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Medical billing services

Medical billing for small practices — handled, end to end.

Tribe runs medical billing for small and independent practices: eligibility checks, coding, clean claims, payment posting, denials, A/R follow-up and patient statements. Certified specialists do the work in your own systems, and AI scrubs every claim before it goes out — so your front desk can get back to patients.

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What is a medical billing service?

A medical billing service takes over the work of getting a practice paid: checking insurance eligibility, coding each visit, submitting clean claims, posting payments, working denials and unpaid claims, and billing patients for their share. Tribe does this for small and independent practices with certified specialists and AI working together inside the practice's own systems, under a signed Business Associate Agreement.

Medical billing at a glance
CoversEligibility, coding, claims, payment posting, denials, A/R follow-up, patient billing, reporting
Built forIndependent practices, clinics and growing groups
Delivered byCertified specialists and AI, run on TIOS
Works inYour practice-management and EHR systems, with access you control
ComplianceHIPAA compliant; Business Associate Agreement signed
PricingOne written quote after a review of your claim volume, specialty and payers
What we take off your desk

The billing work, start to finish.

Insurance eligibility and benefits checks before the visit
Charge entry and medical coding (ICD-10, CPT, HCPCS), reviewed by certified coders
Claim scrubbing and clean electronic submission
Payment posting and reconciliation
Denial management, corrections and appeals
A/R follow-up on unpaid and aging claims
Patient statements, reminders and billing questions
Reporting on collections, denials and A/R
Who it's for

Built for the practices that feel billing most.

Independent practices

Billing sits with the front desk or one person — and stalls whenever they're out.

Growing groups

More providers, more payers, more denials. Billing that scales without another in-house hire.

Practices changing billers

Moving from a billing company or a software-only tool to people accountable for the work.

Practices with a backlog

Aging A/R or a pile of denials nobody has had time to work.

People + AI at every stage

People and AI, at every step.

AI handles the volume and catches errors before they cost you. Certified people own the judgment calls — coding review, appeals and every conversation with a patient about their bill.

StageWhat AI doesWhat people own
Eligibility & benefitsAutomated payer checks before the visitEdge-case coverage questions
Medical codingAI-assisted code suggestionCertified coder review & compliance
Claim scrubbingErrors caught before the claim is submittedException handling
Claims submissionAutomated submissionComplex-claim oversight
Payment postingAutomated posting & matchingDiscrepancy resolution
Denials & appealsPredicts and flags likely denialsAppeal strategy & submission
A/R follow-upPrioritizes A/R by recovery oddsPayer follow-up
Patient billingAutomated statements & remindersSensitive billing conversations
↑ Clean-claim rate
↓ Denial rate
↓ Days in A/R
↑ Net collections
Choose your mix

Human. AI. Or both.

Human specialists
Trained people on every interaction
AI agents
Digital workers for volume, 24/7
Recommended
Hybrid
AI handles volume; people handle the complex & sensitive
How it starts

Scope. Quote. Set up. Launch. Report.

1

Scope

A short call about your practice — providers, specialty, claim volume, payers, and where billing hurts today.

2

Quote

One written number against the model that fits your practice. No hidden line items.

3

Set up

We sign a Business Associate Agreement and connect to your systems with access you control.

4

Launch

Billing runs in your systems, with quality checks on coding and claims from day one.

5

Report

The numbers you choose — clean-claim rate, denials, days in A/R, collections — on the cadence you choose.

For healthcare providers specifically, see CareHub — the healthcare-specific expression of Tribe's RCM.
Related

Related services.

Revenue cycle management (full cycle) →Medical office answering →Healthcare operations →Healthcare AI agent →Security & compliance →Why Pakistan →How pricing works →How to evaluate a BPO vendor →
FAQ

Questions, answered.

What does a medical billing company do?
It gets a practice paid for the care it delivers: verifying insurance, coding each visit, submitting clean claims, posting payments, working denials and unpaid claims, and billing patients for their share. Tribe runs all of it for small and independent practices, with certified specialists and AI working in your own systems.
Should a small practice outsource medical billing?
It usually makes sense when billing depends on one or two people, denials or aging A/R are growing, or your front desk spends its day on payers instead of patients. If your billing is already clean and well staffed, you may not need to — and we'll say so on the first call.
How much do medical billing services cost?
Billing companies typically charge a percentage of collections, a fee per claim, or a fixed monthly fee. We quote one written number after reviewing your claim volume, specialty and payer mix — see how pricing works, or ask for a quote.
Do you work in our practice-management or EHR system?
Yes. Our team works in the systems you already use, with access you grant and control. Your data and your payer relationships stay yours.
Are you HIPAA compliant? Will you sign a BAA?
Yes to both. Tribe signs a Business Associate Agreement with your practice and handles protected health information to HIPAA requirements.
Who codes our claims?
AI suggests codes and scrubs each claim before submission; certified coders review the coding and handle anything that needs judgment.
Where is the billing team?
Billing is delivered from Tribe's delivery centres in Pakistan — our Karachi centre runs revenue cycle work. US practices contract with our US company, headquartered in Laconia, New Hampshire.
What's the difference between medical billing and revenue cycle management?
Medical billing is the claims-and-collections core: coding, claims, payments, denials and A/R. Revenue cycle management covers the whole journey, including prior authorization. Small practices usually start with billing; larger groups often want the full cycle.

Medical billing for small practices — handled, end to end.

Certified specialists and AI on every claim — so your team can get back to patients.

Get a billing assessment →All BPO services →