How to Switch Your Medical Billing Company — 2026 Guide
Common Mistake: Rushing the Transition
Practices lose 20-40% of revenue during rushed vendor switches. Proper transition takes 90 days with zero revenue loss.
90-Day Transition Timeline
Days 1-30 — Discovery + Setup
- Sign new vendor contract
- Give current vendor 60-day termination notice (per contract)
- New vendor audits current denial patterns + AR aging
- New vendor gets access to EHR + payer portals
- Set target metrics: denial rate, days in AR, NCR
Days 31-60 — Parallel Processing
- NEW claims go to new vendor
- OLD claims (in-flight) stay with current vendor
- Track both vendors on shared scorecard
- New vendor documents payer edit rules encountered
Days 61-90 — Handoff Complete
- Current vendor completes all outstanding claims
- New vendor fully owns all future work
- Baseline vs target report at day 90
- Adjust vendor scope based on data
What to Get in Writing from New Vendor
- Target metrics + timeline to hit them
- Weekly reporting cadence
- Named account manager + backup
- Escalation path for stuck claims
- Termination terms (no long lock-in)
- Pricing all-in (no hidden fees)
Data to Get from Current Vendor Before Termination
- All open AR (aging report)
- All pending denials (with denial reason + payer)
- All open appeals (with status + timeline)
- All authorization tracking (with expiration dates)
- Payer portal login credentials
- EHR access permissions
Talk to KD about switching · Revenant Care
– KD, Revenant Care