Serving Seattle, Spokane, Tacoma, and all of Washington
Medical billing built for Washington practices
Apple Health's managed-care plans, a commercial market split between Premera and Regence, and the state's integrated behavioral-health model make Washington billing complicated. Pono finds the errors slowing your cash flow, fixes them faster than legacy billing companies, and shows you exactly what changed. So you can stop chasing claims and get back to your patients.
Free with your check-up
GET THE GUIDE EVERY PRACTICE SHOULD READ FIRST.
Book your free Billing Check-Up and we'll send you our practical guide, 7 Ways Practices Lose Money on Billing. Featuring the seven places revenue may be slipping out of a practice, and what you can do about each one. You keep it either way.
A short, no-pitch conversation. No software demo.
Washington billing is more complicated than most billers treat it.
Your practice is juggling Apple Health's managed-care organizations, a commercial market led by Premera and Regence, and integrated physical and behavioral-health billing. Each one adds a place for revenue to leak, and generic billers rarely track them.
Apple Health managed care
Washington Medicaid runs through managed-care organizations with distinct rules. We track them so denials get fixed at the source.
Behavioral health integration
The state's integrated managed-care model blends physical and behavioral billing, creating edits generic billers miss.
High labor costs
Expensive back-office staffing makes every avoidable denial and rework cycle more costly to your practice.
It is not your fault. The system is built to be confusing. Pono is built to make it simple.
Four pillars. One peace of mind.
Accuracy
Catch what others miss. Certified human reviewers and AI pattern detection mean fewer denials, fewer compliance issues, and a paper trail you can defend.
Speed
Cash arrives sooner. Cleaner claims go out quicker. Denials get reworked the same week they are flagged.
Transparency
You see what we see. Real-time dashboards and monthly reports written in plain English.
Growth
Billing efficiency compounds. Faster cash flow funds more patients, better staff, and a calmer practice.
Every Washington account is managed by a US-based billing manager.
Real people review every claim our AI touches. Your named billing manager is based in the United States, knows your payer mix, and picks up the phone when you have a question. No offshore call centers. No automated runaround. AI works with us, not instead of us.
US-based oversight
A named billing manager on every account.
Human in the loop
We tune the AI to your specialty and your payer mix.
Direct access
Real answers in hours, not days.
Who we serve
Medical Billing Built Around Your Washington Practice
PONO provides medical billing and revenue cycle support for a wide range of healthcare organizations. From independent practices and multi-provider clinics to specialty groups, outpatient facilities, and long-term care organizations, our billing process is configured around your specialty, payer mix, documentation requirements, and growth goals.
Independent and General Practices
Family medicine, internal medicine, pediatric, and primary care practices receive cleaner claims, consistent follow-up, and clearer visibility into their revenue cycle.
Behavioral and Mental Health
We understand therapy session codes, time-based services, behavioral health documentation, recurring visits, and the payer requirements that commonly lead to denials.
Specialty Medical Practices
Every specialty has different codes, modifiers, documentation requirements, and payer rules. PONO adapts its billing process to the way your providers deliver care.
Long-Term Care and Senior Care
Skilled nursing, assisted living, and long-term care organizations require precise documentation, recurring billing cycles, and consistent claims management.
Outpatient and Ambulatory Care
PONO supports outpatient clinics and ambulatory organizations with accurate coding, timely claims submission, denial management, and accounts receivable follow-up.
Multi-Provider and Multi-Location Groups
Growing medical groups need billing systems that can support additional providers, locations, payer contracts, and increasing claim volume without losing visibility.
Do Not See Your Specialty Listed?
PONO supports a wide range of medical practices and healthcare organizations. Schedule a free billing checkup to see how our team can adapt to your specialty and revenue cycle needs.
Your first win, inside one billing cycle.
Free Washington Billing Check-Up
A short, structured conversation about how your billing is running today. We surface where revenue is leaking, which Apple Health and Medicare denials are still recoverable, and what we would fix first. You leave with clarity. No commitment.
Your 90-Day Recovery Plan
If the check-up surfaces real money on the table, we walk the plan with you. Which denials we go after first. What changes inside your front desk and EHR. What you will see week by week. Pricing is plain, posted, and predictable. You decide if it fits.
Onboarding and First Win
We start working denials inside week one. You get a weekly report showing what we recovered, what we filed, and what is next. Most clinics see a measurable lift in collections inside their first billing cycle.
Frequently Asked Questions
Stop fighting your billing. Start growing your Washington practice.
A free Washington billing check-up. No pitch, no pressure. We show you exactly what's recoverable.
We'll show you where Apple Health and Medicare claims are leaking revenue.
No commitment. No sales pitch. You keep the report.