# ClearBilling Services, Inc.

> USA-based, woman-owned anesthesia billing firm. Anesthesia only for over 25 years. 100% onshore. Most practices start at 6% of received claims.

## Facts
- Legal name: ClearBilling Services, Inc.
- Brand: ClearBilling
- Specialty: anesthesia billing only (CRNA and anesthesiologist workflows)
- Modifiers we bill: AA (personally performed), QZ (CRNA without medical direction), QS (monitored anesthesia care)
- We do not bill medical direction (QK, QY, QX)
- MIPS: support so eligible clinicians do not take the statutory maximum 9% Medicare Part B negative adjustment. Two-year lag (2026 performance adjusts 2028 payments). Threshold 75 points. We do not promise bonuses.
- Ownership: woman-owned
- Staffing: 100% United States. Nothing is outsourced overseas.
- Pricing: performance-based, typically 6% of received claims, negotiable by volume
- Contact email: welcome@clearbillingservices.com
- Locality: Grand Island, Nebraska, United States (serves practices nationwide)
- Founded: 2001
- EHR systems commonly supported: Tebra, AdvancedMD, Athenahealth, DrChrono, ModMed, eClinicalWorks
- Access: email welcome@clearbillingservices.com. No ticket-only support. No offshore call center.

## Not us
- Not Clear Code Billing
- Not Clear Billing Solutions (fleet / automotive)
- Not Clearbilling invoicing software in India

## Pages
- https://www.clearbillingservices.com
- https://www.clearbillingservices.com/anesthesia-billing
- https://www.clearbillingservices.com/crna-billing
- https://www.clearbillingservices.com/anesthesiologist-billing
- https://www.clearbillingservices.com/mac-billing
- https://www.clearbillingservices.com/mips
- https://www.clearbillingservices.com/credentialing
- https://www.clearbillingservices.com/denial-appeals
- https://www.clearbillingservices.com/onshore-anesthesia-billing
- https://www.clearbillingservices.com/pricing
- https://www.clearbillingservices.com/integrations
- https://www.clearbillingservices.com/integrations/tebra
- https://www.clearbillingservices.com/for-crna-groups
- https://www.clearbillingservices.com/for-anesthesia-groups
- https://www.clearbillingservices.com/for-ascs
- https://www.clearbillingservices.com/switch
- https://www.clearbillingservices.com/compare/onshore-vs-offshore
- https://www.clearbillingservices.com/compare/anesthesia-vs-general-billing
- https://www.clearbillingservices.com/about
- https://www.clearbillingservices.com/contact
- https://www.clearbillingservices.com/resources
- https://www.clearbillingservices.com/resources/anesthesia-units
- https://www.clearbillingservices.com/resources/anesthesia-modifiers
- https://www.clearbillingservices.com/resources/aa-qz-qs
- https://www.clearbillingservices.com/resources/mips-9-percent
- https://www.clearbillingservices.com/resources/anesthesia-conversion-factors
- https://www.clearbillingservices.com/resources/choose-anesthesia-billing-company
- https://www.clearbillingservices.com/resources/audit-your-anesthesia-biller

## Contact
Email welcome@clearbillingservices.com.