Medi for Multi-Practice Billing Companies

Short answer

Medi is medical billing software built around the billing company as the workspace, with each client practice a scoped tenant inside it. A book of eight to thirty client practices works denials, ERA posting, A/R aging, and submission queues across every client from one authenticated session, with per-practice configuration that a new client inherits instead of recreating.

Most practice-management platforms, Tebra and AdvancedMD among the most used, treat the individual practice as the primary workspace. That fits a practice running its own billing. It fits a billing company poorly, because every cross-client queue, report, or permission means switching between separate practice instances or working around a data model never built for the pattern. Both price per provider per month, so the bill tracks your clients' headcount rather than your book.

Medi prices the other way: $20 per client practice per month, no per-provider fee, no contract. It is not an EHR, not a clearinghouse-only tool, and not built for a solo practice billing for itself. See Medi pricing, the billing company operations guide, or book a demo.

Sources: Multi-Practice Billing Company Operations · Medi Pricing · G2 Medical Billing Software Category

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The problem with running a multi-practice book on single-practice software

When a product treats the individual practice as the tenant, every billing company using it is running a workaround. It shows up in four predictable places.

**Context switching.** A denial specialist working eight clients switches the full application context to each one in turn. There is no combined queue showing CARC 97 across every client, filterable by payer. Each client is its own island.

**Permission management.** An offshore poster who should reach three of eight clients but not the other five needs that limit enforced at the data level, not by asking staff to remember which tab not to open. Single-practice software usually enforces it with separate accounts and separate logins, which compounds as the book grows.

**Reporting.** An owner showing a client their A/R aging should not have to build a spreadsheet by hand from eight separate exports. Cross-practice reporting in these products is either absent or a bolted-on aggregate layer that does not drill back to individual records.

**Configuration duplication.** A new client needs payer enrollment, fee schedules, scrub rules, ERA posting policies, and write-off tolerances set up. When the billing company is the tenant, the new practice inherits company defaults and you configure the exceptions. When the practice is the tenant, every step starts from scratch.

This is not a knock on Tebra or AdvancedMD. They are well-regarded for the practices they were designed for, and a practice that wants clinical notes, scheduling, and billing in one integrated suite is a genuine use case for either. The mismatch is architectural. A billing company working denials, ERAs, and aging across eight to thirty clients from one workspace is a different job than either was built to do.

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How Medi handles multi-practice work

Medi is organized around the billing company as the workspace, with practices as scoped tenants inside it. Each section below is how the product works today.

One workspace, all clients

A user logs in once. Practice context is a persistent selector in the UI, not a separate login, so switching clients does not re-authenticate or reload the page out from under an open queue. Audit logging captures every context switch, PHI access, and write action with user, practice, timestamp, and record.

Cross-practice work queues

The Work Queue routes by function: Submissions, Follow-Up, Denials, ERA Review, Aging. A denial specialist opens the denials queue and sees denials across every client practice they can access; one filter narrows the view to a single client or payer. The specialist does not need to know which clients have open CARC 97s today. The queue surfaces them.

ERA batches are reviewed in one ERA Review surface. An ERA from one client's Aetna and an ERA from another client's UHC appear in the same session, where the poster applies adjustments, confirms CARC and RARC codes, and posts payments without switching context.

Per-practice configuration

Each client practice holds its own payer enrollment, fee schedules, custom scrub rules, ERA posting policies, and write-off tolerances. Payer enrollment is per practice because each client's providers enroll separately. Scrub rules tighten per payer per practice when one client's payer has odd requirements. ERA posting policies run more or less aggressively per practice based on the client's preference. A new client inherits company-level defaults, and the account manager sets only the exceptions.

A/R and reporting across the book

A/R aging aggregates across all practices for owners and supervisors with book-level access, and the same report drills to a single practice for an account manager presenting to one client. Denial volume by CARC code and payer, ERA posting volume, productivity by user, and payer performance all report at both the billing-company and individual-practice level.

Permissions that match how billing companies hire

The permission model is per-practice, per-role, inside one workspace. An offshore poster can be restricted to three of eight clients, with audit logs proving they did not touch the other five. A denial specialist can reach all eight with rights to edit denial records but not void payments. An owner has full-book access. Each restriction is enforced at the data level, not by policy alone.

Pricing designed for the billing-company model

Medi charges $20 per client practice per month, with volume pricing available, no per-provider fee, and no contract. Claim submission is $0.70 per claim, flat regardless of service-line count, with ERA included at no separate fee. Volume steps down to $0.65 per claim from 501 to 5,000 and $0.55 beyond 5,000, measured per billing company per month. Eligibility is $0.25 per inquiry, claim status $0.20, and COB, insurance discovery, or claim attachment $1.50 each. 277CA acknowledgments and claim PDFs are included. Migration is free with a 12-month term or $100 per practice one-time (capped at $3,000), data export is always free, and there is no early-termination fee. See /pricing and the pricing calculator to model your book.

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What Medi is not

Fit matters more than the deal, so here is where Medi is the wrong tool.

**Medi is not an EHR.** It does not schedule, chart clinical notes, submit prior authorizations, or auto-code. The workflow boundary is billing: from the moment a claim is ready to build through payment posting and follow-up, with everything on the clinical side of that line out of scope. A practice that wants clinical and billing in one product is a genuine Tebra or AdvancedMD case.

**Medi is not a clearinghouse-only tool.** Claim submission routes through Stedi, Medi's single clearinghouse partner, but the clearinghouse is one component, not the product. Medi is a full revenue cycle platform: claim building, scrubbing, submission, denial management, ERA review and posting, payment posting, patient statements, and A/R follow-up.

**Medi is not for solo practices running their own billing.** The per-practice pricing and multi-practice workspace are built for billing companies. A solo practice with one provider and no billing staff is better served by a per-provider product built around a single-practice workflow.

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Frequently asked questions

What makes Medi different from Tebra or AdvancedMD for a billing company?

The architecture. Tebra and AdvancedMD put the practice at the center, so a billing company works across clients by switching between separate practice instances. Medi puts the billing company at the center, with client practices as scoped tenants, so cross-practice denial queues, ERA review, A/R aging, and permissions all run from one authenticated session. The fit question is whether you need integrated clinical tools, where Tebra and AdvancedMD have real advantages, or purpose-built multi-practice billing operations, where Medi does. See Medi vs Tebra and Medi vs AdvancedMD.

How does pricing work for a billing company with twelve client practices?

Twelve practices is $20 each per month, $240 total, with no per-provider or per-seat fee. EDI costs accrue separately on claim volume. Full details and a book-level estimate are at /pricing and the pricing calculator.

Can I restrict a staff member to only some of my client practices?

Yes. Permissions are per-practice, per-role, inside one workspace. A biller granted access to four of twelve clients cannot see the other eight, with no separate login required. Every PHI access is audit-logged with user, practice, timestamp, and record, which supports HIPAA Security Rule §164.312(b) review.

Does Medi handle ERA posting across multiple client practices?

Yes. ERA batches from different clients appear in one ERA Review session, so the poster works through them without switching context. Posting applies adjustments and CARC and RARC codes per claim line and writes back to the correct practice record automatically. The multi-practice billing company operations guide covers how ERA workflows span practices.

What happens when I add a new client practice?

A new practice inherits company-level defaults for payer enrollment references, scrub rules, and ERA posting policies. The account manager then sets the client-specific exceptions: which payers are enrolled, any custom scrub rules the payer mix needs, and posting overrides. Access is granted practice by practice, so existing users do not see the new client automatically. Migration is free with a 12-month term or $100 per practice one-time, capped at $3,000 for the full book.

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A note on the pricing figures here

Pricing for other vendors comes from their public pages where they publish one, and from third-party aggregators and customer reports where they do not. Neither Tebra nor AdvancedMD publishes a per-practice billing-company rate, so treat any such figure as approximate, confirm it with the vendor directly, and expect negotiated or current rates to differ. Medi's own pricing is published in full at /pricing.

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Sources: Multi-Practice Billing Company Operations · Medi Pricing · Billing Company Operations · Medi vs Tebra · Medi vs AdvancedMD · Book a Demo