Billing has become very paperless, and highly software driven. So, it can be easily done in a outsourced fashion. None of the insurance companies are now taking calls, and none have people to attend to queries. 99% of the work is via the computer. Unlike transcription, billing is very rule based, needs minimum interpretation skills and we can do it to a much greater accuracy than transcription. Because we can afford to hire at lower costs overseas, we can chase even the smaller bills from secondary Insurances, resulting in higher realizations for the Physicians. We can charge a % of realizations with no monthly minimums and no set-up fee. When compared with in-house staffed cost, we will save you considerably. We have well trained staff who do this and certain set up and printing that is required on-shore is done by us from Arizona.