Certified Ambulance Group

What Certified Ambulance Group does

Certified Ambulance Group, Inc. (CAG) is a privately held emergency services medical billing company founded in 1990 by Chris A. Gentile and headquartered in Rocky Hill, Connecticut (mailing address in Wethersfield, CT). The company provides full-service billing and revenue recovery for emergency medical services (EMS), advanced life support (ALS) intercept, fire, and rescue operations, serving municipal EMS providers, volunteer ambulance services, fire departments, and hazardous material companies across the United States. Its core differentiator is the EMS revenue recovery program Gentile pioneered during a late-1980s Connecticut consulting engagement, designed to help non-commercial and volunteer agencies collect insurance reimbursement they historically left on the table — covering more than 90% of transported patients who hold insurance or entitlements.

The business operates a professional-services, percentage-of-collections model typical of medical billing firms, with no publicly disclosed pricing tiers. Customer acquisition is sales-led and direct: outreach to state and local agencies, free phone consultations, toll-free support, and a secure online insurance submission portal that feeds encrypted intake files into CAG's billing workflow. The team holds a combined 200+ years of emergency-services experience, and the company emphasizes compliance with State and Federal billing standards as a quality signal. CAG does not operate proprietary SaaS technology, has no disclosed APIs, integrations, mobile apps, or AI/ML capabilities, and relies on its human billing expertise and 34-year reputation within the municipal EMS buyer community as its primary competitive assets.

Name

Certified Ambulance Group

Legal name

Certified Ambulance Group, Inc.

Website

https://certambgroup.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

11–50 employees

Short description

Certified Ambulance Group is a private emergency services medical billing firm, founded in 1990, that provides revenue recovery for municipal and volunteer EMS providers, fire departments, and hazardous material companies nationwide using percentage-based billing services.

Ownership category

akta.pro rank

Product category

EMS Billing Services

NAICS

Ambulance Services (621910)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

EMS Billing, Revenue Cycle & Compliance Services (HLAFANAM)

Keywords

• EMS billing services
• Emergency services billing
• ALS intercept billing
• Fire rescue billing
• Medical billing

Headquarters

HQ city

Wethersfield

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. EMS Billing Services: Full-service billing system for emergency medical services (EMS), advanced life support (ALS) intercept, fire, and rescue billing. The company generates revenue by providing billing and revenue recovery services to EMS providers, helping them recover funds from insurance companies for emergency transports and rescue operations.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Certified Ambulance Group provides billing and revenue recovery services for emergency medical service (EMS) providers, Advanced Life Support (ALS) intercept teams, fire departments, and rescue organizations. The firm handles end-to-end claim preparation and submission, supported by a secure online insurance submission portal with encrypted data transfer, and operates nationwide across the United States.

Product overview

Certified Ambulance Group offers a unified emergency services billing platform consisting of three core offerings: comprehensive EMS, ALS intercept, fire, and rescue billing services; a secure online insurance submission portal; and the proprietary EMS revenue recovery program. The company, founded in 1990, serves municipal and volunteer EMS providers nationwide with over 200 years of combined professional experience in emergency services.

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Medical Services (EMS) Billing End-to-end medical billing and revenue recovery service for municipal and volunteer EMS transport providers across the United States. Certified Ambulance Group prepares and submits ambulance claims on behalf of client EMS organizations to maximize reimbursement.
• ALS Intercept Billing Specialized billing service for Advanced Life Support (ALS) intercept providers that deliver higher-level care alongside basic transport units. Tailored to the coding and reimbursement rules specific to ALS intercept encounters.
• Fire Department Billing Billing service tailored to fire departments that combine fire suppression duties with EMS transport. Handles the claim workflows and coding requirements unique to fire-based EMS agencies.
• Rescue Billing Billing and revenue recovery service for rescue organizations that provide emergency transport and rescue services. Built around the claim submission workflows specific to rescue operations.
• EMS Revenue Recovery Program Recovery program developed and pioneered by Certified Ambulance Group to identify and resubmit unpaid or underpaid EMS claims, raising overall reimbursement for client agencies. Often cited as the firm's flagship service differentiator.
• Hazardous Material Response Billing Specialized billing service for hazardous material response companies, handling invoicing for incident response to maximize collection from public sector and industrial clients.

Quantifiable outcome

• Over 90% of patients transported by EMS are covered by insurance plans or entitlements, enabling significant revenue recovery potential

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators3 records

Recent moves5 records

Expansion highlights2 records

Broad incumbents

• ESO Solutions: ESO provides EMS data, billing, and analytics software widely used by municipal and private EMS agencies. It overlaps with CAG in EMS revenue recovery but typically competes via integrated software rather than standalone billing services.
• ZOLL Data Systems: ZOLL Data Systems (part of ZOLL Medical / Asahi Kasei) provides EMS software including billing and revenue cycle management integrated with ePCR and dispatch. It competes with CAG for the same municipal and volunteer EMS agencies but as part of a broader software suite.
• ImageTrend: ImageTrend offers EMS, fire, and hospital data platforms, including billing/RCM functionality. It serves the same fire and EMS customer base as CAG, often as a technology-forward alternative to standalone billing services.

Direct peers

• PMMC: PMMC provides hospital and EMS revenue cycle management and managed care contracting. It is a directly comparable outsourced billing peer serving similar provider types to CAG.
• Digitech Computer: Digitech Computer (now part of the broader emergency-services software ecosystem) provides EMS billing and dispatch software. It competes head-to-head with CAG for ambulance billing engagements.

Emerging players

• Traumasoft: Traumasoft provides EMS billing, scheduling, and dispatch software for ambulance services, including volunteer and municipal agencies. It is an emerging technology-led competitor in CAG's niche.
• AIM EMS Software & Services: AIM EMS Software & Services provides EMS billing and ePCR solutions for small and mid-sized ambulance services, including volunteer and municipal agencies comparable to CAG's target market.
• MedaPoint: MedaPoint delivers EMS billing and compliance services focused on private and public ambulance providers. It is a smaller, niche RCM peer with a similar service offering to CAG.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Certified Ambulance Group