Billing companies charge in one of three common ways: a percentage of what they collect, a fee for each claim, or a flat monthly fee. Billing in-house costs a biller's salary plus software and training. Taiga charges a percentage of what it collects for you, set by your practice's annual revenue: 6.5% up to $2M, sliding toward 4% as you approach $10M. No setup fees and no per-claim charges.
Book a demoEach model puts the risk in a different place. Here is what you pay for and where the trade-offs sit.
The biller keeps a share of the payments it collects for you, so its pay rises and falls with what your practice actually receives. A 2015 Physicians Practice article put the typical range at 4 to 8 percent of collections, and advised that coding-related services are not part of the percentage fee and should be carved out as a separate service. Ask exactly what the percentage covers.
A fixed charge for each claim submitted, whatever the claim is worth and whether or not it gets paid. Costs are easy to forecast when volume is steady. Denial follow-up may be included, limited, or billed on top, so read the contract closely.
One set fee each month, regardless of claim volume or collections. Budgeting is simple. The fee does not move with results, so ask how much denial and aging A/R work it covers.
You pay a biller's salary and benefits, plus billing software, clearinghouse fees, and training. The U.S. Bureau of Labor Statistics reports a median annual wage of $51,140 for medical records specialists (May 2025) and $45,590 for billing and posting clerks (May 2023), before benefits. Vacations and turnover leave gaps your practice has to cover.
The headline rate is only part of the price. These questions show what you will really pay and what you get for it.
Does connecting your EHR, enrolling payers, or moving historical data cost extra? Can you get that number in writing before you sign?
Do resubmissions, secondary claims, or patient statements carry their own charges?
What do you pay in a slow month, or while a new provider is still ramping up?
Are coding, claim submission, denial work, appeals, patient statements, and reporting all inside the price?
What are the term, renewal, and notice period? What happens to claims in flight if you leave?
Who works denials and appeals, and how fast? Do small-dollar denials get worked or written off?
One rate, set by your practice's top-line revenue, covers the whole billing job.
A percentage of what we collect for you, set by your practice's annual revenue: 6.5% up to $2M, then sliding down toward 4% as you approach $10M. Practices at $10M and up get a custom rate.
No setup fees, no per-claim charges, no surprise add-ons. If we do not collect, you do not pay.
Taiga drafts codes from your clinical notes for physician approval, submits every claim, appeals denials, and sends patient statements.
Annual contracts, so the team can work denials and aged A/R with continuity. Every practice gets a named account manager.
Two weeks from contract to first claim submitted under Taiga.
It is the most common objection we hear, and a fair one. Here is how the model works in your favor, and where it may not.
A percentage means the biller earns only when your practice gets paid, so every claim is worth working. Taiga appeals a $40 denial as systematically as a $4,000 one, instead of writing small claims off.
With a per-claim fee, you pay for every submission, including claims that are denied and never recovered. With Taiga, if we do not collect, you do not pay.
Taiga's rate is set by your practice's annual revenue. It starts at 6.5% up to $2M and slides toward 4% as revenue approaches $10M.
If your claim volume is very predictable, denials are rare, and someone on staff already works the few that come back, a per-claim model may cost less. Taiga only offers percentage pricing, so compare what each option includes, not just the headline rate.
Neal Cheskis, LCSW, runs Cheskis Family Therapy on his own. Taiga took over his billing, including claims a single payer had left unpaid.
We charge a percentage of what we collect for you, set by your practice's annual revenue: 6.5% up to $2M, then sliding down toward 4% as you approach $10M. Practices at $10M and up get a custom rate. No setup fees, no per-claim charges, no surprise add-ons. If we do not collect, you do not pay.
It depends on how much revenue your practice is leaving unpaid today. One rate covers coding drafts for physician approval, claim submission, denial appeals, and patient statements, and if Taiga does not collect, you do not pay. Cheskis Family Therapy, a solo practice, recovered more than $3.7K in previously unpaid Horizon BCBSNJ revenue. If your claims are steady and rarely denied, compare a per-claim service on what it includes before you decide.
Billing companies charge a percentage of collections, a fee per claim, or a flat monthly fee. A 2015 Physicians Practice article put the typical range at 4 to 8 percent of collections. Setup fees, minimums, and what the fee includes vary, so ask each company for the full list in writing.
Sometimes, if you already have trained staff and steady volume. The U.S. Bureau of Labor Statistics reports a median annual wage of $51,140 for medical records specialists (May 2025) and $45,590 for billing and posting clerks (May 2023). Benefits, billing software, clearinghouse fees, training, and coverage for time off come on top.
No. Taiga charges only a percentage of what it collects, set by your practice's annual revenue. Practices at $10M and up get a custom rate.
Taiga runs on annual contracts. Billing partners need continuity to work denials and aged A/R effectively, and a yearly term lets Taiga invest in the EHR integration, payer enrollments, and per-provider learning curve. Every practice gets a named account manager.
Two weeks from contract to first claim submitted under Taiga. The implementation team handles the EHR connection, payer enrollment, and historical data migration.
Bring your annual revenue, payer mix, and EHR. Taiga will walk through what the rate covers and what the first two weeks look like.