OpenBilling
AI-assisted medical billing run by a human billing team, from claim prep to denial appeals and collections.
Company basics
- Delivery model
- Managed (they run it for you)
- Pricing model
- Not disclosed
Scope
- Industries
- Healthcare
- Regions
- United States
- Languages
- English
About OpenBilling
OpenBilling is a medical billing service for US medical practices that combines AI with a human billing team. It handles claim submission, denial management and appeals, and patient balance collection for independent practices across specialties such as behavioral health, physical therapy, primary care, pediatrics, cardiology and OB/GYN.
AI handles eligibility verification, coding validation, claim scrubbing against payer rules, prior authorization tracking and clean claim submission. Human billers handle appeals, payer negotiations and final sign-off on claims, and each practice is assigned a dedicated biller. The company states that AI works every claim while its billing team owns the outcome. It connects to the practice's existing EHR, and the site lists several supported EHR systems, with no migration required.
The company states that patient data is held in a HIPAA-compliant, US-based environment covered by a BAA and SOC 2 Type II controls, and is not offshored or sold.
What they do
- End-to-end delivery (you don't operate the tools)Source · checked 2026-09-29Full-cycle service from coverage verification through patient collections.
- Human review includedSource · checked 2026-09-29Team makes judgment calls and signs off; AI never bills on its own.
- Works inside your existing systemsSource · checked 2026-09-29Lists integrations with major EHRs, no migration required.
Pricing
- Pricing model
- Not disclosed
- Published starting price
- Not published
- Pricing page
- Not published
Evidence of outcomes
BOutcomes reported by the company or its investors.Homepage self-reports 82% of appealed denials overturned and 41% faster cash; no named customers or case studies: openbilling.ai.
A: third-party verifiable outcomes · B: outcomes reported by the company or its investors · C: no publicly verifiable outcomes yet. Demos, forecasts and slogans do not count.
FAQ
How does a practice get started?
The FAQ says most practices are live in about two weeks: OpenBilling connects to the existing EHR, assigns a dedicated biller and starts working claims. (Source: https://openbilling.ai/faq)
Do we need to change our EHR?
No. The FAQ says no platform migration is needed and the service works within the current EHR without staff training on new tools. (Source: https://openbilling.ai/faq)
How is patient data handled?
The FAQ says data lives in a HIPAA-compliant, US-based environment covered by a BAA and SOC 2 Type II controls, and is never offshored or sold. (Source: https://openbilling.ai/faq)
Who is accountable for results?
Each practice gets a dedicated biller with direct contact. The company states that AI works every claim and its experienced billing team owns the outcome. (Source: https://openbilling.ai/faq)
Our read
Editorial view based on public information — not an endorsement.
Capabilities
| Check | Status | Source |
|---|---|---|
| End-to-end delivery (you don't operate the tools) | Confirmed | Source · checked 2026-09-29Full-cycle service from coverage verification through patient collections. |
| Human review included | Confirmed | Source · checked 2026-09-29Team makes judgment calls and signs off; AI never bills on its own. |
| Signed off by licensed professionals (CPA, attorney…) | Not stated | — |
| Works inside your existing systems | Confirmed | Source · checked 2026-09-29Lists integrations with major EHRs, no migration required. |
| Private / on-prem deployment available | Not stated | — |
| API or data export | Not stated | — |
| Multilingual delivery | Not stated | — |
Commitments
| Check | Status | Source |
|---|---|---|
| Public delivery SLA | Not stated | — |
| Outcome-based pricing | Not stated | — |
| Refund / satisfaction guarantee | Not stated | — |
| Customer data not used for training | Not stated | — |
| SOC 2 | Confirmed | Source · checked 2026-09-29Footer states SOC 2 Type II; no report seen. |
| ISO 27001 | Not stated | — |
| HIPAA | Confirmed | Source · checked 2026-09-29Acts as Business Associate; signed BAA available on request. |
| GDPR | Not stated | — |
| Named party responsible for outcomes | Not stated | — |
Funding
Not disclosed
How we check
Every check below links to its source and shows when we checked it. "Not stated" means we found no public statement — it does not mean "no".
Other routes
Use a tool yourself
Get it implemented
Sources
- Company website: https://openbilling.ai/
- Human review included: https://openbilling.ai/how-the-ai-works
- HIPAA: https://openbilling.ai/terms
Change history
- 2026-09-29 · Listed on Toolsfine