◆ Founded by practice owners

We Run Clinics.
That's Why We Bill Differently.

A-Z was built by the operators of Vally Medical Group, a multi-location practice in Hawaii. We couldn't find a billing company that worked as hard as we did. So we built one. Our AI scans your entire claims history before a human ever touches your account.

4.9% of net collections
No contracts. No setup fees. No minimums.
96%
Clean claim rate
$2.4M+
Recovered in 2025
12:1
Client-to-staff ratio
100%
US-based team
Free · No commitment
How much revenue are you leaving on the table?
We'll analyze your billing data and show you exactly where the money is.
AI scan of your denial patterns by payer and code
Recoverable revenue in your existing backlog
Clean claim rate benchmark vs. your specialty
Side-by-side cost comparison (current vs. A-Z)

Request received!

We'll send your revenue analysis within 48 hours.

No spam. No obligation. Results in 48 hours.
What Happens When You Onboard
Before We Touch a Single Claim, Our AI Already Knows Your Problems.

We connect to your EMR through Waystar and run a proprietary intelligence layer across your entire claims history. Every denial pattern, every payer-specific trigger, every dollar sitting in your backlog ranked by recovery probability. This is why we recover revenue other billing companies write off as dead.

🔍

Denial Pattern Recognition

Our AI clusters your denial history by payer, code, and reason. It surfaces patterns your team can't see, like Aetna denying 99214s at 3x the rate of United, or a credentialing gap causing silent CO-185 rejections across an entire provider.

Avg 47 patterns found per practice
💰

Retroactive Revenue Recovery

Most practices have 6-18 months of denied claims sitting in their system that nobody has worked. Our engine scores every claim by dollar value, filing deadline, and appeal success probability, then attacks the highest-ROI recoveries first. Claims your old biller gave up on.

$127K avg recovered per practice
🛡

Pre-Submission Scrubbing

Every future claim passes through our AI before it leaves your system. It checks payer-specific modifier rules, bundling logic, NPI accuracy, and documentation requirements. Errors that would become denials in 30 days get caught before they cost you money.

96% clean claim rate
Seamless Integration With
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
Partner Logo
A-Z Medical Billing Founder Zain Vally
👨‍⚕️
Founded by Practice Owners, Not Private Equity.
The A-Z Difference

We're Operators,
Not Vendors.

Most billing companies learned the business from textbooks and compliance manuals. We learned it the hard way—running Vally Medical Group, a multi-location practice in Hawaii, where every denied claim meant real consequences for real patients.

Our founder didn't start in medical billing. He started in the trenches of practice operations, dealing with the same impossible insurance companies, the same predatory contracts, and the same cash flow crises you face every month. When a major insurer changed their submission requirements overnight, we were the practice scrambling to adapt.

That's why when you call us about a denial, you're not talking to a call center script-reader in Manila. You're talking to someone who has personally fought—and won—the same battle with the same payer that just denied your claim.

12:1 Client-to-Staff Ratio (Industry avg is 40:1)
100% US-Based Certified Coders
Direct Cell Phone Access to Managers
◆ Limited Availability

We're Not for Everyone.
We're for the First 10.

A-Z was built by the operators of Vally Medical Group, a four-location practice in Hawaii. We built our own billing intelligence because nothing on the market worked the way we needed it to. Now we're opening it to a small group of practices who want the same edge.

🔬

Revenue Cycle Profiling

Our proprietary billing agent scans your entire claims history and builds a complete profile of your revenue cycle. Every denial pattern, every payer behavior, every coding trend. You see what's broken before we touch a single claim.

📊

Automated Denial Categorization

Denials get classified by root cause, payer, provider, and recoverability in real time. No spreadsheets. No manual sorting. The system prioritizes what to fight, what to fix, and what to prevent, then your team executes.

🛡

Pre-Submission Intelligence

Every claim passes through our scrubbing layer before it leaves your system. Payer-specific modifier rules, bundling logic, NPI validation. Errors that would become denials in 30 days get caught before they cost you money.

🎯

Founder-Level Attention

Our first 10 practices get direct access to the team that built this system for their own clinics. 12:1 client ratio. No ticket queues. No account managers juggling 40 practices. Your revenue is treated like ours because that's how we started.

We're selectively onboarding our first 10 practices with a locked founding rate and direct access to our billing intelligence platform. This isn't a beta test. It's a deliberate choice to go deep with a small group before we scale. Once the 10 spots fill, the rate and the access level change.

Apply for a Founding Spot →
The Problem Deep-Dive

Where Your Revenue Actually Disappears.

Most managers believe their billing is "fine" because claims are being submitted. But submission and collection are different outcomes.

⚠️

Coding Errors at Submission

National data shows 42% of denials stem from simple coding errors—wrong modifiers or outdated CPT codes. In-house staff often lack the training to keep up with quarterly policy changes.

Stat: 45-60 days delay per error.

The 30-Day "Black Hole"

Most services submit claims and check back a month later. This passive approach allows denials to age past the "rapid response" window. We track non-payment at Day 14, not Day 30.

Stat: Recovery drops 50% after 90 days.
📉

Small Balance Write-Offs

Many billers silently write off balances under $50 because it "costs too much" to collect. For a busy practice, that is $4,000/month in lost profit. We automate collections so you keep every dollar.

Stat: 15% of revenue is often written off.

Free Medical Billing Tools

Professional-grade calculators and resources to help you recover lost revenue

💰

Revenue Recovery Simulator

Discover exactly where your practice is losing money. Get a personalized analysis in 3 minutes.

Run Simulation →
🏥

Medicare Fee Schedule 2026

Instant CPT code lookup with 2026 Medicare rates. Compare facility vs non-facility fees for all 50 states.

Lookup Rates →
🔍

Denial Code Lookup

Instant reference for 50+ denial codes. Find causes, solutions, and step-by-step fixes.

Search Codes →
The RCM Protocol

We Don't Rely on Luck.

We use a proven 3-step framework to ensure your claims are paid faster and more accurately than your in-house team.

01
01. Scrub Clean Claim Audit

Every claim is inspected for coding errors before submission. If it isn't perfect, it doesn't leave our system.

02
02. Submit 24-Hour Velocity

We don't batch weekly. Claims are submitted within 24 hours of encounter sign-off to accelerate cash flow.

03
03. Fight Aggressive Pursuit

We track every unpaid dollar. If a claim ages past 30 days, our team calls the payer directly. We don't write off; we recover.

Practice Intelligence

Latest strategies for maximizing revenue velocity and reducing administrative drag.

Top 10 Denial Codes in 2026

The 10 denial codes costing practices $40K+ per year. Each code explained with root causes, step-by-step fixes, and prevention tips.

Read Analysis →

Why Clean Claim Rate Is the #1 Metric

Industry average is 75%. Top practices hit 96%. Here's how to measure yours and what to fix if it's below 90%.

Read Analysis →

In-House vs Outsourced Billing: Real Cost

Most practices underestimate in-house billing costs by 40-60%. Side-by-side breakdown with actual numbers and the break-even calculation.

Read Analysis →
Total Visibility

Stop Wondering Where Your Money Is.

Most billing companies send you a confusing spreadsheet once a month. We provide a live executive dashboard that tracks every dollar from patient encounter to bank deposit.

  • Real-time collections velocity tracking
  • Denial heatmaps by payer and code
  • Patient AR aging reports
Real-time RCM financial dashboard showing medical practice revenue analytics
The Human Firewall

Software Finds the Error. Humans Win the Argument.

AI is great at flagging denials, but it can't call an insurance rep and demand payment. Our US-based RCM experts spend their days fighting on the phone so your staff doesn't have to.

  • Certified Professional Coders (CPC) on staff
  • Aggressive phone appeals for high-value claims
  • Direct line of communication with your practice
Dedicated medical billing specialist managing insurance denial appeals on the phone

Comprehensive RCM Solutions

From credentialing to collections, we close every loop where money escapes.

01
🛡️

Denial Management

We don't accept "pending" as an answer. Our team categorizes denials within 24 hours and launches aggressive appeals for every dollar owed.

  • Root-cause analysis by payer
  • Phone appeals for claims over $500
  • Recovery of "aged" AR (60+ days)
02
📝

Provider Credentialing

Stop losing 5% of revenue to out-of-network patients. We manage the entire enrollment process to ensure you are paid at par.

  • Payer contract negotiation
  • CAQH profile maintenance
  • Medicare/Medicaid revalidation
03
📊

Forensic RCM Audits

Most practices are bleeding 15% of revenue without knowing it. We dig into your historical data to find undercoding and missed charges.

  • Fee schedule analysis
  • Coding compliance review
  • Missed revenue identification
04
💳

Patient Collections

High deductibles are the new normal. We use respectful but systematic follow-up to collect patient balances before they go cold.

  • Automated statement cycles
  • Online payment portal setup
  • Inbound patient billing support
Zero Risk Model

Clear, Performance-Based Pricing.

Most billing companies hide behind complex quotes. We keep it simple. We only get paid when you get paid. This aligns our incentives perfectly—we fight for every dollar because our revenue depends on it, just like yours.

No Setup Fees
No Software Licensing Costs
No Monthly Minimums
No "Postage/Statement" Fees
4.9%
Starting rate · of Net Collections
Includes Claims, Appeals, Patient Calls,
and Dashboard Access.
*Rate depends on monthly volume & specialty complexity.

Upgrade Your Infrastructure.

Don't let outdated software slow down your cash flow. Stop leasing your revenue and start capturing it.