Code 3 Billing Services

What Code 3 Billing Services does

Code 3 Billing Services, Inc. is a privately held, 100% woman-owned revenue cycle management firm founded in 1993 by Linda Caffier and headquartered in Gilbertsville, Pennsylvania. The company provides professional ambulance billing, accounts receivable management, denial management, and audit support exclusively to Emergency Medical Services (EMS) agencies in the United States, with a documented concentration in Pennsylvania. Its core differentiator is a proprietary, NEMSIS-certified Patient Care Report (PCR) software combined with a first-in-industry data-import workflow (introduced in 1994) that pulls demographics, diagnosis codes, charges, procedures, origin/destination, and narrative fields directly into the billing system, enabling higher per-biller throughput. The company complements billing with EMT documentation training and Certified Ambulance Coder (CAC, since 2010) staff, HIPAA 5010 and ICD-10 compliance, and continuing education across Medicare/Medicaid regulations and denial management.

Name

Code 3 Billing Services

Legal name

Code 3 Billing Services, Inc.

Website

https://code3billingservices.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

1–10 employees

Short description

Code 3 Billing Services is a privately held, woman-owned Pennsylvania firm that provides specialized ambulance billing, accounts receivable management, denial management, and EMT documentation training to U.S. EMS agencies, using proprietary NEMSIS-certified PCR software.

Ownership category

akta.pro rank

Product category

Ambulance Billing and Auditing Services

NAICS

Business Support Services (5614), Collection Agencies (561440)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Management Services (8741)

akta.pro primary industry

EMS Billing, Revenue Cycle & Compliance Services (HLAFANAM)

akta.pro secondary industries

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

Keywords

• Ambulance billing services
• EMS revenue cycle management
• Patient care reporting
• Certified ambulance coding
• Medical claims auditing

Headquarters

HQ city

Gilbertsville

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, Others

Revenue model

1. Ambulance Billing Services: Professional ambulance billing and auditing services provided to EMS agencies. The company manages accounts receivable, performs collections and follow-up, and provides EMT documentation training as part of their comprehensive billing service offering.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Code 3 Billing Services provides professional ambulance billing and auditing services to Emergency Medical Services (EMS) agencies, handling accounts receivable management, claims processing, denial management, and Medicare/Medicaid compliance. The offering is supported by NEMSIS-certified PCR (Patient Care Report) software and EMT documentation training, and is delivered by Certified Ambulance Coders (CAC).

Product overview

Code 3 Billing Services offers a unified suite of ambulance billing and auditing services for the EMS industry. The core offering is their professional ambulance billing service, complemented by proprietary NEMSIS-certified PCR Software and EMT Documentation Training. The company also provides data import services that connect PCR software to their billing platform, enabling streamlined claims processing. Their integrated approach combines accounts receivable management, denial management, and compliance services to help ambulance services maximize revenue per transport.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulance Billing and Auditing Services Professional billing and auditing services for Emergency Medical Services (EMS) organizations, including accounts receivable management, claims processing, denial management, and compliance with Medicare/Medicaid regulations.
• EMT Documentation Training Training services for EMTs to improve patient care report (PCR) documentation quality, ensuring clean claims submission, timely payment, and reduced audit risk.
• NEMSIS-Certified PCR Software Proprietary NEMSIS-certified Patient Care Report (PCR) software enabling electronic data entry and import capabilities for ambulance services.

Quantifiable outcome

• Identified payment trend issue with auto insurer pending letter requests that caused 30-day payment delays; responded with immediate programming change to print narratives with bills, eliminating future delays

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators2 records

Recent moves5 records

Expansion highlights2 records

Direct peers

• EMS|MC (EMS Management & Consultants): EMS|MC provides ambulance billing, consulting, and revenue cycle services to municipal and private EMS agencies. Directly comparable to Code 3 on service-only EMS RCM and target customer profile.
• Digitech Computer: Digitech is a long-standing ambulance billing and ePCR vendor serving EMS agencies across the U.S. Like Code 3, it is a specialist in EMS RCM, but with a broader geographic footprint and more developed technology platform (including RescueNet billing/PCR).
• Quick Med Claims: Quick Med Claims offers ambulance billing, coding, and consulting services for EMS agencies. Comparable to Code 3 as a service-led, EMS-specialist RCM provider with a similar customer base of small-to-mid ambulance services.
• ESO Solutions: ESO provides ePCR, EMS billing, fire records, and healthcare analytics. Comparable to Code 3 in serving EMS agencies with PCR-adjacent software, but operating at significantly larger scale with broader data/analytics capabilities.
• AIM EMS Software & Services: AIM provides EMS billing, ePCR, and dispatch software to ambulance services. Closely comparable to Code 3 as a specialist EMS software and RCM vendor serving similar customers, with a longer-tenured SaaS platform.
• ZOLL Data Systems: ZOLL Data Systems (part of ZOLL/Asahi Kasei) provides end-to-end EMS billing, ePCR, dispatch, and revenue cycle software to ambulance services nationwide. It is the largest direct competitor to Code 3 in EMS-specific RCM, but operates at materially larger scale and as part of a broader medical software portfolio.
• ImageTrend: ImageTrend provides ePCR, EMS billing, fire/EMS records, and analytics to EMS agencies. Comparable to Code 3 on the EMS-vertical focus and the intersection of PCR data and billing, though ImageTrend skews more toward software/platform delivery than pure services.

Broad incumbents

• R1 RCM: R1 RCM is a large-scale healthcare revenue cycle management company serving hospitals, health systems, and physician groups. Broad incumbent in healthcare RCM; relevant as a competitive threat for any expansion Code 3 might attempt into non-EMS provider billing.
• Optum (UnitedHealth Group): Optum operates one of the largest healthcare RCM, billing, and consulting businesses in the U.S. as part of UnitedHealth Group. A broad incumbent that competes for outsourced healthcare billing contracts and represents the long-term consolidation threat in EMS RCM.

Emerging players

• MP Cloud Technologies (now MPOWERD/EMS Cloud): MP Cloud Technologies provided cloud-based EMS billing and ePCR software to ambulance services before being acquired. Comparable to Code 3 as an EMS-specialist cloud RCM vendor and indicative of the SaaS direction the EMS RCM category is moving toward.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/code-3-billing-svc-inc

Compliance3 records

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 Code 3 Billing Services