Straight answers, including the awkward ones

It is genuinely free, with no time limit, for as long as Synergy Business Solutions handles your revenue cycle management. There is no licence fee, no per-provider fee and no feature gate. It is not a trial and it does not convert to a paid plan.

From the billing service. We are paid a percentage of what we actually collect for your practice. That rate depends on your specialty, payer mix and claim volume, and we quote it after reviewing your numbers. The EHR is free because a multi-year billing relationship is worth more to us than a software licence, and because running our billing team inside one system is cheaper than running it across two.

The free EHR licence is tied to the billing service, so it would end. You can export your complete patient data in standard formats at any time — that data is yours and we will not hold it hostage — but you would need to move to another system or discuss a paid licence with us. We would rather you knew this before signing than discovered it later.

Talk to us about term and notice period directly; we will put the specifics in writing before you commit. What we will say publicly is that we do not think a billing company that needs a lock-in to keep clients is a good billing company.

Yes. Ask us for demo access and we will send you a sandbox login with sample patients. Click into the schedule, open a chart, write a note and look at the claim screen. No card, no call required first.

Yes, at no charge. Demographics, insurance, schedules, problem lists, medications, allergies and documents migrate. Historical narrative notes usually transfer as PDFs attached to the chart rather than as structured text, because that is what most systems will export. We are explicit about this up front.

Roughly four weeks for a typical small practice, depending on how quickly your current vendor releases your data and how much template customisation you want. We run both systems in parallel through the transition so billing never stops.

Yes, and it is included at no charge with our RCM service — CAQH, NPI, Medicare, Medicaid and commercial payer enrolment.

We work it. Aged and denied claims that a previous biller gave up on are a normal part of what we take on during a transition, rather than something you write off.

The system provides the technical safeguards HIPAA requires — encryption in transit and at rest, role-based access control, two-factor authentication, audit logging and session timeouts — and we sign a Business Associate Agreement with every practice. Compliance is a shared responsibility: we provide the controls, and your practice configures access and trains staff. We will send our security documentation on request.

We work across primary care and a range of specialties, and we are particularly strong in behavioral health, psychiatry and telehealth, where the billing rules are complex enough that a general biller tends to leave money behind.

You can ask, and we will quote it, but we will also tell you honestly that this is not what we are built for and not where we are most competitive. If software alone is what you need, other vendors serve that better.