One Billing Solutions

What One Billing Solutions does

One Billing Solutions, LLC (OBS) is a privately held billing services provider headquartered in Omaha, Nebraska, that delivers end-to-end revenue cycle management for 911 emergency response agencies across the United States. The company serves Emergency Medical Services (EMS) organizations, fire departments, volunteer rescue squads, and combined all-hazards response agencies, with a deliberate focus on small rural communities that lack the internal administrative capacity to run billing operations in-house.

OBS's core service offering integrates billing information verification, HCPCS and ICD10 coding, invoice preparation, and claims submission via contracted electronic clearinghouses or postal service, supplemented by follow-up billing, customer service coordination, cash posting, and monthly accounts receivable and write-off reporting. The company also completes participating contracts with insurance carriers and acts as an authorized representative for clients, handling inquiries and claims status on behalf of the agency. The product surface is delivered as a single unified service rather than modular point products, tailored to organizations ranging from volunteer squads with minimal computer experience to fully electronic operations in larger municipalities.

The commercial model is a managed-services arrangement with quote-based pricing structured around organization type, size, and volume, typically contracted on a multi-year basis. The go-to-market is sales-led and inside-sales-driven, relying on inbound inquiries via a website contact form and a toll-free number (877-218-4392), with prospective customers receiving follow-up outreach within 24 hours and on-site meetings offered at customer locations. Distribution is exclusively direct with no intermediaries or disclosed channel partners, and digital marketing presence is minimal. The company is privately held with no disclosed parent, institutional investors, funding rounds, leadership team, M&A activity, or external growth signals in the source material.

Name

One Billing Solutions

Legal name

One Billing Solutions, LLC.

Website

https://onebillingsolutions.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Short description

One Billing Solutions (OBS) is a privately held Omaha, Nebraska-based billing services provider that delivers end-to-end revenue cycle management for EMS agencies, fire departments, and rescue squads, primarily serving small rural 911 emergency response organizations across the United States.

Ownership category

akta.pro rank

Product category

EMS Medical Billing Services

NAICS

Collection Agencies (56144), Business Support Services (5614)

SIC

Services-Health Services (8000), Services-Consumer Credit Reporting, Collection Agencies (7320), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

EMS Billing, Revenue Cycle & Compliance Services (HLAFANAM)

akta.pro secondary industries

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF), Patient Billing, Statements & Payment Processing (HLACACAG), Accounts Receivable (A/R) & Collections Management (HLACACAJ), Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)

Keywords

• EMS medical billing
• Claims processing services
• Revenue cycle management
• Ambulance billing services
• Fire rescue billing

Headquarters

HQ city

Omaha

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Billing Services: Revenue generated through billing and claims processing services for 911 emergency response providers. Services include verification of billing information, invoice preparation, claims submission to insurance carriers, follow-up billing, cash posting, and monthly accounts receivable reporting.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

One Billing Solutions provides end-to-end medical billing and claims processing services for 911 emergency response providers, including EMS agencies, fire departments, and rescue squads. Services cover billing information verification, HCPCS/ICD10 coding, invoice preparation, electronic and postal claim submission via clearinghouse, follow-up billing, patient and insurance customer service, cash posting, contract completion as an authorized representative, and monthly accounts receivable reporting. The offering is designed to allow volunteer and small 911 systems to maintain steady revenues by outsourcing the administrative billing burden.

Product overview

One Billing Solutions (OBS) is a unified billing service platform for EMS and Fire & Rescue agencies, offering end-to-end revenue cycle management. The core offering consists of integrated billing services including claims processing, invoice submission via clearinghouse, customer service coordination, cash posting, and monthly financial reporting—all unified under a single service model designed to help 911 response systems maintain steady revenues.

Differentiator

Problem solved

Functional benefit

Products and services

• EMS Billing Services Comprehensive billing and claims processing service for Emergency Medical Services (EMS) providers, including ambulance services and 911 response systems. The service covers billing information verification, HCPCS/ICD10 and condition coding, claim form preparation, and submission through an electronic clearinghouse or postal service, along with follow-up billing, patient invoicing, cash posting, and monthly accounts receivable reporting. Designed for EMS agencies that need professional revenue cycle management without burdening operational staff.
• Fire & Rescue Billing Services Specialized billing service for fire departments and rescue squads, enabling small rural communities and volunteer organizations to maintain their 911 systems through professional claims processing. Includes the same end-to-end revenue cycle capabilities as the EMS offering, adapted to fire service billing codes, condition codes, and payer mix.

Quantifiable outcome

• 100% collection of billable claims (goal)

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves3 records

Expansion highlights3 records

Direct peers

• ZOLL Data Systems: Provides EMS billing software and services to ambulance and fire services nationwide. Directly competes with OBS in the same EMS RCM niche, with deeper technology and broader reach.
• MP Cloud Technologies: EMS billing and workflow software specifically built for ambulance services. Competes head-to-head with OBS for small and mid-sized EMS agencies.
• SafeScene (formerly AIM EMS Software & Services): Provides EMS billing and software solutions to public and private ambulance providers. Direct competitor in the same niche with overlapping service offerings.
• ImageTrend: Provider of EMS and fire software including ePCR and billing workflows. Comparable as an EMS-vertical technology and services vendor serving the same 911-agency buyer.
• Digitech Computer: Specialized EMS billing and revenue cycle management provider serving ambulance services across the U.S. Closest comparable to OBS in service model and target customer.

Broad incumbents

• Change Healthcare (now Optum): Major healthcare clearinghouse and RCM technology provider. Comparable via claims processing and clearinghouse connectivity that OBS also relies on.
• Waystar: Large healthcare revenue cycle platform offering claims management, patient billing, and analytics. Overlaps with OBS in claims/billing infrastructure but serves a broader healthcare audience.
• R1 RCM: Large-scale RCM outsourcing provider serving hospitals and health systems. Overlaps in revenue cycle services but targets larger providers rather than small EMS agencies.
• Experian Health: Provides patient access, claims management, and RCM solutions across healthcare. Comparable in the billing/collections workflow but not focused on EMS vertical.

Emerging players

• entegra (ProClaim/EMS Pro): Emerging EMS billing services provider with comparable service model for fire and ambulance agencies. Smaller scale than OBS but competing in the same niche.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Customer concentration

• LinkedInlinkedin.com/company/one-billing-solutions

Revenue estimate

Valuation estimate

Number of profiles

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 One Billing Solutions