Self-pay keeps climbing
Deductibles and coinsurance put 30%+ of many bills on the patient — balances your statement cycle was never designed to chase.
Medical Debt Collection — Healthcare Providers
Recover patient balances without burning patient trust
Self-pay, cost-share, and aged patient AR — collected under HIPAA-grade handling with a BAA, synced straight from athenahealth or Kareo/Tebra.
The problem
Patient AR is growing faster than billing teams
High-deductible plans shifted more of every bill to the patient — and in Medicaid non-expansion states, self-pay balances stack up structurally. Statements alone don't collect them.
Billing teams are maxed out
Every hour on aged AR is an hour off claims. Follow-up slips, balances age past 120 days, and collectability drops fast.
Reputation risk is real
One aggressive call can cost a patient relationship and an online review. Tone, timing, and dispute handling have to be controlled.
Balance types we work
Self-pay balancesUninsured & Medicaid-gap patients
Cost-share (deductible / coinsurance / copay)Post-adjudication patient responsibility
Aged patient AR (90–365+ days)Pre-writeoff recovery
Payment plan defaultsBroken in-house arrangements
Coordination-of-benefits residualsBalances after secondary payer
Provider types we serve
Physician groups
Urgent care clinics
Imaging centers
Ambulatory surgery centers
Skilled nursing facilities
Home health agencies
Vertical compliance
HIPAA isn't an add-on here
BAA first
A Business Associate Agreement is executed before a single record is transmitted.
Minimum necessary
Collectors see only the PHI required to work the account — nothing clinical.
Encrypted end to end
AES-256 at rest, TLS 1.2+ in transit, row-level client isolation.
Breach protocols
Notification procedures meet or exceed HIPAA requirements.
EHR integrations
Placement without the spreadsheet
Accounts flow from your PM system into CollectionHouse automatically — no manual exports, no re-keying, no PHI in email. Payments and status changes sync back.
athenahealth
Kareo / Tebra
SFTP / API
What clients see — CL-1042, physician group
$412.8KPlaced YTD
$128.7KRecovered YTD
31.2%Recovery rate
0Patient complaints
Illustrative figures from the CollectionHouse demo environment.
Recover more, protect the relationship
Start with a BAA and a test batch
Most practices place their first accounts within a week of signing.