Case studies

Ideal Billing Service got its Sunday nights back.

Every week, fresh data on US healthcare providers used to cost Ideal Billing Service a whole Sunday night. With Duckrow, it becomes targeted, consent-based text outreach in 25 minutes. In six months, that outreach brought in $70,000+ in new revenue.

Ideal Billing Service

Six months on Duckrow

$70,000+

in new revenue from providers and practices reached through Duckrow.

25 min

from the week's fresh data to outreach, down from 5 to 7 hours.

100,000+

consent-based texts to providers and practices.

1 inbox

for every follow-up. Each provider stays on the number that first texted them, across all of Ideal's numbers.

The data refreshes every Sunday night.

That's when public databases of US healthcare providers update with new and changed records. For Ideal Billing Service, each refresh is a fresh list of practices that may need them.

6 pm8 pm10 pm12 am

Before Duckrow

5 to 7 hours by hand

Download, Read, Filter, Sort, Match to a service, Write and send

With Duckrow

25 minutes to outreach

The rest of the night is theirs.

Our ability to reach and serve new and existing providers has been increased by more than 200% over the last 6 months. Our messaging is compliant, remains in one place, and helps us keep our follow ups straightforward. Keep up the great work, Duckies!
Tim FoxOwner, Ideal Billing Service

A billing partner for practices across the US

Ideal Billing Service is a medical billing and credentialing company in Texas, owned by Tim Fox. The team handles billing and the revenue cycle, credentialing and provider enrollment, and virtual assistants for doctors, practices and labs.

Their best new clients are providers at a turning point: a new practice, a move, a new enrollment to file. Those changes show up in public provider data every week.

Millions of records, sorted by hand

The public databases of US healthcare providers hold millions of records, and they refresh every Sunday night. Each refresh meant the same routine: download the files, read them, filter out the providers Ideal couldn't serve, sort the rest, match each one to the right service, then write and send the invitations.

It took 5 to 7 hours, every week, on a Sunday night. And once the invitations went out, the follow-ups lived in different places.

One system from the fresh file to the follow-up

Ideal Billing Service needed targeted outbound without running every step by hand: the downloading, reading, filtering, sorting and the multi-step sequences that come after.

Text had to lead the outreach, and it had to be compliant and consent-based from the first message. Every follow-up had to stay easy to track.

How Duckrow runs their Sunday

Ideal Billing Service uses Duckrow end to end. This is the weekly routine, from the fresh data to the replies.

  1. 1

    Duckrow registered their texting brand

    We set up Ideal Billing Service's A2P 10DLC brand, so their texts go out on registered US business numbers.

  2. 2

    The week's providers land in a lead table

    The new and updated providers go into a Duckrow table, ready to sort.

    See how it works
  3. 3

    AI matches each provider to a service

    AI and Jev columns read every row, keep the providers Ideal can serve and pick the service that fits.

    See how it works
  4. 4

    Only mobiles get a text

    A phone check marks each number mobile, landline or office. Landlines are skipped, and other channels carry on.

    See how it works
  5. 5

    Rows go straight into a sequence

    The matched providers are pushed into a multi-step sequence, led by text, with email follow-ups.

    See how it works
  6. 6

    Each provider sticks to one number, every reply lands in one inbox

    Ideal texts from several numbers. Sticky SMS keeps each provider on the number that first texted them, for every automated step and every manual reply, and every conversation stays in the unified inbox.

    See how it works
ProviderWhat changedBest servicePhoneSequence
Family medicine, AustinNew practiceCredentialingMobileText sent
Physical therapy, DallasNew locationBillingMobileText sent
Urgent care, El PasoNew enrollmentCredentialingLandlineEmail only
Pediatrics, HoustonNew providerVirtual assistantMobileText sent
An example of the weekly table, with made-up providers.

What changed

Sunday night now takes 25 minutes. The fresh data goes in, the right providers come out, and the first texts are on their way.

Sticky SMS became the feature that mattered most. Ideal sends from several numbers, and each provider stays with the number that first texted them. The first text on Sunday, the automated follow-up during the week and the team's own reply from the inbox all come from that same number, so the provider sees one conversation and always knows who is writing. Every conversation stays in Duckrow's unified inbox, and no follow-up gets lost.

In six months, Ideal Billing Service sent more than 100,000 consent-based texts to providers and practices, and earned $70,000+ in new revenue from the clients it reached.

Ideal Billing Service

(512) 555-0186

  1. Sunday, 6:24 pmHi Dr. Rivera, congratulations on the new practice in Austin. Ideal Billing Service handles credentialing and enrollment for new practices. Would a short call help? Reply STOP to opt out.
  2. Wednesday, 10:02 amFollowing up on credentialing for your Austin practice. We can file your enrollments this month.
  3. Wednesday, 10:41 amYes please. Can you call me Thursday afternoon?
  4. Wednesday, 10:43 amThursday at 2 works. Talk then.
The number that sent the first text sends every follow-up, whichever of Ideal's numbers it was. A made-up example.

Compliant from the first text

  • Texts go out on a registered A2P 10DLC brand that Duckrow set up.
  • Outreach goes to providers and practices, never to patients, and carries no patient data.
  • Every automated text carries STOP instructions, and opt-outs are honoured automatically.
  • Every message and reply stays in one place, so the record is easy to keep.

What would you do with 25 minutes?

Start free, bring your first list, and see it turn into outreach.