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The decision of whether to keep billing in-house or outsource is not always about cost. It’s about the value realized for the expense and the risk of not getting it right.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "major payer" category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "all payers" category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Blues category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Medicare category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Medicaid category for 2015.