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Solo Practice Billing
A solo practice has one clinician who is usually both the rendering provider and the person who has to sign payer enrollment. Claims stop when that enrollment is unfinished, when a covering physician is billed under the owner's NPI, or when eligibility and patient balances wait because there is no billing desk. Vector Medical Billing, in Jamaica, New York, runs that cycle inside the system the practice already uses.
98%Published NCR
24hClaim Submission
BAASigned with every client
AAPCCertified coders
AHIMACertified coders
E&OErrors and omissions insured
50 StatesRemote billing nationwide
Monthly fee
What solo practice billing includes
Full-cycle billing for a one-physician office: eligibility, coding, submission, posting, denials, and patient balances.
The operating cycle matches medical billing services: eligibility, charge capture, coding for the specialty on the schedule, scrub, clearinghouse submission, payment posting, denial management, and A/R follow-up. The code set still follows the specialty — a solo cardiologist uses the cardiology rules, not a generic office template. This page is about the shape of the practice: one NPI doing the visits, no separate billing department.
The fee is a percentage of net collections. The written rate is on pricing. Credentialing, a retrospective coding audit, and old A/R stay separate engagements.
What sits on this fee
- Claims under the clinician who actually saw the patient
- New-payer claims held until enrollment is active
- Patient statements when there is no in-house biller
- HIPAA workflows, a signed BAA, and PHI limited to staff on the account
Where solo practice claims fail
The leaks are operational. The note can be fine and the claim still never leaves, or it leaves under the wrong provider.
Enrollment sitting on a signature
A new commercial plan or a Medicaid program does not pay until the solo physician is enrolled. If the only signer is in clinic all day, applications stall and charges age before they are billed. Credentialing is scoped separately so the monthly cycle is not waiting on paperwork.
Covering physician under the owner's NPI
A locum or a colleague who saw the patient is the rendering provider when that is who performed the service. Billing those visits under the practice owner's NPI, because that NPI is the one already enrolled, is a common solo-office shortcut and a payer audit problem.
Balances nobody works
Eligibility gets skipped on a full day, and patient balances sit because the physician is the only person who could send a statement. Eligibility and patient statements are part of the cycle so that work is not left for the evening.
How a one-physician claim is built
Professional claims, office place of service unless the visit truly happened somewhere else.
| Check | How Vector handles it |
|---|---|
| Rendering provider | The clinician who performed the service, not a default NPI saved in the billing system. |
| Claim form | CMS-1500 / 837P for professional services. |
| Place of service | Office (11) when the visit is in the practice. A hospital or nursing-facility visit uses that place of service, not 11. |
| New payer | Charges for that payer wait until enrollment is effective. They are not dropped under an old plan ID. |
| Specialty rules | Still the specialty page for that schedule — family medicine, cardiology, dermatology, and the rest. |
Other practice shapes: Small group · All practice types · Specialties.
Not inside the monthly percentage
The monthly cycle bills claims that are already in the system. These are scoped on their own.
Written rate
The fee is a percentage of net collections. No setup fee on the monthly cycle. Month to month. The written rate follows volume, payer mix, and how much of the cycle you hand over.
See pricing or request a written rate after the free audit.
Separate work
Payer enrollment and revalidation, a look-back coding audit, and recovery of A/R that is already old are quoted on their own. Buying or switching an EHR is not part of the monthly fee.
Audit the solo practice claims that are waiting on enrollment or the wrong NPI
Send the practice shape, monthly visit or case volume, top payers, and the EHR name. We reply with what the open A/R shows and a written rate.
Written
Monthly rate
98%
Published NCR
50
US States
BAA
Every Client
Solo practice billing questions
Straight answers for this practice shape.
What does solo practice billing include?
Eligibility, coding for the specialty on the schedule, claim scrubbing, submission, payment posting, denial follow-up, A/R, and patient statements for a one-physician office.
Can you bill visits a locum performed under my NPI?
No. The rendering provider is the clinician who performed the service. A covering physician needs to be identified correctly, and billed only when that payer allows it.
Do I have to change my EHR?
No. Billers work in the practice management system you already use. Compatibility is confirmed before you commit.
How is the fee set?
The fee is a percentage of net collections. There is no setup fee on the monthly cycle. The written rate follows volume and payer mix.
Is credentialing included?
No. Enrollment and revalidation are a separate engagement so new payers can be billed.