About
Services
Revenue Cycle Management Out-of-Network Billing Virtual Front Office Ambulatory Surgery Center Practice Launch Growth & Exit All Services →
Specialties
Emergency Medicine Anesthesia Radiology All Specialties →
AI Marketing Platform
Platform Overview AI Features Pricing Plans Case Studies
Locations
Texas Lewisville, TX (HQ) Oklahoma New Mexico New York
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Start Free A/R Trial📞 +1 469 312 1407
Complete Practice Operations Partner

Your Billing.
Our Expertise.
More Revenue.

From practice launch and billing to ASC development, litigation support, and AI marketing — REL1EF is the complete back-office partner for independent medical practices.

Start Free A/R Trial See OON Advantage
RCM & Billing OON Recovery Practice Launch ASC Development Growth & Exit
No-Win / No-FeeWe only get paid when you do
Up to 6×
Medicare OON Rate
Negotiated per claim
98–99%
Clean Claim Rate
First-pass acceptance
30%
Avg Revenue Increase
After partnering
7–10 Days
Go-Live Timeline
Zero workflow disruption
HIPAA
Fully Compliant
BAA signed before access
50+
EHR Systems
ECW · Athena · any EMR
Scroll
Where Do You Want to Start?

Two Ways REL1EF Pays for Itself

Pick the path that matches your biggest problem today. Both start with zero risk.

DR
SA
LP
Trusted by Specialists NationwideBoutique RCM · 50+ specialties
★★★★★4.9/5verified
HIPAA Compliant
Go Live in 7–10 Days
No Setup Fees
🔒 BAA Signed Before Any Data Access
0%
Avg Revenue Increase
0%
Cost Reduction vs. In-House
98%+
Clean Claim Rate
6×
Medicare OON Potential
24hr
Claim Turnaround
What We Do

Complete Healthcare Solutions

Practice launch, billing, OON negotiation, virtual office, ASC, growth strategy, exit planning, and AI marketing — one partner, full lifecycle.

📊

Revenue Cycle Management

98–99% clean-claim rates. Every claim coded, submitted, and pursued to its logical conclusion.

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🌐

Out-of-Network Billing

Dedicated negotiation layer on top of your EMR — up to 6× Medicare rates where standard tools can't go.

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🎧

Virtual Front Office

Patient calls, scheduling, transcription, and charting — handled by skilled virtual staff, integrated with your team.

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🛡️

Non-Contracted Solutions

Navigate Zelis, Multiplan, and Viant to maximize every out-of-network claim payment.

Explore ↗
🏥

Ambulatory Surgery Center

Full ASC development, billing, and management for physician-owned entities.

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📱

AI Marketing Platform

Unified inbox, AI chatbot, reputation management, and social scheduling — built for clinics.

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🏗️

Practice Launch

From LLC registration to first patient — we build the foundation your practice runs on.

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📈

Growth & Exit

Valuation, financial modeling, ASC sale support, asset protection, and litigation — full lifecycle.

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📊

Revenue Cycle Management

98–99% clean-claim rates. Every claim coded, submitted, and pursued to its logical conclusion.

Explore ↗
🌐

Out-of-Network Billing

Dedicated negotiation layer on top of your EMR — up to 6× Medicare rates where standard tools can't go.

Explore ↗
🎧

Virtual Front Office

Patient calls, scheduling, transcription, and charting — handled by skilled virtual staff, integrated with your team.

Explore ↗
🛡️

Non-Contracted Solutions

Navigate Zelis, Multiplan, and Viant to maximize every out-of-network claim payment.

Explore ↗
🏥

Ambulatory Surgery Center

Full ASC development, billing, and management for physician-owned entities.

Explore ↗
📱

AI Marketing Platform

Unified inbox, AI chatbot, reputation management, and social scheduling — built for clinics.

Explore ↗
🏗️

Practice Launch

From LLC registration to first patient — we build the foundation your practice runs on.

Explore ↗
📈

Growth & Exit

Valuation, financial modeling, ASC sale support, asset protection, and litigation — full lifecycle.

Explore ↗
⭐ REL1EF's #1 Differentiator

Where Most Revenue
Gets Left Behind

Standard EMRs handle in-network billing well. OON negotiation needs a dedicated layer — and that's exactly what REL1EF builds on top of your existing system.

📈
Up to 6× Medicare rate — same procedure
💰
30–50% lower cost than in-house billing staff
⚡
98–99% clean claims → faster payment cycles
🔗
Built on top of your ECW, Athena, or any EHR
Unlock My OON Revenue
Reimbursement — Same Procedure
Medicare Baseline1×
Typical In-Network1.1–1.3×
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by specialty, payer, and geography. NSA-compliant.
🤝
No-Win, No-Fee A/R Recovery Trial
We work your aging claims and OON denials first. You see real dollars recovered before committing to anything.
Start My Free Trial →
REL1EF Dashboard9:41
Claim Activity
Today · 14 actions
Claim Approved
CPT 99213 · BCBS TX · $487.00
2m ago
OON Negotiation Started
Zelis · Cardiology · $12,400 billed
8m ago
Payment Posted
UHC · ERA auto-matched · $1,240.00
14m ago
Denial Overturned
Aetna · Appeal Level 2 · $3,680 recovered
22m ago
Clean Claim Submitted
CPT 99214 · Cigna · First-pass
31m ago
OON Settlement: 3.8× Medicare
Multiplan · Radiology · $8,920 final
45m ago
98% Clean Rate
$48K Recovered
✓ HIPAA Certified
All processes compliant
15+
Years
50+
Specialties
Who We Are

We Help Practices
Be Their Best

Most RCM companies start when you submit your first claim. REL1EF starts when you decide to open your practice — and stays with you through your last day, including the exit.

30%
Revenue Increase
Average after partnering
50%
Cost Reduction
vs. in-house billing
98%
Clean Claim Rate
First-pass acceptance
6×
OON Potential
vs. Medicare baseline
Dedicated Client Service Manager — one person, full ownership
Works inside your existing EHR — 50+ systems, no switch
OON negotiation layer built on top — not available in ECW
Start Your Free Analysis
Our Process

From First Call to First Clean Claim

Most practices go live in 7–10 days.

01
Discover & Setup
We audit your payer mix, denial history, and A/R aging. HIPAA-compliant EHR access configured in 7–10 days — no disruption to current billing.
02
OON Negotiation Layer
We identify all OON claims, benchmark against UCR data, and engage payers directly — Zelis, Multiplan, Viant. Every claim worked until settlement.
03
Report & Optimize
Weekly claim reports. Denials corrected at root cause — not just resubmitted. Continuous process optimization so results compound over time.
Two-Track Approach

Earn Trust First.
Grow the Relationship Second.

Switching RCM vendors is high-stakes. We never ask you to commit upfront.

Track 01 — New Practices
No-Win, No-Fee A/R Recovery Trial
We work your aging claims and OON denials on contingency. You keep billing normally. You see recovered dollars before committing to full RCM.
No commitmentContingency onlyGap report includedResults in 30–45 days
Track 02 — Existing Clients
AI Marketing Platform Upsell
For practices already trusting REL1EF with billing. One AI platform replaces 6 separate tools — built specifically for medical practices.
Unified inboxAI chatbotReview automationSocial scheduler
Step by Step

How REL1EF Runs Your Revenue Cycle

Each step depends on the one before it.

01
Discovery & EHR Setup
Payer mix, denial history, A/R aging. HIPAA access in 7–10 days.
02
Eligibility & Authorization
Real-time coverage verified before every encounter. No surprises downstream.
03
Coding & Clean Claims
ICD-10, CPT, HCPCS reviewed. Payer-specific edits applied. Target: 98–99%.
04
Payment Posting & Denials
ERA/EOB posted same day. Root-cause denial correction — not just resubmission.
05
A/R & Weekly Reporting
Aging claims worked daily. Collections, denial rates, A/R days — full visibility.
📊
Revenue Cycle Management
We begin by examining all past records — often uncovering unrealized revenue in the first 30 days. Live in 7–10 days with zero workflow disruption.
HIPAA SetupPayer Review50+ EHR98% Clean Claims
01
OON Claim Identification
Audit EMR data for underpaid, denied, or unworked OON claims — current and historical.
02
UCR Benchmarking
Every claim benchmarked against UCR data, Fair Health rates, and Medicare comparables.
03
Active Payer Negotiation
We engage payers directly — Zelis, Multiplan, Viant. No initial offers accepted without challenge.
04
Appeals & Escalation
Clinical documentation + multi-stage appeal. Each escalation increases recovery probability.
05
Settlement & Reporting
Full settlement documentation. Billed vs. recovered by payer and procedure.
🌐
OON Recovery Process
25–30% of OON claims are underpaid on initial submission. Successful negotiation increases reimbursement 15–40% per claim.
UCR DataFair HealthPayer NegotiationNSA Compliant
01
Workflow Assessment
Map your front office and identify where virtual support has highest impact.
02
Team Assignment
Virtual staff trained in your protocols, EHR, and patient communication standards.
03
Patient Call Management
All inbound/outbound calls, information collection, and scheduling handled.
04
Ongoing Optimization
Monthly reviews: call response, patient satisfaction, admin efficiency.
🎧
Virtual Front Office
Our virtual team collaborates with your front office to stabilize operations — no interaction falls through the cracks.
Call CenterTranscriptionChartingAdmin
01
Digital Audit
SEO, reviews, web presence, and patient acquisition funnel analyzed for gaps.
02
Strategy & Build
Website, AI chatbot, social scheduling, and reputation tools deployed in one platform.
03
Campaigns Live
Google, Facebook ads tracking. Email & SMS campaigns with automation workflows.
04
Measure & Scale
Monthly analytics: patient acquisition cost, review velocity, SEO movement, campaign ROI.
📱
AI Marketing Platform
For Doctors, By Doctors. One platform replaces your CRM, social scheduler, review manager, booking system, email tool, and AI chatbot.
AI ChatbotUnified InboxReputationSocial Scheduler
Specialty Expertise

Billing for Every Specialty

For Doctors, By Doctors

One Platform.
Replaces 6 Tools.

The AI marketing platform built specifically for clinics — already trusted by billing clients as the natural next step after RCM.

🤖
AI Chatbot
Patients answered 24/7, auto-synced to CRM
📥
Unified Inbox
WhatsApp, SMS, email, socials in one place
⭐
Reputation
Reviews auto-requested, tracked, responded
📅
Booking
Patients book directly into your calendar
Explore the Platform →
AI Marketing Platform
All the Tools Your Clinic Needs — In One Place
Billing clients get preferred pricing when bundling RCM + Marketing Platform.
Starter Plan
3 channels · 5 users · 3 automations
→
Growth Plan
5 channels · 15 users · AI auto-reply
→
Pro Plan
10 channels · 30 users · Full AI suite
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Revenue Calculator

Revenue Upside Calculator

See how much more your practice could earn with REL1EF handling billing, OON negotiation, and A/R recovery.

6% flat rate — no setup fees, no surprises
OON recovery on contingency — no win, no fee
65% avg recovery rate on aged A/R claims

Revenue Upside Calculator

Select your specialty and billing situation

Your Specialty
Current Billing Situation
Monthly Collections $80,000
Current Billing Cost 6%
Current A/R Over 90 Days $45,000
OON Revenue % 20%
Current Annual Billing Cost
$57,600
Estimated A/R Being Lost
$29,250
Estimated recoverable from aged claims
REL1EF Annual Cost (6%)
$57,600
OON Recovery Upside
$67,200
Estimated additional OON recovery
Your estimated total annual upside with REL1EF
$96,450
Cost savings + A/R recovery + OON negotiation combined
Estimates based on average client results across REL1EF's portfolio. Actual results vary by specialty, payer mix, and claim history. Schedule a free analysis for your exact numbers.
Client Success

What Practices Say

★★★★★

"REL1EF's OON negotiation team recovered claims we'd written off entirely — same procedures, 3× what we'd been collecting. The dedicated team model changed how we think about billing."

DR
Dr. Richard M.
Cardiologist — Group Practice, Dallas TX
★★★★★

"We started the no-win, no-fee trial and recovered $48,000 in 90 days from claims we thought were dead. Cash flow stabilized in the very first full billing cycle."

SA
Dr. Sarah A.
Pain Management — Solo Practice, TX
★★★★★

"Our ECW handled in-network fine. REL1EF built the OON layer on top and turned our biggest billing black box into our fastest-growing revenue stream."

MJ
Michael J.
Practice Administrator — Radiology Group
★★★★★

"REL1EF handles billing, virtual front office, and marketing. One team, one point of contact. The AI marketing platform is genuinely different from everything else we tried."

LP
Dr. Linda P.
Gastroenterologist — Multi-location Practice
FAQ

Common Questions

Everything about RCM, OON billing, pricing, and compliance.

Talk to a Specialist
We work your aging A/R and OON denials on contingency — you only pay when we recover. No setup fee, no commitment to switch billing. You see real recovered dollars before deciding anything.
Out-of-network providers aren't bound by pre-negotiated fee schedules. REL1EF's dedicated OON process — built on top of your EMR — benchmarks against UCR data and Fair Health rates to negotiate 2–6× what payers initially offer for the same procedure.
ECW and most EMRs excel at in-network billing. OON negotiation requires tracking payer vendors like Zelis, Multiplan, and Viant — managing multi-stage appeals, UCR benchmarking, and strategic escalation. These are specialist services, not EHR features.
Most practices begin live claim submissions within 7 to 10 days. We configure access to your existing EHR and process the first claims alongside your current workflow — no billing gap during transition.
Percentage-based — you pay only on what we collect. No setup fees, no long-term contracts, no add-ons. OON recovery during the trial is pure contingency. Contact us for a custom quote based on your volume, specialty, and payer mix.
Yes. REL1EF's OON billing is fully NSA-compliant. We negotiate reimbursement directly with payers — not patients — and follow all IDR (Independent Dispute Resolution) requirements strictly.
Emergency medicine, anesthesiology, radiology, cardiology, orthopedics, general surgery, neurology, and behavioral health see the largest OON upside — these specialties frequently treat patients outside their network and have the most room between payer offers and negotiated rates.
We charge a flat 6% of collections — the same rate we've had for five years. No setup fees, no nickel-and-diming, no surprises. The only additional fee is for out-of-network renegotiation, where we work on contingency — you only pay when we recover.
We consistently bring in 4 to 6 times Medicare rates on out-of-network claims — and sometimes higher for anesthesia and implants. This is where the real upside is for most practices, and where we outperform every other RCM company we compete against.
No — we work with practices from day zero. We help register the LLC, set up bank accounts, credential providers, implement EMR systems, and get insurance contracts in place before the first patient walks in. If you're building a practice from scratch, we've done it many times before.
Our team is global — offices in multiple jurisdictions. If there's a hurricane in Texas or a disruption anywhere, your operation continues without interruption. We've built the team structure specifically to ensure your practice never stops.
Yes. We've saved practices from foreclosure, guided doctors through debt restructuring without bankruptcy, and helped physicians through litigation with insurance companies and workers' comp. If your practice is in trouble, call us before it gets worse.
Get Started

Start Your Free
A/R Recovery Trial

No commitment. No-win, no-fee. We work your aging claims and OON denials — you see real dollars before deciding anything. Response within 24 hours.

📞 +1 469 312 1407 Email Us
✓No-win, no-fee recovery trial
✓HIPAA compliant · BAA signed before data access
✓P.O. Box 293810, Lewisville TX 75029
Free A/R Recovery Trial Request
🔒 HIPAA compliant · Information never shared · BAA signed before access
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