Volume
Claim volume is the first look. A solo practice and a multi-site group do not produce the same amount of work, so the written percentage is not copied from one to the other. There is no published discount table.
The fee is a percentage of net collections. There is no setup fee, and the agreement is month to month. The written rate follows volume, specialty, and how much of the cycle you hand over.

Three facts from the practice. Not a menu of packages.
Claim volume is the first look. A solo practice and a multi-site group do not produce the same amount of work, so the written percentage is not copied from one to the other. There is no published discount table.
Specialty changes the coding. Primary care is not orthopedic surgery, and behavioral health is not DME. The rate follows that work. The specialty pages cover the codes.
Some practices hand over the full cycle. Some keep coding, or statements, in the office. The agreement names the slice. A smaller slice is not billed as a full-cycle percentage.
There is no setup fee. The agreement is month to month. The state the practice sits in is not a surcharge. A free audit is the step that produces the written rate: request it here.
When the full cycle is in the agreement, these are the parts. Each one is a service page, not a separate price.
Coverage is checked before the claim is built. Coding follows the note. Charge entry sits with that work, not as a second invoice.
Claims go out, payments and denials post back, and the balance is the one the practice can see. Medical billing is that loop.
A denial is worked, and aged claims are followed. Patient statements are the patient-balance side of the same cycle. Old A/R and credentialing are named in the agreement when they are part of the handoff. They are not a second published price.
No. The fee is a percentage of net collections, and the written rate is set after a look at volume, specialty, and how much of the cycle you hand over. There is no setup fee.
No. The agreement is month to month. If you leave, the billing data and open accounts receivable go with you.
No. A practice in another state is not a surcharge. Medicaid and Medicare rules change by state. The fee does not.
A skilled US biller earns about $42,000 to $65,000. Fully loaded, with payroll tax, benefits, software, and training, that is about $58,000 to $80,000 a year, paid whether the month was busy or not. The Vector fee moves with net collections.