As a solo practitioner it is impossible to do it all and do it well!! After I retired my biller I was lost! I interviewed searched for an excellent biller/company that was efficient, knowledgeable, affordable, AND had the best interest of my clients and myself in mind! Through LinkedIn I found Pivotal MD. Thank the Lord! The owner, Megan is incredible! She worked with me to be sure a suitable biller was appointed to my practice. He, Gayan, has been amazing!! I can not say enough positive things about this company and the work!! Definitely a thumbs up!