a privately held subsidiary of Nobility RCM (parent since March 2022) with no disclosed external funding, no public ticker, and no subsidiaries of its own. Leadership combines Nobility's healthcare-operator founders (Dr. Michael Fossum, Christian J. Hoffmann) with internally developed dental-billing specialists; the company has more than 10 U.S. operating sites and a 'hundreds of billing professionals' bench, serving practices across the Northwest and Southeast with reported collection rates of 99% or higher.

Name

Elevate

Legal name

Elevate Billing Solutions LLC

Website

https://elevatebillingsolutions.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

101–250 employees

Short description

Elevate Billing Solutions, a Nobility RCM division, provides outsourced dental revenue cycle management — claims, AR, credentialing, and an exclusive Pre-Funding program — to U.S. dental practices, specialties, and DSOs via percentage-of-collections pricing.

Ownership category

akta.pro rank

Product category

Dental Revenue Cycle Management Services

NAICS

Collection Agencies (561440), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Engineering, Accounting, Research, Management (8700), Services-Prepackaged Software (7372)

akta.pro primary industry

Provider Credentialing & Enrollment (Payer Contracting Ops) (HLACACAM)

akta.pro secondary industry

Accounts Receivable (Invoicing, Cash Application, Deductions) (BPAAAGAB)

Keywords

• Dental billing services
• Revenue cycle management
• Dental insurance billing
• Accounts receivable management
• Healthcare claims processing

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Percentage of Insurance Collections: Percentage-based billing fee applied to monthly insurance collections. Rates range from 2.75% to 4.25% depending on practice type and volume. The rate remains stable to allow easy monthly cost estimation.
2. Minimum Monthly Fee: Minimum monthly fees starting at $1299 to ensure baseline revenue regardless of collection volume. Applied when percentage calculation falls below minimum threshold.
3. Custom Solutions and A La Carte Services: Custom-priced services including credentialing, fee schedule negotiations, consulting, operating lines of credit, and special projects for out-of-network or DSO clients
4. Elevate Pre-Funding: Exclusive financing program where Elevate pays claims upfront at predetermined rate and collects from insurance companies. Provides 100% predictable revenue with no personal guarantee required.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Elevate provides outsourced dental insurance billing and revenue cycle management for U.S. dental practices, processing claims, reconciling EFT/EOBs, managing accounts receivable and denials, and assigning each client a dedicated account lead with metrics-driven reporting. Offerings are bundled across core dental billing, modular back-office services (insurance verification, credentialing, coding, UCR analysis, fee schedule negotiation, operating lines of credit), and an exclusive Elevate Pre-Funding program that pays claims upfront and collects from insurers on the practice's behalf.

Product overview

Elevate Billing Solutions offers a unified platform combining core dental billing services with modular add-on offerings. The primary product is Dental Insurance Billing, which provides advanced revenue cycle management for dental practices. This core service is supplemented by specialized modules including Back Office Services (insurance verification, credentialing, UCR analysis, coding services, fee schedule negotiations), Insurance Verification (three-step verification process), Virtual Billing (remote billing support), and Custom Solutions for DSOs. The company also offers Elevate Pre-Funding as a financing add-on that guarantees predictable revenue. All services are managed through the proprietary Elevate Hub Dashboard for reporting and communication.

Differentiator

Problem solved

Functional benefit

Brands

• Elevate Pre-Funding: A proprietary program that ensures guaranteed revenue for dental practices by paying claims upfront and collecting from insurance companies on behalf of the practice, providing 100% predictable revenue.

Products and services

• Dental Billing Advanced revenue cycle management for dental practices, including metrics-driven reporting, dedicated account leads, full EFT/EOB reconciliation, ongoing AR analysis, and HIPAA compliance.
• Back Office Services Stand-alone back office and practice management resources including insurance verification, credentialing, UCR analysis, coding services, fee schedule negotiations, operating lines of credit, and practice performance assessments.
• Elevate Pre-Funding Exclusive financing option where Elevate pays claims upfront and collects from insurance companies on behalf of the practice, providing 100% predictable revenue.
• Virtual Billing Remote billing support where Elevate specialists process electronic claims daily, manage AR, handle denied claims and appeals, reconcile EOBs and EFTs, and post payments into dental software.
• Dental Insurance Billing Dental insurance billing service with customized pricing from 2.75% to 4.25% of monthly collections, with minimum monthly fees starting at $1,299.
• Insurance Verification Three-step insurance verification service that exports patient data three days in advance of visits, performs emergency verifications, and delivers full breakdowns one day in advance to increase collections and reduce overhead.
• Custom Solutions Customized service offerings for DSOs, out-of-network practices, fee-for-service models, and practices experiencing AR aging challenges, including credentialing and fee schedule negotiations.
• Elevate Hub Dashboard Proprietary user-friendly dashboard created for each client for scanning checks and EOBs, daily communication channels, email and phone support, and real-time performance reporting.

Quantifiable outcome

• Aging reduction from 35% to 8% of total collections within months
• +3 more outcomes

Named customers11 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

Integration19 records

Feature4 records

Partnerships

Five partnerships are on record, tiered minor.

• AADOM (American Association of Dental Office Management)minorGTM or Marketing PartnerAADOM is a professional organization for dental office managers. Elevate is listed as a partner, suggesting membership or sponsorship relationship for marketing and visibility within the dental office management community.
• Burkhart Dental SupplyminorGTM or Marketing PartnerCo-hosted webinar on June 27, 2025 covering topics including determining if outsourced billing partner is right fit and methods to evaluate billing partner capabilities. 11-minute run time focusing on dental billing evaluation criteria.
• Ascent Practice Growth StrategiesminorGTM or Marketing PartnerCo-hosted webinar covering digital marketing techniques for dental practices, establishing online presence with no upfront investment, and gaining patient volume on pay-for-performance basis. 30-minute run time.
• The TeleDentistsminorGTM or Marketing PartnerCo-hosted webinar covering leveraging practice downtime and schedule gaps, improving revenues without adding overhead, with special discount for Elevate clients. 54-minute run time.
• Affinity Management ConsultingminorChannel Partner/ Reseller/ DistributorConsulting firm run by Michelle Affanato, a dental practice consultant since 2005 with 13 years of experience. Has referred numerous practices to Elevate based on customization and communication capabilities. Serves as ongoing liaison between practice and Elevate.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• DoctorsManagement: Provides RCM, billing, and consulting services to medical and dental practices, including credentialing and AR management — comparable to Elevate's mix of core billing plus back-office professional services.
• eAssist Dental Solutions: Largest dedicated outsourced dental billing service in the U.S., serving general and specialty practices with claims, AR, and insurance verification — the closest direct peer to Elevate in target customer, services, and pricing model.
• Unify Dental (formerly Dental Revenue Group): Dental-focused RCM and consulting firm offering outsourced billing, AR management, and credentialing to DSOs and group practices, directly overlapping Elevate's Custom Solutions and SMB dental offerings.
• Nierman Practice Management: Provides dental medical billing, cross-coding, and RCM services, with a particular focus on dental practices that bill medical insurance — overlapping Elevate's credentialing and out-of-network billing capabilities.
• Dental Claim Support: Outsourced dental billing company handling insurance claims, appeals, and AR for practices of all sizes; closely comparable to Elevate in customer base, percentage-based pricing, and US-based service model.
• Navigating Dental Billing: Dental-specific medical billing service helping practices file medical insurance for dental procedures, with similar SMB target customer and specialty billing focus to Elevate.

Broad incumbents

• Waystar: Public healthcare RCM and claims-management software platform serving hospitals and physician practices. Adjacent to Elevate's Elevate Hub Dashboard and reporting stack, but targets enterprise healthcare rather than dental SMBs.
• Zotec Partners: Large, tech-enabled RCM company serving physician groups, hospitals, and ancillary providers with billing, coding, and patient engagement. Overlaps with Elevate's broader RCM services but at materially larger scale and broader verticals.
• R1 RCM: One of the largest U.S. healthcare RCM companies, serving hospitals and large medical groups with end-to-end revenue cycle services. Comparable in service category but operates at much larger scale and is not dental-focused.

Others

• Burkhart Dental Supply: Major U.S. dental supply distributor that co-markets with Elevate on outsourced billing webinars. Not a direct competitor, but an adjacent channel partner whose customer base is the same target buyer for Elevate's services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Elevatebillingsolutions

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 Elevate