Our Origins

Built by Operators.
Not Private Equity.

We didn't start as a billing company. We started as a medical practice that was tired of losing revenue to incompetence.

The Breaking Point

It Started With a Denied Claim.

Our founder, Ryan, wasn't looking to start a billing company. He was busy running Vally Medical Group, a multi-location occupational medicine practice spanning Kona, Hilo, and Lihue.

But every month, the story was the same: the "big box" billing company promised 98% collections, but the bank account showed a different reality. Claims were expiring. Denials were being written off without a fight. The practice was leaking revenue, not because of patient volume, but because of administrative failure.

Ryan realized that no third-party vendor would ever fight for his money as hard as he would. So, he built an in-house protocol focused on velocity and aggression. It worked so well that other practices started asking for help. That was the birth of A-Z Medical Billing.

Medical practice manager reviewing financials

The Operator's Code

We run your billing the way we ran our own practice.

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We Fight For Every Dollar

We don't believe in "small balance write-offs." If an insurance company owes you $15, we go get the $15. It's the principle.

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100% US-Based

We don't offshore your revenue cycle to a call center halfway across the world. When you call us, you're talking to Las Vegas.

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Radical Transparency

Most billers hide their work. We give you a login to our dashboard so you can audit us whenever you want.