Nephrology Billing Services: Compare Companies, Costs, and Fit
By MedicalBillingSelect · Sources checked October 6, 2026
A nephrology billing service files your claims, posts payments, and works denials for kidney care. A good one also gets four kidney-specific jobs right:
- It bills monthly dialysis care under the right age, setting, and visit rules.
- It catches hospital and dialysis-unit charges that never reach your office.
- It sends claims to the right insurer first when a dialysis patient also has a group health plan.
- It knows which claims belong to the doctor and which belong to the dialysis facility.
We read the public pages of 11 companies that bill for nephrology practices. Two publish starting rates: talkEHR at 2.99% of monthly collections and Care RCM at 3.99%. We did not find a numeric fee for the other nine on the pages we checked.
So this page gives you three things. A table of what each company does publish. A 10-point Fit Check for dialysis billing proposals. And a calculator that shows what a quote really costs each month.
Company links below take you to each company's own website. We have not tested these services. Confirm scope and terms with each company. How we make money.
Start here: which claims do you need billed?
"Nephrology billing" can mean two different jobs. Sort this out before you ask anyone for a price.
| You are | You need | Go to |
|---|---|---|
| A nephrology practice | Billing for the doctors' own claims: office visits, hospital work, and monthly dialysis care | Compare companies |
| A dialysis clinic | Billing for the facility's claims, including Medicare's adjusted, bundled payment per outpatient ESRD treatment | If you run a dialysis clinic |
| Both | Two scopes, priced and listed separately, even if one company does both | Both sections |
| A practice with one problem, like denials or old unpaid claims | A smaller, targeted scope | Questions |
| A practice with a good biller but missing charges | Better charge capture, not a new billing company | Questions |
Compare nephrology billing companies
Eleven companies, listed A to Z. The table uses company-published information, including Sceptre's own exhibitor listing, checked October 6, 2026. "Not posted" means we did not find it on the linked pages. It does not mean the fee is zero or the service is missing.
| Company | What its pages say about nephrology | Posted price | Your EHR | Ask before you choose |
|---|---|---|---|---|
| ADSC (ADSRCM) | Lists prior authorizations, coding, dialysis billing support, and recurring dialysis scheduling. Source | Not posted | Says you can integrate your current EHR or use its electronic superbill | It advertises a "guaranteed revenue increase within 90 days." Ask for the terms in writing. |
| Care RCM | Describes MCP claim review, CKD coding, authorizations, denials, and payment posting. Source | Starts at 3.99%. Advertises no setup fees and cancellation flexibility as a limited-time offer. Says its fee is a percentage of actual collections | Says it works with your existing EHR and practice-management system | Which receipts count, any minimum, software charges, and written notice and exit terms. |
| CureMD | Describes nephrology claim creation, submission, appeals, payment posting, and reporting for solo practices and larger groups. Source | Not posted | Describes integration with nephrology EHRs | Your exact system and connection, rate, minimum, monthly dialysis reconciliation, and contract terms. |
| MedCare MSO | Describes matching monthly dialysis visit counts to rounding logs, partial-month billing, tracking the 30-month payer rule, and prior authorizations. Source | Not posted. Says "performance-aligned fees" | Sells its own EHR and billing software | Whether you can keep your current system. Its results figures are its own claims. |
| Medwave | Says it handles nephrology billing, credentialing, and payer contracting, including monthly dialysis and hospital workflows. Source | Custom quote, based on a percentage of all money collected. Source | Says practices may use their own software | Which receipts "all money collected" covers. Any monthly minimum. |
| Neolytix | One team for insurance checks, authorizations, coding, payment posting, unpaid-claim follow-up, and credentialing. Source | Not posted | Says its teams work in Epic, Cerner, athenahealth, Allscripts, and others | It advertises "guaranteed improvement in a month." Ask what gets measured. |
| PGM Billing | Describes nephrology billing from charge capture through final payment, with attention to CKD stage coding. Source | Not posted | Says it integrates with leading EHRs and transfers charges into its practice-management system | Whether your EHR is supported, what moves into PGM's system, and who codes from your notes. |
| Practolytics | Describes billing for CKD practices, ESRD groups, and dialysis centers, including home dialysis and vascular access. Source | Not posted | Says it integrates with existing EHR platforms | Your exact system. Who would work your account, and how much of their work is nephrology. |
| Sceptre Management Solutions | Says it has been in business since 1997 and bills for nephrology, dialysis, vascular access, podiatry, and wound care. Company background. Describes insurance checks, authorization help, charge review, coding audits, and patient statements. Nephrology services | Not posted | Its own 2025 exhibitor listing says it works with any EMR. Source | Fee, minimum, and contract term. These are not stated on the reviewed pages. |
| talkEHR | Lists nephrology among the specialties it bills for. Little nephrology detail. Source | "Starts from 2.99% of monthly collections." Says no startup fee. This is a starting price, not your quote. | Not posted | Whether you must use its software. How it handles monthly dialysis billing. |
| UnisLink | Describes tracking monthly dialysis visits and capturing hospital rounds and consults. Source | Not posted | Says it works inside your existing EHR | Fee, minimum, and contract term. These are not stated on the reviewed page. |
How we chose these 11. Each one publishes a page about billing for nephrology practices, or lists nephrology as a specialty it bills for. We left out pages that only sell software and lists that give no sources. Being on this list is not a rating. Being left off is not a judgment.
A quick way to narrow it down:
- Mostly dialysis patients and several units? Start with MedCare MSO and UnisLink, whose pages describe monthly dialysis billing, and Sceptre, which also bills for dialysis clinics and vascular access.
- Mostly office visits for chronic kidney disease (CKD)? Ask who codes from your notes, then compare price, software, and contract terms across all 11.
- Want to keep your EHR? ADSC, Care RCM, Medwave, Neolytix, Sceptre, and UnisLink describe working with a practice's current system. CureMD, PGM, and Practolytics also describe EHR integration. Confirm your exact setup; an interface can still involve the vendor's own practice-management system.
See Care RCM's nephrology page
See MedCare MSO's nephrology page
See Neolytix's nephrology page
See PGM Billing's nephrology page
See Practolytics' nephrology page
See UnisLink's nephrology page
Each link opens the company's own website.
Use the five cases below when you contact a company. They give you something concrete to ask.
The Nephrology Fit Check: 10 things to test before you sign
Any billing company can put "nephrology" on a web page. This check helps you test what is behind that claim.
It has two parts. First, five made-up cases you ask the company to walk through. Then five things you get in writing.
The full check is for practices with outpatient ESRD dialysis work. If you only bill office visits, use the five written questions in Part 2, the office-work scope, and the office-only option in the quote request.
Part 1: Five cases to give every company
Under Original Medicare, most outpatient physician management of end-stage renal disease (ESRD) is paid through the monthly capitation payment, or MCP. Most of these cases test whether a biller understands it.
These cases use Original Medicare rules for ESRD patients age 20 or older. They are for testing a vendor. They do not tell you how to bill a real patient's claim. Check current CMS rules and your Medicare contractor's claim instructions.
| # | The case | What a good answer covers |
|---|---|---|
| 1 | An in-center dialysis patient age 20 or older has 13 treatments and 3 documented qualifying face-to-face practitioner visits in a full month. Which monthly code do you bill? | Count the qualifying visits, not the treatments. With the required assessment and documentation, three visits points to CPT 90961 (two to three visits). Four or more is 90960. One is 90962. Use age at month-end. The billing clinician must complete the assessment, set the care plan, provide ongoing management, and make at least one visit. Check documentation of the vascular-access examination and any other clinicians' qualifying visits. Only one MCP is paid per patient per month. (Noridian) |
| 2 | A patient age 20 or older is on home dialysis for the full month. What do you bill? | Home dialysis has its own age-based monthly code: CPT 90966 for age 20 or older. It does not go up with more visits. Check the monthly assessment. Medicare requires at least one face-to-face visit, unless the contractor grants a case-by-case waiver supported by the record of management throughout the month. (CMS manual, §140.1.1; First Coast) |
| 3 | A home dialysis patient age 20 or older gets a full monthly assessment and one face-to-face outpatient visit, then is in the hospital for part of the month. Full month or per day? | The full home dialysis MCP can still be billed when the qualifying visit and full assessment were done. A hospital stay alone does not force per-day billing. (First Coast) |
| 4 | A home dialysis patient age 20 or older is managed for 14 outpatient days and has at least one documented face-to-face visit, then is in the hospital for the rest of the month. No full monthly assessment was done. What do you bill? | The age-appropriate per-day code—CPT 90970 for age 20 or older—with 14 units for the outpatient days of management. Units count days of responsibility, not dialysis treatments. A missing assessment by itself does not permit per-day billing for an entire month. (First Coast; CMS manual, §§140.2–140.2.1) |
| 5 | A new dialysis patient has employer group health coverage. Who gets billed first? What if Medicare was already primary because of age or disability? | First establish Medicare eligibility, the coordination-period dates, and prior payer order. When the ESRD coordination rule applies, the group plan pays first for 30 months regardless of employer size; COBRA and retiree coverage count. The clock starts with ESRD-based Medicare eligibility, not automatically the first dialysis treatment or enrollment date. Medicare becomes primary after the period ends while ESRD Medicare eligibility continues. If Medicare was already properly primary because of age or disability immediately before ESRD eligibility, it stays primary. (CMS on ESRD; CMS's payer-order examples) |
A weak answer names a code and stops. A strong answer says what records they would check and who fixes a gap.
Part 2: Five things to get in writing
| # | Ask | A good answer |
|---|---|---|
| 6 | Do you bill our physician claims, dialysis facility claims, or both? Is facility billing a separate fee? | A clear yes or no, with the price for each. |
| 7 | How do hospital and dialysis-unit charges reach you? How do you show each month that none are missing? | A named method, such as a mobile charge app or a match against the hospital census, plus a missing-charge report. |
| 8 | Will you work in our current system, or must we move to yours? What data do we get if we leave? | Your system by name. A stated export format, timing, and cost. |
| 9 | What does your percentage apply to? Is there a monthly minimum? What else do you charge for? | A written fee sheet. It says which receipts count and lists every extra. |
| 10 | What are the term, renewal, notice, and exit fees? Who works old claims at the start and at the end? | Exact numbers in the contract, not on a sales call. |
For a practice billing dialysis care, three you should not sign without are #1, #5, and #9. Every practice needs #9, the written fee basis. Miscounted visits can mean underbilling, overbilling, or denied claims. Billing the wrong insurer first can lead to take-backs. And you cannot compare prices if you do not know what the fee applies to. This is our judgment, not a rule.
Score a proposal against the Fit Check
Mark what each company has actually given you. This worksheet does not save or send your entries. Check each answer against the cases above; a written answer is not automatically correct.
This 10-item worksheet is for proposals covering outpatient ESRD dialysis care. Office-only practices can use the written questions in Part 2 and the quote request below.
0 of 10 shown in writing. 0 said but not shown. 10 not answered.
For dialysis work, get these in writing before you sign: #1 Monthly visit count (in-center); #5 Payer order and the 30-month period; #9 What the fee applies to.
Still open:
- #1 Monthly visit count (in-center) (not answered)
- #2 Home dialysis month (not answered)
- #3 Hospital stay after the monthly assessment (not answered)
- #4 Partial month (per-day billing) (not answered)
- #5 Payer order and the 30-month period (not answered)
- #6 Physician claims, facility claims, or both (not answered)
- #7 Hospital and dialysis-unit charge capture (not answered)
- #8 Our software and our data (not answered)
- #9 What the fee applies to (not answered)
- #10 Contract, notice, and old claims (not answered)
This is a screening aid. It records the answers you received. It does not rate, certify, or recommend any company.
Worked example. A company shows you six items in writing. It says yes on a call to #3, #7, and #10 but sends nothing. It dodges #9, the fee question. The worksheet reads: 6 of 10 shown in writing, 3 said but not shown, 1 not answered. It flags #9 as a must-have. The email it builds asks those four questions again.
What a good month-end looks like
Ask each company for a sample month-end report with made-up data. Here is the idea.
A practice has 80 dialysis patients on its list this month. The billing team has cleared 76. Four are held: two are missing visit notes, one has a payer-order question, and one is missing from a facility's patient list. 76 + 2 + 1 + 1 = 80. Every patient is accounted for. Each held item has an owner and a next step.
These numbers are invented to show the method. The point is simple: nothing gets billed by guesswork, and nothing gets dropped.
Monthly claims should go out after the month ends. Medicare does not pay the monthly payment in advance. (Noridian) Ask who signs off before those claims are sent.
What do nephrology billing services cost?
Percentage-based fees appear in the published offers below. Most companies in our table do not post a numeric rate. We found no sourced market average for nephrology, so we will not give you one.
Here are three posted prices. talkEHR and Care RCM are in our comparison above. AdvancedMD's range is for its general billing service; we did not confirm its nephrology scope.
| Company | Posted price | What it does not tell you |
|---|---|---|
| talkEHR | "Starts from 2.99% of monthly collections." Says no startup fee. Source | Your actual rate. Any minimum. Whether its software is required. |
| Care RCM | Starts at 3.99%; advertises no setup fees and cancellation flexibility. Shown as a limited-time offer. Source | Your actual rate, fee basis, minimum, and written notice and exit terms. No offer end date is stated. |
| AdvancedMD (software plus billing) | Typical range of 4–8% of practice collections for its general RCM service. Says software is included. Source | Your rate, required extras, and nephrology scope. Ask if you can keep your current system. |
A starting rate is not a quote. Five things change the real cost:
- What the percentage applies to. All money collected, or only insurance payments the company collects?
- A monthly minimum. This matters most for a solo nephrologist.
- Required extras. Software, statements, and clearinghouse fees.
- One-time charges. Setup, data migration, credentialing.
- Separately priced work. Old unpaid claims may carry a separate fee.
A lower percentage can cost more
Here are two made-up quotes. They are not company prices. Both cover the same work on $50,000 a month in collections.
| Quote A | Quote B | |
|---|---|---|
| Percentage fee | 4% | 5% |
| Monthly minimum | $2,500 | $1,000 |
| Required monthly extras | $300 | $0 |
| One-time setup | $1,500 | $500 |
| Percentage fee in dollars | $2,000 | $2,500 |
| Base fee after the minimum | $2,500 | $2,500 |
| Monthly total | $2,800 | $2,500 |
| First-year total | $35,100 | $30,500 |
| Monthly total as a share of collections | 5.6% | 5.0% |
Quote B has the higher percentage. It still costs $300 less a month and $4,600 less in year one. Quote A's minimum and extras do the damage.
Now double the collections to $100,000 a month. It flips. Quote A costs $4,300 a month. Quote B costs $5,000. A is now cheaper by $700 a month.
Is a pricier company worth it? Use the same $100,000 example. Quote B costs $700 more a month. To cover that recurring fee gap after its 5% fee on extra collections, B would need to collect about $737 more each month: $700 ÷ 0.95 ≈ $736.84. That is under 1% of collections. This is a break-even target, not evidence that either company will reach it. Ask for records behind any claim of better collections. That is why the Fit Check matters more than the headline rate.
These totals assume 12 identical months. They leave out exit fees, old-claim fees, and your staff's time.
Try your own quote numbers
Works for quotes priced as a percentage of collections. Per-claim, hourly, flat-fee, and tiered quotes need their own math. This calculator does not save or send your numbers.
Calculate quote costs to show results for the current inputs.
Arithmetic on the numbers you enter. Not a quote. A missing fee is unknown, not zero. First-year totals assume 12 identical months and leave out exit fees, old-claim fees, and staff time.
For a real published example of a minimum changing the math, see the cost example on our homepage. It uses outpatient mental-health billing terms.
Put the work in writing
"Full service" does not tell you who does what. List your settings and get an owner for each.
| Your work | Get in writing | Ask them to show you |
|---|---|---|
| Office visits for CKD and other kidney care | Who codes from the notes, who only reviews, and how questions get back to the doctor | One made-up visit going from note to claim |
| Hospital consults and daily visits | How charges reach the biller each day and who chases missing ones | A sample missing-charge report |
| In-center dialysis care | Who counts visits and approves the monthly claims | The month-end report above |
| Home dialysis and mid-month changes | How hospital stays, travel, and switches between home and in-center get flagged | Cases 2, 3, and 4 |
| Access procedures or transplant care, if you do them | Which services, who codes, and who gets authorizations | An example that matches your own work |
For each routine task, get one of four answers: the company does it, you do it, it is shared with a named handoff, or it is excluded. The tasks are insurance checks, authorizations, coding, claim filing, payment posting, denials and appeals, patient statements, and old unpaid claims. Credentialing may be priced separately; Medwave publishes a separate fee basis for it. Do not assume it is included.
What changed for 2026
Medicare changed several payment rules on January 1, 2026. A good biller will already know how they hit your practice.
- Two conversion factors. Medicare uses these to turn geographically adjusted relative values into payment amounts. For 2026 they are $33.57 for Qualifying APM Participants in Advanced Alternative Payment Models and $33.40 for non-QPs, rounded to cents.
- A 2.5% efficiency adjustment to the work value of affected non-time-based services. E/M, care-management, and other exempt codes are excluded. It is not a 2.5% cut to every nephrology payment.
- A change to overhead payment for facility work. The portion of facility practice-expense relative value units allocated from work RVUs is now half the corresponding non-facility amount. That changes one part of the payment calculation. CMS's implementation instructions specify the change.
The CMS 2026 physician fee schedule fact sheet explains the broader changes. Two more come from the CMS 2026 dialysis payment fact sheet:
- The dialysis facility base rate rose to $281.71 per treatment, up from $273.82. Actual facility payment includes applicable adjustments; this is not the physician's MCP or the billing company's fee.
- The ESRD Treatment Choices payment model ended on December 31, 2025, as finalized in the 2026 ESRD rule.
Ask every company: "Did you model what the 2026 fee schedule did to a practice like ours? Can you show it by place of service?"
See the work, and keep your data
You should be able to see what your biller is doing without asking.
Ask for a live look at five things:
- Charges waiting on notes
- Claims sent
- Denials and what is being done about each
- Old balances
- Write-offs and who approved them
About performance numbers. "98% clean claims" and "35% more revenue" sound great. Ask what was measured, for whom, and over what months. A clean-claim rate and a collection rate are different things. We do not publish a "good" number, because the companies do not define theirs the same way.
About patient data. A billing company handling protected patient information for a HIPAA-covered practice is a business associate. Put a written business associate agreement in place before it handles those records. HHS publishes sample agreement terms. Ask who else will touch your data, including subcontractors, and what happens to the records when you leave. Use made-up records in any demo.
Switching billing companies
A switch can go wrong when nobody owns the open work. Settle these five things first. This is our suggested order, not a legal rule.
- List the open work. Unbilled charges, rejected claims, denials, appeals, patient balances, and unposted payments.
- Pick a clean cutover date. We suggest the first day of a month so one team owns each calendar month's reconciliation. Changing billing companies alone does not create a second MCP or qualify a claim for per-day billing; CMS's partial-month rules address the patient's care and responsible clinician.
- Assign the old claims. Say who follows up, what they can access, and what it costs. Do this for your old company and your new one.
- Test before you go live. Run made-up records through the new setup. Check access, the clearinghouse, and the reports.
- Check the first two months together. Match visits to claims to payments. Log every fix and who made it.
Read your current contract before you give notice. A new company's "cancel anytime" does not cancel your old one.
Ask each company for a timeline in writing, including what must be ready before the clock starts.
If you run a dialysis clinic
Facility billing is a different job from physician billing. Medicare's ESRD payment system pays an adjusted, bundled amount per outpatient maintenance-dialysis treatment. Certain renal-dialysis drugs, labs, equipment, and supplies fall under consolidated billing. Outside suppliers generally look to the facility for payment for those items. The physician's MCP is separate.
Here are three companies with published dialysis-clinic services:
| Company | What it publishes |
|---|---|
| Renvio | Publishes billing and consulting services for dialysis clinics and separate Billing Manager software. Renal Billing is now part of Renvio. No numeric price found on these pages. |
| Sceptre Management Solutions | Dialysis billing, payer contracting, and dialysis cost reporting. Source No numeric price posted on that page. |
| MedCare MSO | Describes institutional ESRD facility claims on the UB-04, as well as in-center and home dialysis programs. Source No numeric price posted on that page. |
Ask each one what is outsourced work and what is software you run yourself. If your doctors' claims are also in play, get that scope priced separately.
Contact Renvio about dialysis billing
See Sceptre's dialysis services
Copy this quote request
Send every company the same request. Same questions in, comparable answers out.
It includes the five cases and the five written items from the Fit Check. Fill in the brackets. Share totals only, never patient records.
If you only need office billing, use the template's office-only option: ask the company to walk through a made-up CKD office visit instead of the five dialysis cases.
Subject: Nephrology billing proposal: scope, workflow, and full fees Hello, We are comparing billing companies for a U.S. nephrology organization. Please answer in writing. ABOUT US - Organization and state(s): [fill in] - Clinicians and locations: [fill in] - EHR and practice-management system: [fill in] - Billing we need: [physician claims / dialysis facility claims / both] - Where we work: [office / hospital / in-center dialysis / home dialysis / access procedures / transplant care] - Payer mix and rough monthly collections: [totals only] - Main problem to fix: [fill in] - Help we want: [full service / coding only / denials / old claims / other] - Target start date and notice owed on our current contract: [fill in] PART 1. SHOW US HOW YOU WOULD HANDLE THESE FIVE MADE-UP CASES These made-up cases use Original Medicare ESRD rules for patients age 20 or older. For each one, tell us what you would bill, what records you would need, and which Medicare source you rely on. If we need office-only billing, replace the five dialysis cases below with this question: Walk us through how you would turn a made-up CKD office-visit note into a claim, including the records you need and who answers coding questions. 1. An in-center dialysis patient age 20 or older has 13 treatments and 3 documented qualifying face-to-face practitioner visits in a full month. Which monthly code do you bill, and what do you count? 2. A patient age 20 or older is on home dialysis for the full month. What do you bill, and what must be documented? 3. A home dialysis patient age 20 or older gets a full monthly assessment and one face-to-face outpatient visit, then is in the hospital for part of the month. Do you bill the full month or per day? 4. A home dialysis patient age 20 or older is managed for 14 outpatient days and has at least one documented face-to-face visit, then is in the hospital for the rest of the month. No full monthly assessment was done. What do you bill? 5. A new dialysis patient has employer group health coverage. Which payer do you bill first, how do you track the 30-month coordination period, and what happens when it ends? What if Medicare was already primary because of age or disability? PART 2. FIVE THINGS WE NEED IN WRITING 6. Claims: Do you bill our physician claims, dialysis facility claims, or both? Is facility billing a separate fee? 7. Charge capture: How do hospital and dialysis-unit charges reach you, and how do you show each month that none are missing? 8. Systems: Will you work in our current system, or must we move to yours? If we leave, what data do we get, in what format, and at what cost? 9. Fees: What is your percentage or other fee, and exactly which receipts does it apply to? List any monthly minimum and every other charge: software, interfaces, clearinghouse, coding, statements, setup, credentialing, old claims, and exit costs. Mark anything you have not quoted. 10. Contract: What are the term, renewal, cancellation notice, and exit fees? Who works old claims when we start and after we leave? ALSO PLEASE SEND - A sample monthly reconciliation report with made-up data. - The definition, time period, and client group behind any performance number or guarantee you advertise. - Your business associate agreement and a list of subcontractors who would touch our data. - A nephrology client we can contact, with their permission. Please tell us which items you can show today and which still need scoping. Please do not ask for patient records by regular email or a public web form. Thank you, [Name and role] [Practice and contact details]
This page does not send anything for you. You choose who gets it.
Questions people ask before choosing
Can we keep our EHR?
Several companies say yes. ADSC, Care RCM, Medwave, Neolytix, Sceptre, and UnisLink describe working with a practice's current system. CureMD, PGM, and Practolytics also describe EHR integration. Do not rely on a logo on a web page. Ask for a demo in your system, which data moves into the vendor's software, and what has to be typed in twice.
Can we outsource just coding, denials, or old claims?
Ask for it as its own scope with its own price. MedCare MSO says it offers coding-only support. We did not confirm partial service at the others.
Our biller is good, but charges go missing. Do we need to outsource?
Maybe not. If hospital and dialysis-unit charges are getting lost before they reach your biller, fix that first. Charge-capture apps are made for this. pMD says its pCharge app captures charges at the point of care and tracks monthly MCP dialysis visits. Ask it to show how those visits reach your biller and how month-end code selection is checked. That is the company's description. We have not tested it.
Can a billing company guarantee more revenue?
ADSC and Neolytix advertise guarantees, but neither linked nephrology page supplies the guarantee terms. Ask what the starting point is, what gets measured, over how long, and what you get if they miss.
Do the cases above apply to children or to private insurers?
No. The codes in the Fit Check are for patients 20 and older under Original Medicare. Younger patients use different codes by age. Private plans and Medicare Advantage plans can have their own rules. If you treat children, ask for a pediatric example.
I'm a patient with a question about a kidney care bill. Can you help?
We can't see or fix your account. Call the billing office on your statement and your insurer. For Medicare coverage of kidney failure, see Medicare's ESRD page.
How we checked this page
We read each company's public pages and Sceptre's own exhibitor listing on October 6, 2026. Those pages show what a company advertises. They do not prove how well it performs. We did not test any service, request any quote, or talk to any customer.
Medicare rules come from CMS, HHS, and Medicare contractor pages, linked next to each claim. The two fee quotes and the 80-patient example are made up and labeled that way. The Fit Check and the three must-haves are our own judgment.
Nothing here selects a code for a real claim. Have your own billing, legal, and privacy advisers review real decisions.
Prices and terms change. If something here is out of date, tell us and send the source. More on our approach: methodology and how we make money.
Your next step
Pick two or three companies from the table. Send each one the same quote request. Score what comes back with the Fit Check, then run the fees through the calculator.