Guam's Revenue Cycle Management Partner
End-to-end medical billing, coding, and collections for healthcare providers across Guam, Saipan, and the US Mainland.
Built for the unique challenges of island healthcare billing
Pacific Practice Solutions is a Knowledge Process Outsourcing company built specifically for the healthcare revenue cycle. We combine certified billing and coding professionals with deep knowledge of both local island payers and US mainland insurance systems — so your practice gets paid accurately and on time.
With over eight years specializing in Guam and Saipan Medicaid adjudication, we handle the complexity so you can focus on patient care.
Every payer your practice works with — covered
End-to-end revenue cycle management
From patient registration to final payment — we manage every step of your billing workflow.
Medical Billing
Maximize your practice revenue with a high first-pass claim acceptance ratio. We handle submissions, follow-ups, and appeals so you get paid faster.
Medical Coding
AAPC and AHIMA certified coders ensure accurate ICD-10 and CPT assignment, reducing denials and protecting your compliance.
Medical Transcription
99.95% accuracy with fast turnaround. Precise documentation so your clinical records stay complete and audit-ready.
Credentialing
Full provider enrollment with Guam insurers, US commercial payers, Medicare, and military payers — from application to approval.
Prior Authorization & Eligibility
We verify patient coverage and secure authorizations before services are rendered, preventing denials at the source.
Accounts Receivable Management
Root-cause denial analysis and proactive follow-up on aging claims. We recover revenue you may be leaving on the table.
Why Guam providers choose us
Local expertise, mainland reach, round-the-clock support.
We know the local payers personally
Years of direct experience with Calvo's, Netcare, Staywell, and Guam/Saipan Medicaid. We understand their documentation quirks, submission preferences, and adjudication timelines — knowledge mainland billing companies don't have.
Your claims get worked around the clock
Guam is 14–17 hours ahead of the continental US. Most billing companies stop when the mainland sleeps. Ours doesn't. We operate 24/7 so claims are submitted, followed up on, and appealed regardless of time zone.
A local, on-island account manager
Every client gets a Guam-based Client Service Manager who can resolve issues same-day — and walk into your office if needed. No call centers, no runaround.
We train your front-office team too
Billing problems often start at registration. We provide hands-on training for your scheduling, pre-registration, and clinical staff so documentation and compliance are right from the first patient interaction.
Full visibility into your revenue cycle
You'll never have to guess where your money is. Every number is accessible, every trend is explained, and every dollar is accounted for.
Monthly A/R Reports
Clear breakdown of outstanding balances by payer, aging bucket, and provider.
Denial Statistics & Trends
Track denial patterns, root causes, and resolution rates over time.
Claim Submission Tracking
Monitor turnaround times and first-pass acceptance rates in real time.
On-Demand Ad-Hoc Reports
Need a custom report? Request it anytime — no waiting for the next billing cycle.
Ready to stop leaving revenue on the table?
Whether you're launching a new practice, struggling with denials, or looking for a billing partner who understands island healthcare — we're ready to help.
Have Questions
Do you provide credentialing services with local insurances?
Yes. We provide credentialing services for providers and practices who want to launch their new practices in Guam. Credentialing services are provided for local insurance and US Mainland insurance companies.
Do you submit claims on paper for local insurances?
Yes. For insurance companies that do not accept online claims, we submit paper claims at their office.
Do you provide patient billing services?
Our services are inclusive of patient billing as well. We send out patient statements and follow up on them consistently. We also collect online payments.
Is there a monthly minimum amount?
There is no monthly minimum. There is no other extra fee involved.
Do you really have the long term viability?
Yes, we do. Pacific Practice Solutions is a company that is free of debts. We make certain that all our contracts and agreements are duly signed.
Do you possess the required infrastructure to handle my business processes?
Yes, we have the necessary infrastructure that can support your business locally in Guam. We have offices also in US Mainland.
What is the minimum educational qualification of your employees?
We only recruit people with a Bachelor’s degree. All the employees at Pacific Practice Solutions are graduates. All our employees are certified billers and coders and nurse practitioners with a minimum of 3+ years of experience.
Will it be cost effective, if outsourcing is done to Pacific Practice Solutions?
Pacific Practice Solutions offers only cost-effective service. We greatly save the expenditure in the customer’s capital budget to a great extent. Apart from saving nearly 50 to 60% of the reduction in costs, we will assist you with our more proficient workflow processes to generate more revenue.
How can I make sure that my data is fully protected?
We strictly adhere to the HIPAA compliance guidelines. A non- disclosure agreement will be duly signed by us with the customer. Likewise a non-disclosure bond will be properly signed with our staff. We use HIPAA complaint Amazon Web Servers. We do not use any storage devices in the Systems. To ensure safety and security all our systems and e-mails are protected with passwords. Our premises is thoroughly installed with surveillance cameras.
Do you provide Practice Management Software?
Yes. We provide Practice Management Software as part of our service.
Can I have a single point of contact?
Every client of ours is assigned a billing manager to handle their account.
Tell us something about your practice !!
Office
3500 S Dupont Hwy, Suite 300
Dover, DE 19901
Hours
M-F: 8am – 10pm
S-S: Closed
Call Us
EMR / PM Support
eClinicalWorks
NextGen
Allscripts
Practice Fusion
Cerner
e-MDs
GE Centricity
NueMD
CollaborateMD
AdvancedMD
Payer Expertise
Federal Payers
Uniformed Services
Aetna
BCBS
Humana
Calvo’s Select Care
Staywell Health Plans
Netcare
Medicaid Guam/Saipan
UHC
Cigna
Medical Billing and Coding done by Industry Experts.