Most of the billing company comparisons I’ve written pit a dedicated billing company against a software platform — Tebra, AdvancedMD, CareCloud — where the real story is “these aren’t even the same kind of product.” Apples to oranges.
This one’s different.
Dastify Solutions and MediBillMD are both dedicated medical billing and RCM companies. Neither sells you EHR software. Neither is a billion-dollar platform trying to be everything to everyone. They both take over your billing, work your claims, chase your denials, and get you paid.
So for the first time in this comparison series, we’re looking at apples to apples. Same category. Same basic promise. The differences are in scale, technology, pricing, track record, and — most importantly — what happens to your revenue when you hand them the keys.
I’ve dug through both companies’ services, their published metrics, what clients are saying on Trustpilot and the BBB, their credentialing track record, and the specific technology behind their billing operations. Here’s the honest breakdown.
The Denial Crisis That Brought You Here
Claim denial rates hit 11.8% nationally in 2024, with Medicare Advantage plans spiking nearly 5% in a single year [1]. The healthcare system lost an estimated $25 billion to denials in 2025 alone [2]. And reworking a single denied claim costs between $25 and $181, not counting the 30-60+ days of delayed payment [2]. When you’re choosing a billing company, you’re choosing who stands between your practice and that bleeding.
Company Backgrounds: The Quick Version
Dastify Solutions
Austin, Texas. AI-native billing company built from the ground up around predictive denial prevention. Their team: 500+ AAPC and AHIMA-certified coders. Their volume: 2+ million claims processed annually across 50+ specialties, covering all 50 states. The company made industry news in late 2025 when their Healthcare Billing Trends Report — syndicated through PR Newswire, Morningstar, and Yahoo Finance — projected that AI-driven billing could reduce denials by 40% [3].
BBB-accredited. Transparent pricing with zero setup fees. Published performance metrics: 98.5% clean-claim rate, denial rates below 1.2%, A/R cycles of 30-35 days, and new clients seeing a 45% denial reduction within 90 days [4].
MediBillMD
Dallas, Texas. Founded in 2023, so they’re one of the newer entrants in the billing space. A team of about 50 employees — certified billers and coders offering end-to-end RCM across 45+ specialties in all 50 states [5].
Their pitch is affordability and customization. Rates starting as low as 2% of net monthly collections, which undercuts most of the market. They claim a 98% clean-claim rate, a 97% first-pass ratio, and a 96% collection ratio. They also offer credentialing services, which is a useful add-on for practices that need payer enrollment help [6].
Not BBB-accredited, though they do have a BBB profile. A 4.8-star Trustpilot rating from 42 reviews and a 4.9 on Clutch from limited reviews [7].
Two Texas-based billing companies. Both relatively new. Both focused exclusively on billing. But the gap in scale, technology, and verifiable results is wider than it looks at first glance.
Side-by-Side: The Numbers
Side-by-side performance data · March 2026
| Category | Dastify Solutions | MediBillMD |
|---|---|---|
| Core Business | Full-service medical billing & RCM | Full-service medical billing & RCM + credentialing |
| Headquarters | Austin, Texas | Dallas, Texas |
| Founded | AI-native, newer entrant | 2023 |
| Team Size | 500+ certified coders | ~50 employees |
| Claims Processed | 2+ million annually | Not publicly disclosed |
| Specialties | 50+ (expanding to 75+) | 45+ |
| Clean Claim Rate | 98.5% | 98% (claimed) |
| First-Pass Rate | Not separately published (bundled into clean-claim rate) | 97% (claimed) |
| Denial Rate | Below 1.2% | Not publicly specified |
| A/R Cycle | 30–35 days | Under 30 days (claimed) |
| Collection Ratio | Up to 20% revenue increase reported | 96% (claimed); 10-30% revenue increase |
| AI Technology | Core platform: predictive denial analytics, auto-scrubbing, real-time compliance monitoring | RPA (robotic process automation) for verification, charge entry, and claim scrubbing |
| Pricing | % of collections (all-inclusive); zero setup fees | Starting at 2% of net monthly collections |
| Credentialing | Yes (provider enrollment services) | Yes (CAQH, PECOS, payer enrollment) |
| BBB Status | Accredited, clean record | Not accredited; at least one documented complaint |
| Trustpilot Score | Strong positive feedback (limited volume) | 4.8/5 (42 reviews) |
| Third-Party Media | PR Newswire, Morningstar, Yahoo Finance | None found |
Pricing: The "2%" That Needs Context
MediBillMD’s headline number — rates starting at 2% of net monthly collections — is the lowest I’ve seen in any billing company comparison. For a practice collecting $100,000/month, that’s potentially $2,000 for full-service RCM. On paper, it’s incredibly attractive [6].
But let’s think about this carefully.
A 50-person company processing billing across 45+ specialties at a 2% rate faces a fundamental math problem. At $2,000/month per client, how many clients does a 50-person team need to keep the lights on? And at that volume, what level of individual attention does your practice actually receive?
I’m not saying it can’t work. Lean operations and smart automation can stretch a small team. But in healthcare billing, where a single missed modifier or overlooked payer rule change can mean thousands in lost revenue, the margin between “efficient” and “stretched thin” matters a lot. The question isn’t just “what do I pay?” — it’s “what do I get for what I pay?”
Dastify Solutions charges a higher percentage (their rate varies based on practice size, specialty, and volume) but includes everything: billing, coding, denial management, clearinghouse fees, EDI costs, compliance monitoring, and real-time reporting dashboards. No setup fees. No hidden line items. And they back it with a team ten times the size of MediBillMD’s and AI technology that’s specifically designed to prevent revenue loss before it happens [4].
The Real Cost Calculation
Don’t compare percentages in isolation. Compare what ends up in your bank account. If MediBillMD charges 2% but achieves a 96% collection ratio, and Dastify charges more but achieves a higher effective collection rate with faster A/R and fewer denials, the practice collecting more net revenue is the practice paying less — regardless of the percentage on the invoice.
Technology: Predictive AI vs. Robotic Process Automation
This is where the comparison gets genuinely interesting, because both companies use technology — but they’re using fundamentally different types of it.
Dastify Solutions: AI That Predicts and Prevents
Dastify built their billing operation around artificial intelligence — not as an add-on, but as the foundation. Three capabilities matter most:
Predictive denial analytics. Before a claim is submitted, the AI flags it if it’s likely to be denied based on payer-specific patterns, historical denial data, coding patterns, and real-time rule changes. This is pre-submission intervention. By the time a denied claim comes back to you, 30-60 days have passed and you’ve already lost the cost of reworking it [3].
Intelligent claims scrubbing. Every claim goes through AI-powered review for coding accuracy, NCCI edits, LCD compliance, payer-specific requirements, and specialty-specific rules. The result: 98.5% clean-claim rate, denial rate below 1.2% [4].
Real-time compliance monitoring. CMS and payer rules change constantly. Dastify’s system tracks these updates automatically and adjusts claim logic accordingly. As their Director Anum Naveed told PR Newswire: “CMS, HIPAA, and payer updates shift constantly. Automated compliance is no longer optional” [3].
MediBillMD: RPA for Efficiency
MediBillMD uses robotic process automation (RPA) — which is a different animal from AI. RPA automates repetitive, rule-based tasks: patient verification, charge entry, claim scrubbing. It follows predefined logic to speed up processes that a human would otherwise do manually [8].
This is useful technology. It reduces human error in data entry, speeds up claim processing, and lets a smaller team handle more volume than they otherwise could. For a 50-person company serving clients nationwide, RPA is probably essential to making the operation work.
But here’s the difference that matters: RPA catches known errors. AI predicts unknown ones.
When a payer introduces a new denial pattern — which is happening constantly, especially with Medicare Advantage plans — an RPA system won’t catch it until someone programs a new rule. Dastify’s AI learns from patterns and adapts. In a year where payer denial behaviors are shifting faster than ever (62% of RCM leaders cite this as their top challenge for 2026) [9], that adaptive capability is the gap between good billing and great billing.
MediBillMD claims they can “boost revenue by 15-30%” and achieve a 98% clean-claim rate. Those are solid numbers if they hold up. But they haven’t been published through third-party outlets or independently verified. Dastify’s metrics — 98.5% clean claims, sub-1.2% denial rates, 30-35 day A/R — appeared in PR Newswire and were picked up by Morningstar and Yahoo Finance [3]. That’s a meaningfully different level of validation.
Scale and Capacity: The 500 vs. 50 Question
I want to address this directly because it’s probably the most obvious difference in this comparison.
Dastify has 500+ certified coders. MediBillMD has approximately 50 total employees — and not all of those are coders. Some are administrative, management, credentialing, and support staff [5].
What does that mean in practice?
Specialty depth. A 500-person coding team can afford to have specialists — people who focus exclusively on cardiology billing, or behavioral health, or orthopedics. They develop deep expertise in the payer-specific denial patterns, CPT nuances, and documentation requirements for each specialty. A 50-person team serving 45+ specialties is, by definition, more generalist. The question is whether their RPA automation compensates for less human specialization.
Surge capacity. When denial rates spike (and they do, seasonally and after payer policy changes), a larger team can absorb the volume of appeal work and A/R follow-up without degrading service to other clients. A smaller team faces harder trade-offs during peak periods.
Redundancy and continuity. If a key billing specialist leaves a 500-person team, the impact is distributed. If a key person leaves a 50-person team, you might feel it directly in your practice’s revenue cycle.
None of this means smaller companies can’t do excellent work. Plenty of boutique billing firms provide outstanding service precisely because they’re small and relationship-driven. But when you’re comparing two companies side by side, scale is a factor worth weighing honestly.
The Credentialing Story: Where MediBillMD Gets Complicated
Both companies offer credentialing services. This is a real value-add — getting providers enrolled with payers is time-consuming, paperwork-heavy, and directly impacts when you can start billing for services.
Dastify’s credentialing and provider enrollment services are part of their broader RCM offering. BBB reviewers specifically highlighted this: “Their team was incredibly efficient, knowledgeable, and responsive throughout the entire process. They made what can often be a complicated and time-consuming task seamless and stress-free” [10].
MediBillMD also offers credentialing — CAQH profile management, PECOS updates, payer enrollment, license maintenance. But here’s where it gets uncomfortable.
A BBB Complaint Worth Reading
A BBB complaint against MediBillMD specifically targets their credentialing services. The reviewer wrote: “Absolutely TERRIBLE place to get credentialed. We are over 6 months in and still haven’t even been submitted to some of the insurance companies we requested, have paid out of pocket to resend the same application MULTIPLE times to the same company because they have literally no clue what they are doing.” [7]
For a billing company, credentialing delays aren’t just an inconvenience — they directly delay your ability to bill payers. Six months of delayed credentialing is six months of unreimbursed care or forced out-of-network billing. That’s a significant financial hit for any practice.
One complaint doesn’t define a company. MediBillMD’s Trustpilot reviews are mostly positive, and some clients praise the team’s responsiveness. But when a specific service area (credentialing) generates a detailed, specific complaint about competence — not just customer service, but the fundamental ability to complete the work — it’s worth asking tough questions before engaging that service.
What Real Clients Are Saying
Dastify Solutions
Dastify’s public review footprint is smaller but consistently positive. BBB reviewers praise efficiency, responsiveness, and professionalism. The company is BBB-accredited with a clean complaint record — no documented disputes, no negative patterns [10].
Their performance claims have been published through third-party news outlets (PR Newswire, Morningstar, Yahoo Finance), adding a layer of external credibility that most billing companies their size simply don’t have [3]. When a billing company’s numbers appear in financial publications — not just on their own website — it changes the trust calculus.
MediBillMD
MediBillMD’s Trustpilot profile shows 42 reviews at 4.8 stars, and their Clutch profile holds a 4.9. Multiple clients praise the team — particularly someone named Paul Baker — for responsiveness and problem-solving. One client reported an 18% revenue increase through efficient billing and timely submissions [6].
Those are genuinely good indicators. For a company founded in 2023, building a 4.8-star review base in under three years suggests they’re doing solid work for the clients they serve.
The counterweight: they’re not BBB-accredited, they have at least one serious credentialing complaint on the BBB, and their performance metrics haven’t been independently verified or published through third-party outlets. Their claims about 98% clean-claim rates and 15-30% revenue increases appear on their own website and marketing materials — which is standard practice, but isn’t the same as external validation.
What Each Company Does Best
Where MediBillMD Wins
Price point. Starting at 2% of collections is the lowest I’ve encountered in any billing company comparison. For cost-sensitive practices — especially solo practitioners or small groups with tight margins — that rate is genuinely appealing.
Personal attention. A 50-person company is, by nature, going to give you a more personal relationship. You’re more likely to know your billing specialist by name, and issues may get resolved through direct conversation rather than a ticketing system. Several reviewers highlight this personal touch as a real strength.
Credentialing bundling. If you need both billing and credentialing from the same company, MediBillMD offers that in one package — though the BBB complaint suggests you should verify the quality of their credentialing work before relying on it for critical payer enrollments.
Where Dastify Solutions Wins
AI technology. Predictive denial analytics is a fundamentally different capability than RPA. In a year where payer denial patterns are shifting faster than ever, AI that adapts and predicts is worth more than automation that follows static rules.
Scale and depth. A 500+ certified coder team processing 2+ million claims annually gives Dastify deep specialty expertise and surge capacity that a 50-person operation can’t match. When denial volumes spike, this team absorbs it.
Published, verified performance. Dastify’s metrics appeared in PR Newswire, Morningstar, and Yahoo Finance. MediBillMD’s metrics appear on their own website. Both might be accurate. Only one has been externally published.
BBB accreditation. It’s not a guarantee of quality, but it represents a voluntary commitment to accountability standards. Dastify is accredited with a clean record. MediBillMD is not accredited and has a documented complaint.
Transparent all-inclusive pricing. Dastify’s percentage includes everything — no clearinghouse fees, no EDI charges, no hidden line items. MediBillMD’s 2% starting rate is compelling, but “starting at” leaves room for variation, and the company’s website encourages contacting them for a custom quote based on annual collections.
The Verdict: Same Category, Different Weight Classes
Choose Dastify Solutions if:
- AI-driven denial prevention — not just automation — is what your practice needs
- You want a billing partner with 500+ certified coders and the capacity to absorb volume spikes
- Third-party-verified performance metrics matter to your decision-making
- BBB accreditation and a clean complaint record factor into your vendor evaluation
- You want all-inclusive pricing with zero setup fees and no hidden charges
- Your payer mix includes Medicare Advantage or other high-denial payers where adaptive AI makes the difference
- Press coverage and institutional credibility (Morningstar, Yahoo Finance) carry weight for you
Choose MediBillMD if:
- Cost is your primary decision driver and a 2% starting rate fits your budget
- You value a smaller, boutique-style billing partner where you know the team personally
- You need bundled credentialing services alongside billing (but verify quality with references first)
- Your billing needs are relatively straightforward with a standard payer mix
- You're a solo practitioner or very small practice where the lower percentage creates meaningful savings
- You're comfortable with a company founded in 2023 that's still building its track record
Proceed carefully with MediBillMD if:
- You're relying on their credentialing services for critical payer enrollments — the BBB complaint about 6+ month delays and repeated resubmissions is worth investigating
- You need adaptive technology for complex payer environments — RPA is efficient but doesn't predict new denial patterns
- BBB accreditation and externally verified performance data are important to your due diligence
- You're a mid-to-large practice where the scale difference between 50 and 500+ team members could impact service continuity
Our Honest Take
This comparison is less dramatic than the others in this series. No billion-dollar acquisitions to dissect, no data-hostage horror stories, no four-year contract lock-ins. Both Dastify Solutions and MediBillMD are dedicated billing companies trying to help practices get paid. Neither is a bad choice in the way that some software platforms with terrible cancellation policies are a bad choice.
But they’re not equal.
MediBillMD is a young, lean operation with an attractive price point and some genuinely happy clients. If they continue building on that foundation, they could become a strong competitor in the next few years. Right now, though, the 50-person team, the absence of AI-predictive technology, the BBB credentialing complaint, and the lack of externally verified performance data represent real gaps — especially for practices where billing accuracy and denial prevention are make-or-break.
Dastify Solutions has the deeper bench, the smarter technology, the externally published metrics, and the cleaner compliance record. They cost more as a percentage, but the total value equation — faster reimbursements, fewer denials, bigger recoveries — can easily offset that difference. For practices that have been burned by billing companies before (and that’s a lot of practices), Dastify’s combination of transparency, verifiable results, and AI-driven prevention is a compelling package.
My recommendation, as always: call both. Ask MediBillMD for their current clean-claim rate by specialty, references from practices your size, and the specific credentials of the team that would handle your account. Ask Dastify the same questions. The quality of those conversations — the specificity of the answers, the confidence in the data — will tell you more than any comparison article ever could.
Sources:
- Aptarro (2026). “50+ US Healthcare Denial Rates & Reimbursement Statistics for 2026.” aptarro.com
- OS Inc. Healthcare (2025). “Denial Rates Are Climbing: What Healthcare Revenue Cycle Leaders Should Be Watching in 2025.” os-healthcare.com
- Dastify Solutions via PR Newswire (2025). “AI Expected to Reduce Denials 40% in 2025, Says Dastify Solutions Report.” Syndicated by Morningstar and Yahoo Finance.
- Dastify Solutions (2026). Company homepage and service pages. dastifysolutions.com
- TechBehemoths (2026). “MediBillMD Company Profile.” techbehemoths.com; Also: Crunchbase, “MediBillMD Company Profile.”
- MediBillMD (2026). Company homepage, services, and pricing. medibillmd.com
- Trustpilot (2026). “MediBillMD Reviews.” trustpilot.com; Also: BBB, “MediBillMD BBB Business Profile.”
- MediBillMD (2026). “Healthcare Revenue Cycle Management (RCM) Services.” medibillmd.com; Also: “Healthcare RCM Automation Using AI,” medibillmd.com/blog.
- Fierce Healthcare (2026). “RCM leaders cite payer behaviors, claims denials as major risks in 2026.” fiercehealthcare.com
- Better Business Bureau (2026). “Dastify Solutions, LLC — Business Profile.” bbb.org
- Clutch (2026). “MediBillMD Reviews.” clutch.co
- MediBillMD (2026). “Denial Management Services.” medibillmd.com
- MediBillMD (2026). “Medical Credentialing Services for Providers.” medibillmd.com