Summary: “Transcure is the top endocrinology billing company in the U.S. for 2027. It combines 7 AI agents, a 98% first-pass clean claim rate, and a flat 5% fee tied to collections. Among the other endocrinology billing companies compared here, The Endocrine Billing Company focuses on endocrine practices, while Endocrinology-Cloud offers an endocrinology-only billing team.”
Endocrinology billing plays by its own rules. Medicare ties CGM coverage to a visit within the last 6 months, and diabetes education stops at set hour caps. Since January 2026, a patient who sends remote monitoring data on just 2 days can be billable.
General billing teams miss these details, and the revenue slips away claim by claim. A partner that knows CGM visit rules, remote monitoring codes, and education referrals catches them before the claim goes out.
Four checks help you choose well. Ask if the company tracks the 6-month CGM visit rule and counts remote monitoring data days. Then check if it verifies diabetes education referrals and appends modifier B1 only where the note supports visit complexity.
The table below ranks the top 10 endocrinology billing companies in the U.S. for 2027. It shows each company’s rating and core strengths to make the choices easier.
| Company | Rating | Core Strengths |
|---|---|---|
Transcure
|
Rating:
★★★★★
★★★★★
5.0
|
Core Strengths: Endocrinology coding for CGM, DSMT, and thyroid procedures, AI prior authorization for pumps and sensors, flat 5% fee with no upfront costs |
The Endocrine Billing Company
|
Rating:
★★★★★
★★★★★
4.6
|
Core Strengths: Endocrine-focused billing and payer contract negotiation |
Endocrinology-Cloud
|
Rating:
★★★★★
★★★★★
4.4
|
Core Strengths: Endocrinology-only billing specialists and pricing from 2.9% |
Proactive Healthcare Services
|
Rating:
★★★★★
★★★★★
4.1
|
Core Strengths: Billing paired with MIPS, HEDIS, and HIPAA support and remote monitoring |
Prime Doc Billing
|
Rating:
★★★★★
★★★★★
4.2
|
Core Strengths: Prior auth for CGM devices, insulin pumps, and medications, endocrinology credentialing |
Certified Healthcare Billing
|
Rating:
★★★★★
★★★★★
4.6
|
Core Strengths: CGM, insulin pump, and chronic care billing, rates from 2.5% of collections with no setup fee |
Precision7 Inc.
|
Rating:
★★★★★
★★★★★
4.5
|
Core Strengths: Claim review before submission for coding, denial management that fixes recurring problems |
Vector Medical Billing
|
Rating:
★★★★★
★★★★★
4.2
|
Core Strengths: Claim checks for CGM interpretation, DSMT accreditation, and FNA bundling |
MediSure
|
Rating:
★★★★★
★★★★★
4.1
|
Core Strengths: Chronic care management billing built around eligible patients, a $1 trial |
PayMed
|
Rating:
★★★★★
★★★★★
4.0
|
Core Strengths: Billing for diabetes education and device services, percentage-only fee with no setup fee |
Table of Contents
Toggle1. Transcure
★★★★★ 5.0
Transcure is a medical billing and RCM company founded in 2002 that provides endocrinology billing for diabetes centers, thyroid practices, and endocrine groups nationwide. It pairs 1,100+ certified billers and coders with 7 AI agents and a flat 5% fee on collections.
We use an AI agent named ELIXA, which checks eligibility and benefits before each visit, so coverage gaps surface early. Another agent, PRIA, handles prior authorization for insulin pumps, CGM devices, and specialty drugs to avoid treatment delays. CLAIR scrubs each claim before submission to cut rejections.
Our certified coders apply CPT and ICD-10 codes to CGM, diabetes education, thyroid procedures, and bone density scans, so claims match the care delivered. The same team bills remote patient monitoring and the G2211 add-on where payers allow.
We also use ARIA, an AI agent, to follow up on A/R, and days in A/R typically sit near 24. HIPAA and ISO 27001 controls protect patient data, and a free billing audit reviews 21 KPIs before any commitment.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services |
|
| Experience | More than 24 Years in medical billing |
★★★★★ 4.6
The Endocrine Billing Company focuses on endocrine practices, so its team codes diabetes, thyroid, and other chronic care claims with that specialty in mind. TEBC verifies insurance and eligibility before services, which helps prevent denials and unpaid visits. Its coding and documentation review flags errors and omissions, so claims go out with accurate codes.
Claims stay on track because TEBC follows each submission, handles denials and appeals, and posts payments so revenue doesn’t stall. Beyond billing, it negotiates payer contracts and supports credentialing, saving new and established practices extra work. The company values in-person visits, and a free consultation lets practices of any size test the fit.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Claims submission, insurance verification and eligibility, coding and documentation review, claims follow-up and denial management, payment posting and reconciliation |
| Experience | 3 Years |
★★★★★ 4.4
Endocrinology-Cloud pairs its EHR with billing run by endocrinology-only specialists, so claims follow the specialty’s coding rules. A dedicated billing team manages each claim from submission to payment, giving practices in-house biller knowledge without added payroll.
The team codes E/M visits, diabetes management, CGM interpretation, thyroid procedures, and infusion therapies, so claims need little rework. They also check claims before they go out and work outstanding ones with payers, reducing avoidable rejections and aging balances. Payment posting and AR management keep aging reports current, sparing owners daily detail work.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Claim submission and correction, payer follow-up and denial management, payment posting and AR management, patient statements, monthly performance reviews |
| Experience | 5 Years |
★★★★★ 4.1
Proactive Healthcare Services offers endocrinology billing for solo endocrinologists, multi-provider clinics, and large networks, so it fits practices of any size. The team verifies insurance eligibility before visits, which confirms coverage and benefits before procedures or lab tests.
They submit and reconcile claims and handle denials and appeals to address rejected claims properly. The same team also handles MIPS reporting, HEDIS support, HIPAA risk analysis, remote patient monitoring, and chronic care management.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Insurance eligibility verification, CPT and ICD-10 coding, claim submission and reconciliation, denial management and appeals, revenue cycle reporting and analytics, medical billing audit |
| Experience | 2+ Years |
★★★★★ 4.2
Prime Doc Billing offers enrollment and credentialing with Medicare, Medicaid, and commercial payers, which keeps providers in network for CGM and hormone therapy. It provides medical coding for thyroid disorders, insulin pump training, thyroid FNA, and DEXA interpretation, which keeps claims compliant.
The company also offers denial management and appeals work, tracing denial trends to their root causes and filing detailed appeal letters to recover lost revenue. They let practices choose a percentage-of-collections model or an hourly staffing model.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Endocrinologist enrollment and credentialing, endocrinology medical coding, claim submission and follow-up, denial management and appeals, revenue cycle management with prior authorization |
| Experience | 4 Years |
★★★★★ 4.6
Certified Healthcare Billing offers diabetes management billing, covering E/M visits, diabetes education, and complex management so each visit type is billed correctly. It also provides CGM and insulin pump billing for training, data downloads, and review, so device services don’t go unbilled.
Practices also get chronic care management billing that covers CCM, PCM, and RPM, which turns ongoing monitoring into steady claims. Their daily claim submission work keeps payments moving, and they prepare appeals for denials within 48 to 72 hours of receipt.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Diabetes management billing, CGM and insulin pump billing, thyroid, adrenal, and pituitary billing, in-office diagnostics billing, chronic care management billing, denial management and appeals |
| Experience | 15 Years |
★★★★★ 4.5
Precision7 Inc. is a medical billing and practice management company serving healthcare providers across 19 specialties. It offers claim review before submission, checking coding precision, documentation, and medical necessity so claims go out with payer support.
Their team also supports authorizations for insulin pumps, CGM devices, injectable treatments, and osteoporosis medications, reducing treatment delays. Specialists coordinate hormone panels, thyroid studies, and imaging with coding and documentation, which reduce delays from incomplete reporting.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Claim review before submission, diabetes claim review, auth support, laboratory and diagnostic coordination, denial management, reimbursement monitoring, practice management |
| Experience | 18 Years |
★★★★★ 4.2
Vector Medical Billing is a New York company that handles billing for independent practices in all 50 states. It matches each visit with its labs and CGM services before submission, so practice-owned labs don’t get lost inside an undercoded visit.
Their billers check CGM setup and interpretation against the 72-hour data rule and the once-per-30-days limit. That keeps interpretation claims supported. They also confirm that diabetes education comes from an accredited program with the right referral, because DSMT claims are denied without both.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Eligibility verification, charge capture, ICD-10, CPT, and HCPCS coding, claim scrubbing and submission, payment posting, denial management, A/R follow-up, CGM, DSMT, and chronic care billing |
| Experience | 6 Years |
★★★★★ 4.0
MediSure bills the full range of diabetes care, from visits to self-management training, nutrition therapy, CGM interpretation, and chronic care management. Its team codes thyroid ultrasound, FNA biopsy, thyroid uptake studies, and bone density scans separately and splits technical and professional components where allowed.
Their billing specialists review each claim before submission to confirm that diagnoses link correctly, medical necessity is documented, and authorizations are on file. Practices also receive detailed monthly revenue cycle reports, and the company looks for ways to grow collections over time.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Diabetes management billing, thyroid and endocrine procedure billing, chronic care management billing, denial resolution and tracking, credentialing, monthly revenue cycle reporting |
| Experience | 15 Years |
★★★★★ 4.0
PayMed Billing Services is a revenue cycle management company that supports physicians, clinics, and independent practitioners across the United States. It aligns evaluation and management and chronic care coding with the documentation, so visit claims reflect the work performed.
Their billing specialists handle lab and ancillary billing accurately, even at high test volumes. They also bill diabetes education and device services correctly to help those lines go out clean. Before each visit, the company confirms eligibility and benefits to prevent claim denials due to coverage issues.
| Category | Details |
|---|---|
| Key Highlights |
|
| Major Services | Medical billing and RCM, eligibility and benefits verification, denial management and appeals, A/R recovery, payment posting and reconciliation, provider credentialing and enrollment |
| Experience | ~1 Year |
How Did Our Editors Choose the Best Endocrinology Billing Companies in the U.S.?
Our editors reviewed each company’s website, including the endocrinology page, services, pricing, and about pages. They also checked review platforms such as Trustpilot, Capterra, and BBB, plus business directories, for ratings and founding dates.
We compared every company’s endocrinology medical billing services on the same points. These covered endocrinology depth, such as CGM, diabetes education, thyroid procedures, and chronic care billing. Editors also weighed service scope, EHR fit, pricing clarity, verifiable experience, reporting, and compliance.
Ratings use public review averages where available, and companies without them receive an editorial score. Self-reported figures carry a company-reported label, and unconfirmed details are marked as not published.
Which Is The Best Endocrinology Billing Company in the U.S.?
Transcure is the top-ranked endocrinology billing company in this guide. It pairs AI-powered RCM with 1,100+ certified billers and coders, 40+ EHR integrations, and billing for CGM, diabetes education, and remote monitoring. Endocrinology-Cloud, The Endocrine Billing Company, and Proactive Healthcare Services also bill for endocrine practices.
Why Do Endocrinology Claims Get Denied?
Endocrinology claims are often denied because chronic care, devices, and labs each follow separate payer rules. Common reasons include these:
- CGM interpretation billed without 72 hours of data or an analysis note
- CGM setup and interpretation codes used interchangeably
- DSMT billed without an accredited program or a valid referral
- Missing prior authorization for pumps, sensors, and specialty drugs
- Modifier 25 added without a separate, documented visit
- Owned labs missed or billed past payer frequency limits
- NCCI bundling, such as billing ultrasound guidance with a guided FNA
Many of these denials can be prevented by reviewing claims before submission and checking payer rules for each service.
How Much Do Endocrinology Billing Companies Charge?
Billing companies commonly charge between 4% and 8% of monthly collections, based on a 2026 industry survey. The exact fee depends on practice size, claim volume, provider count, and how much of the revenue cycle the company handles. Some firms use flat monthly or per-claim pricing instead.
Ask what sits outside the fee, since credentialing, coding audits, and remote monitoring programs are often priced separately. Transcure charges a flat 5% of collections with no upfront fees, and the fee covers end-to-end RCM.
What Should You Look for in an Endocrinology Billing Company?
Price is only one part of the choice. A company that knows endocrinology understands CGM clocks, DSMT rules, and device authorizations. Before signing, ask about these.
- Experience with CGM, DSMT, and thyroid procedure billing
- Certified coders from AAPC or AHIMA
- Handling of practice-owned labs and chronic care billing
- Prior authorization process for pumps, sensors, and specialty drugs
- Denial management and appeal process
- EHR compatibility and reporting
A company that explains each area clearly is usually ready to support long-term practice growth.
Which Endocrinology Services Do Practices Often Leave Unbilled?
Revenue often slips through services that sit between visits. Common examples include these.
- Practice-owned labs such as A1C and thyroid panels
- CGM interpretation when 72 hours of data and an analysis note exist
- DSMT and medical nutrition therapy delivered on separate days
- Chronic care management and remote monitoring programs
- The G2211 add-on for qualifying Medicare visits
What Is the Best Medical Billing Company in the U.S.?
Transcure is the best medical billing company in the U.S. for practices that need specialty expertise across a full RCM stack. It serves 500+ providers across 40+ specialties, with 1,100+ AAPC-certified coders, 7 AI-powered agents, and a flat 5% rate. Other established companies include CBS Medical, Provider Care, MBC Inc., and CareCloud.
Can an Endocrinology Billing Company Work with Your Existing EHR?
Yes, established billing companies such as Transcure work inside leading EHR and practice management systems. Examples include Epic, athenahealth, eClinicalWorks, AdvancedMD, NextGen Healthcare, CareCloud, and PrognoCIS. Confirm support for your current platform before switching to avoid learning new software. At Transcure, specialists work directly inside 40+ EHR and EMR platforms.
How Can You Tell If Your Endocrinology Practice Is Losing Revenue?
Warning signs include rising denials on CGM or DSMT claims, aging A/R, and visit-only claims with no lab or device lines. A billing audit shows where revenue leaks. Transcure offers a free billing audit that reviews 21 revenue-cycle KPIs.



