Medical Mediation Services

What Medical Mediation Services does

Medical Mediation Services, LLC is a privately held, bootstrapped healthcare services firm headquartered at 8280 YMCA Plaza Drive in Baton Rouge, Louisiana. Founded by Angela Leonard in 2014, the company provides specialized oncology appeals management for U.S. physician practices and oncology departments whose insurance claims have been denied. Its single core product addresses denials categorized as medical necessity, experimental/investigational, lack of authorization, and diagnosis coding, with appeal strategies customized per payer, diagnosis/indication, modality, clinical guidelines, and current clinical literature.

The company delivers this service through a team of medical researchers and writers with domain expertise in oncology appeals and intricate knowledge of major payer processes, supported by HIPAA-compliant operational infrastructure including encryption services and employee background checks. The firm operates on a pay-for-performance model, charging fees only when appeals are successfully overturned and revenue is captured, which aligns its economics with client outcomes and reportedly sustains a 90%+ success rate over a decade of operation. Distribution is sales-led and direct: the firm engages physician practices, financial managers, and revenue cycle specialists through its website, phone, and email, serving customers nationwide from a single Baton Rouge office with 1-10 employees and no external funding.

Customer segments are organized horizontally across three buyer personas — physicians and clinical staff seeking to offload administrative burden, financial managers focused on minimizing write-offs, and revenue cycle specialists needing a consistent external appeals resource. The company has no disclosed parent, subsidiaries, partnerships, patents, or external investors, and operates as an independent LLC under founder control.

Name

Medical Mediation Services

Legal name

Medical Mediation Services, LLC

Website

https://medicalmediationservices.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

1–10 employees

Short description

Medical Mediation Services is a Baton Rouge-based, privately held firm that helps U.S. oncology physician practices recover lost revenue from denied insurance claims through specialized, pay-for-performance appeals management with a reported 90%+ success rate.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Services

NAICS

Agencies, Brokerages, and Other Insurance Related Activities (5242)

SIC

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

akta.pro primary industry

Claims Advocacy & Loss Recovery Services (FSAEADAH)

akta.pro secondary industry

Medical Oncology (HLAKAFAB)

Keywords

• Oncology appeals management
• Insurance claim appeals
• Revenue cycle management
• Denied claims recovery
• Healthcare mediation services

Headquarters

HQ city

Baton Rouge

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

Revenue model

1. Oncology Appeals Management: Medical Mediation Services operates on a pay-for-performance model, charging fees only when appeals are successful and revenue is captured for the client practice. Fees are customized depending on client needs and the scope of appeals work. This aligns the company's financial interests directly with those of the practices they serve, as they only earn revenue when they successfully overturn denied claims and recover lost revenue.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Medical Mediation Services provides specialized oncology insurance appeals management for physician practices, recovering revenue from claims denied for medical necessity, experimental/investigational treatment, lack of authorization, and diagnosis coding. It operates on a pay-for-performance model, charging fees only when appeals succeed.

Product overview

Medical Mediation Services operates as a single-service company offering Oncology Appeals Management. Their core product is a customized appeal solution for denied oncology insurance claims, addressing denial types including medical necessity, experimental/investigational treatments, lack of authorization, and diagnosis coding issues. The company employs a pay-for-performance model where fees are only charged for successful outcomes. Services are delivered to three customer segments: physicians and clinical staff, financial managers, and revenue cycle specialists.

Differentiator

Problem solved

Functional benefit

Products and services

• Oncology Appeals Management Customized oncology appeal solution for denied insurance claims, addressing denial types including medical necessity, experimental/investigational treatments, lack of authorization, and diagnosis coding issues. Delivered to physician practices, financial managers, and revenue cycle specialists on a pay-for-performance basis.

Quantifiable outcome

• Over 90% success rate for oncology appeals with major payers
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators3 records

Recent moves4 records

Expansion highlights3 records

Broad incumbents

• R1 RCM: R1 RCM is one of the largest outsourced healthcare revenue cycle management companies in the US, serving hospitals and large physician groups across all specialties. It addresses the same underlying denial-management spend as Medical Mediation Services but at much greater scale and as part of a full RCM engagement.
• Waystar: Waystar provides a cloud-based healthcare revenue cycle management platform used by hospitals and physician practices for claims, denials, and appeals workflows. It competes indirectly by enabling in-house denial handling that could substitute for Medical Mediation Services' outsourced service.
• Experian Health: Experian Health provides healthcare data analytics and revenue cycle management solutions, including claims management and denial resolution tools. It is an incumbent vendor in the same provider-side claims and appeals category as Medical Mediation Services.
• Optum (Change Healthcare): Optum, through its acquisition of Change Healthcare, offers one of the largest healthcare revenue cycle and claims management technology platforms in the US. It competes broadly in denial and appeals workflows across the same provider customers Medical Mediation Services targets.

Direct peers

• PMMC: PMMC delivers revenue cycle management services to hospitals and physician practices, including denials management and underpayment recovery. Its outsourced RCM model and provider-side customer base are directly comparable to Medical Mediation Services.
• Healthrise: Healthrise provides revenue cycle management services with a strong focus on denial prevention and resolution for hospitals and physician groups. Its denial-management positioning overlaps directly with Medical Mediation Services' appeals offering.
• Aviacode: Aviacode provides medical coding, auditing, and denial-management services to healthcare providers. Its denial-management focus and provider-side delivery model make it a comparable specialty RCM peer to Medical Mediation Services' appeals work.
• nThrive: nThrive offers technology-enabled revenue cycle management solutions for healthcare providers, including claims management and denial/appeal workflows. It competes for the same denial-management wallet share that Medical Mediation Services addresses for oncology practices.
• MiraMed Global Services: MiraMed is an end-to-end healthcare revenue cycle management outsourcing firm that helps providers recover revenue from denied or underpaid claims. It overlaps with Medical Mediation Services on denial resolution and appeals services sold to physician practices and health systems.
• GeBBS Healthcare Solutions: GeBBS Healthcare Solutions provides outsourced revenue cycle management services to hospitals and physician groups, including medical coding, denial management, and appeals. It is a direct comparability match given its focus on resolving denied healthcare claims on behalf of providers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/MedicalMediationServicesLLC
• LinkedInlinkedin.com/company/medical-mediation-services

Compliance1 record

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 Medical Mediation Services