Resolve Medical Billing
Resolve Medical Billing is a Nebraska-based, founder-owned LLC that provides outsourced medical billing, insurance credentialing, consultation, and virtual IT support to small U.S. healthcare practices nationwide, operating inside clients' existing EHR systems on a percentage-of-collections pricing model.
- Company typePrivate
- Founded2019
- HeadquartersOmaha, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Resolve Medical Billing does
Resolve Medical Billing is a privately held LLC founded in 2019 by Crystal McIntyre and headquartered in Nebraska, providing outsourced revenue cycle management and related services to small and mid-sized U.S. healthcare practices. The company is built around a core Contracted Medical Billing offering that manages the full billing cycle — eligibility verification, electronic claim submission, denial and rejection management, appeals, secondary payer follow-up, accounts receivable monitoring, and patient statements/billing support — delivered inside the client's existing electronic health record system. Adjacent service lines include Insurance Credentialing (commercial, Medicare, and Medicaid enrollment plus CAQH setup), Medical Billing Consultation for in-house billers and transitioning practices, and Virtual IT Support and Management.
The business is operated as a labor-based professional services firm with no proprietary software platform, AI/ML capabilities, patents, certifications, or external funding. Its core revenue stream follows a percentage-of-collections model — the firm is paid only when the practice is paid — while credentialing is sold at fixed per-enrollment unit prices ($400 commercial, $500 Medicare/Medicaid per provider per state). Go-to-market is sales-led and direct, relying on phone outreach (402.989-0988), a website contact form, and LinkedIn/Facebook presence; no partner channel, referral program, or paid acquisition is documented.
Operationally, Resolve reports 1–10 employees, a single named customer testimonial (Creative Counseling and Studio, a mental health counseling SMB), and a nationwide service claim. The company is bootstrapped/founder-owned with no institutional investors, M&A activity, regulatory actions, or leadership changes disclosed in the source material. Its competitive position rests on the founder's 20+ years of healthcare experience, workflow integration into client EHRs, and the alignment effect of outcome-based pricing rather than on technology or scale.
Resolve Medical Billing firmographics
Firmographics- Name
- Resolve Medical Billing
- Legal name
- Resolve Medical Billing LLC
- Website
- https://resolvebilling.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Resolve Medical Billing is a Nebraska-based, founder-owned LLC that provides outsourced medical billing, insurance credentialing, consultation, and virtual IT support to small U.S. healthcare practices nationwide, operating inside clients' existing EHR systems on a percentage-of-collections pricing model.
- Ownership category
- akta.pro rank
Resolve Medical Billing industry classification
Industry- Product category
- Medical Billing Services
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Patient Billing, Statements & Payment Processing (HLACACAG)
- akta.pro secondary industries
- Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Accounts Receivable (A/R) & Collections Management (HLACACAJ)
Keywords
Where Resolve Medical Billing is headquartered
LocationHeadquarters
- HQ city
- Omaha
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Resolve Medical Billing business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Contracted Medical Billing: Percentage-of-collections model where Resolve Medical Billing receives a percentage of successful claim collections. No large upfront costs; the company only earns when the practice gets paid. This aligns company incentives with client success and provides predictable, fair pricing tied to outcomes.
- Insurance Credentialing Services: Flat fee pricing for credentialing services: $400 per commercial insurance enrollment (BCBS, Aetna, etc.), $500 for Medicare enrollment per provider per state (including Medicare Advantage plans), and $500 for Medicaid enrollment per provider per state (Molina, UHC). These are one-time or recredentialing fees.
- Medical Billing Consultation: Consultation services priced individually based on practice needs. Suitable for new practices, transitioning practices, in-house billers requiring coaching, or providers wanting to understand their revenue cycle. One-time or occasional engagement model.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Monthly | Percentage-of-collections billing service with no upfront costs |
| Unit Pricing | Multi-year contract | Commercial insurance credentialing |
| Unit Pricing | Multi-year contract | Medicare and Medicaid credentialing |
| Other | Pay-as-you-go | Medical billing consultation |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels3 records
Resolve Medical Billing product offering
Product offeringCore offering
Resolve Medical Billing provides outsourced medical billing services for healthcare practices nationwide. Their core offering is a contracted medical billing service that manages the full revenue cycle—from insurance eligibility verification and electronic claim submission through denial management, appeals, accounts receivable follow-up, patient statements, and payment plan coordination. They complement billing with insurance credentialing (commercial, Medicare, Medicaid enrollment), medical billing consultation/coaching, and virtual IT support for practices.
Product overview
Resolve Medical Billing offers a unified suite of medical billing services built around a core Contracted Medical Billing platform that handles the complete revenue cycle. This core service is complemented by Insurance Credentialing for provider enrollment with Medicare, Medicaid, and commercial payers; Denial Management & AR Recovery for rejection handling; Medical Billing Consultation for training; and Virtual IT Support. The company operates on a percentage-of-collections model and currently accepts new clients nationwide.
Differentiator
Problem solved
Functional benefit
Products and services
- Contracted Medical Billing End-to-end outsourced revenue cycle management service for healthcare practices, covering claim preparation, electronic submission, denial and rejection handling, appeals, AR follow-up, patient statements, and patient billing support. Operates on a percentage-of-collections model with no upfront costs.
- Insurance Credentialing Provider enrollment service that completes applications and follow-up with commercial insurance panels (e.g., BCBS, Aetna), Medicare, Medicare Advantage, and Medicaid (e.g., Molina, UHC), including CAQH setup, recredentialing, and group contracting. Priced per enrollment type.
Companies that use Resolve Medical Billing
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles1 record
Resolve Medical Billing technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Resolve Medical Billing partnerships and signals
Strategic signalScale indicators2 records
Recent moves5 records
Expansion highlights3 records
Resolve Medical Billing competitors and assessment
Company assessmentEmerging players
- BillFlash: BillFlash provides patient billing, statements, and collections services for healthcare practices, overlapping with Resolve's patient billing and statements component of its full-service RCM offering.
- Greenway Health: Greenway Health offers EHR and revenue cycle management solutions for ambulatory practices, with partial overlap in the SMB billing services market where Resolve competes.
Direct peers
- CureMD: CureMD offers medical billing and practice management services for small and mid-sized practices with percentage-of-collections pricing, directly comparable to Resolve's go-to-market and pricing model.
- DrChrono: DrChrono provides EHR-integrated medical billing and RCM services to small and mid-sized practices, comparable to Resolve's EHR-agnostic outsourced billing approach.
- PracticeSuite: PracticeSuite offers practice management and outsourced medical billing for small to mid-sized practices, competing head-to-head with Resolve for SMB billing contracts.
- Medical Billers and Coders (MBC): MBC is an outsourced medical billing services company serving physician practices across specialties nationwide with percentage-of-collections pricing, very similar in model and target market to Resolve.
- Kareo (Tebra): Kareo (now Tebra) provides cloud-based medical billing and practice management software targeted at independent practices, directly competing in the SMB outsourced billing space where Resolve operates.
Broad incumbents
- R1 RCM: R1 RCM is a large-scale revenue cycle management provider serving hospitals, health systems, and physician groups. While larger in scale, it competes for outsourced RCM contracts in the broader market Resolve addresses.
- Athenahealth: Athenahealth offers a full revenue cycle management platform with percentage-of-collections pricing for practices of all sizes. It is a larger incumbent competing for the same SMB and mid-market billing customers Resolve targets.
- eClinicalWorks: eClinicalWorks provides EHR and RCM solutions to physician practices of all sizes, including billing services — a broader incumbent whose billing arm overlaps with Resolve's service offering.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Resolve Medical Billing social profiles
Digital presenceResolve Medical Billing financial estimates
Financial estimateRevenue estimate
Valuation estimate
Resolve Medical Billing leadership team
Management profileNumber of profiles
Profiles1 record
Resolve Medical Billing funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Resolve Medical Billing M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Resolve Medical Billing
What does Resolve Medical Billing do?
Resolve Medical Billing provides outsourced medical billing services for healthcare practices nationwide. Their core offering is a contracted medical billing service that manages the full revenue cycle—from insurance eligibility verification and electronic claim submission through denial management, appeals, accounts receivable follow-up, patient statements, and payment plan coordination. They complement billing with insurance credentialing (commercial, Medicare, Medicaid enrollment), medical billing consultation/coaching, and virtual IT support for practices.
Is Resolve Medical Billing a public or private company?
Resolve Medical Billing is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Resolve Medical Billing founded?
Resolve Medical Billing was founded in 2019. It employs 1 to 10 people.
Where is Resolve Medical Billing based?
Resolve Medical Billing is headquartered in Omaha, United States, in the North America region.
How does Resolve Medical Billing make money?
Three revenue lines are on record. Contracted Medical Billing is the primary driver. The others are insurance Credentialing Services and medical Billing Consultation.
Who are Resolve Medical Billing's main competitors?
Emerging players on record are BillFlash and Greenway Health. Direct peers are CureMD, DrChrono, PracticeSuite, Medical Billers and Coders (MBC) and Kareo (Tebra). Broad incumbents are R1 RCM, Athenahealth and eClinicalWorks.
Does Resolve Medical Billing have an API?
No public API is recorded for Resolve Medical Billing.
What industry is Resolve Medical Billing in?
Resolve Medical Billing's product category is Medical Billing Services. Its primary akta.pro industry code is HLACACAG, Patient Billing, Statements & Payment Processing, with a secondary code of BPAAAFAD, Medical Coding, Billing & Clinical Documentation Support. Its SIC code is 8000.