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The honest DME billing software DME · HME · Pharmacy · Since 2012 Every request met.

You ask the people who built it. There's no queue, no handoff, nothing in the middle. One platform for intake, billing, inventory, point of sale, delivery and RCM, and the best kept secret in DME billing software.

See pricing
Any payer in the U.S.
Medicare, every state Medicaid, commercial and MA plans
Software and RCM under one roof
Bill in-house, or let our team bill for you
No Asterisks
Pricing and claims that survive a skeptic

Built for DME, HME, and pharmacy providers since 2012

Eclipse Mobility
NYR — New York Recovery
RespAir
PME
At Home Medical Equipment and Supplies
Electra Hospital District
Faith Fitter Store
Eclipse Mobility
NYR — New York Recovery
RespAir
PME
At Home Medical Equipment and Supplies
Electra Hospital District
Faith Fitter Store
A letter from our founder

Goodbye to an Old Friend

In 2026 we rebuilt BFLOW® from the ground up and moved every customer onto it. The platform that carried this industry for a decade has been powered down. Chapter Five begins.

Read the full letter from Ted Jones
What we shipped

Small on purpose. Fast because of it.

We don't try to look bigger than we are. We try to be better than the DME software you're on. That means three things you'll notice in the first month.

Requests ship in days

When you ask for a change, it doesn't go to the bottom of a pile. It goes on this week's list, and you see it in the release notes when it lands.

The builders answer your ticket

The people who wrote the code are the people on your support thread. There's no tier-one script between you and a fix.

No Asterisks

Pricing you can read without a sales call. Claims we can back up in a demo. If we can't prove it, it isn't on this site.

The DME billing software platform

Everything a DME runs on, in one system.

Intake

Orders, faxes, documents and eligibility in one queue, with missing items flagged before they become denials.

Explore intake

Billing & claims

Bill any payer in the U.S. electronically, or on paper when a payer requires it. Rentals, purchases, resupply, and 835 auto-posting.

Explore billing & claims

Inventory & point of sale

Serialized equipment, supplies, and retail sales with integrated card processing, tied to the same patient record.

Explore inventory & point of sale

Delivery

Delivery tickets, driver workflow and proof of delivery from the field, straight into the claim.

Explore delivery

Reporting

Ask a question in plain English with BFLOW Ask and get the report. AR, denials, payer performance and productivity, live.

Explore reporting

Accreditation & compliance

Twenty-two survey-ready logs, attributed and time-stamped, kept in the same system you bill from.

Explore accreditation & compliance

AI, where it's earned its place

AI-assisted. Human-checked. Never hidden.

Today BFLOW® uses AI to split multi-patient faxes into individual records, answer reporting questions in plain English, and draft documentation, with a person reviewing every decision that touches a claim. We'll tell you exactly what's automated and what isn't. As more runs on its own, you'll read about it in the release notes, not in a press release.

vs. the alternatives

One platform, every workflow.

DME providers piece together intake AI, billing systems, and RCM services from different vendors. BFLOW® does it all in one platform.

CapabilityBFLOW®BrightreeNikoHealthNoble*DirectTennr
Intake & document AI
AI document ingestionIncludedAdd-onNot availableNot availableIncluded
Rx data extraction from faxed ordersIncludedNot availableNot availableNot availablePartial
Insurance card OCRIncludedNot availableNot availableNot availableNot available
Real-time eligibility verificationIncludedIncludedIncludedIncludedNot available
Billing & revenue cycle
Claims to any payer in the U.S.IncludedIncludedIncludedIncludedNot available
AI-prioritized AR worklistIncludedAdd-onNot availableNot availableNot available
In-house RCM servicesIncludedPartnerNot availableNot availableNot available
Two-way patient SMSIncludedAdd-onLimitedNot availableNot available
Profitability intelligence
Pre-order profitability checkIncludedNot availableNot availableNot availableNot available
Post-billing profitability verificationIncludedNot availableNot availableNot availableNot available
Architecture & pricing
Cloud-nativeIncludedIncludedIncludedInstalledIncluded
Transparent pricingIncludedEnterpriseQuoteQuoteEnterprise

Comparison based on publicly available product information as of April 2026. Capabilities marked "Add-on" or "Partner" require additional purchases or third-party services.

Intake Command Center

Centralize all new orders, documents, and patient intake into one organized workflow. Reduce missing-item delays and improve handoff to billing.

Unified order dashboard
Document completeness tracking
Team assignment & workload balancing
Medical biller using the BFLOW® Intake Command Center

Tuul AI Worklist

Intelligent claim assignment that prioritizes the right work for the right collector, every day. Eliminate manual assignment and increase team productivity.

Daily auto-assignment
Follow-up cadences so no claim slips
Aging claim escalation
DME | HME billing team working with the Tuul™ AI Worklist interface

Prescription Management

Track prescriptions, SWOs, renewals, and missing documentation in a connected workflow that feeds directly into billing.

Real-time prescription dashboard
Automated renewal alerts
Intake-to-billing status flow
Doctor using BFLOW® eRx Prescription Management Solution

AI Reporting & Analysis

Real-time operational intelligence that turns workflow data into actionable insights. Spot denial trends, detect underpayments, and improve decision-making.

Real-time revenue cycle dashboards
Denial pattern recognition
Payer performance scorecards
AI-powered medical billing claims evaluation and analysis

Revenue cycle management

Don't want to bill? We'll do it for you, on our own software.

Our DME RCM team works inside BFLOW®, so nothing is lost between your operation and ours. Eligibility, claims, denials, appeals, posting, patient statements and aged A/R. You pay a share of what we collect, and nothing on what we don't.

How RCM is priced

Three ways to work with us

  1. 1
    Full RCM
    We run your revenue cycle end to end. You watch it in real time.
  2. 2
    Billing support
    Your team bills, ours backs you up on the hard parts: denials, appeals, aged A/R.
  3. 3
    Platform only
    You bill in-house on BFLOW®. Every feature, no tiers, no per-seat pricing.

In their words

Every quote here was approved by the person it's attributed to.

"BFLOW is ahead of the curve. On our old system a request went to the bottom of the pile for weeks or months. Now it's done in a couple of days. They're honest, they're fair, and they're the best kept secret in DME."
Kevin Hawes
Owner / President
"The software is great, and it's impressive how fast the BFLOW team fixes and implements what we ask for."
Fraidy Weinberger
New York Recovery
"I work with DME and pharmacy clients on every platform out there. BFLOW is the best. It's an awesome program, it's a beast."
Steven Gray
All State DME Consultants (accreditation consultant)
"BFLOW gives us the AI, reporting, and audit tools we need to streamline operations and support growth."
Kenneth Ekiko
Mega Medical Supply

Pricing

Priced on what you bill. Never on who logs in.

One rate for every customer, every feature included, unlimited users, ERAs always free, migration and training included. Whether you're a single location or a regional network, you'll have your exact number in writing before you sign anything.

See what's included
  • No per-seat pricing
  • No feature tiers
  • ERAs free, always
  • Rates locked 24 months
  • Migration included
  • RCM: pay on what we collect

Who we are

Built by someone who's sat on the payer's side of your claims.

BFLOW® started in 2012 as a database in a garage, built by a founder with three decades across managed care, hospital finance, national consulting and DME operations, who still audits DME claims for a national health fund today. Fresno, California. Incorporated 2016. Recognized as a CPESN Data Share Compliant Technology Provider.

Meet the team

Who we serve

What Is DME | HME Billing Software?

DME | HME billing software is a specialized technology platform designed to help durable medical equipment providers manage the complete revenue cycle — from patient intake and insurance verification through claims submission, follow-up, payment posting, and denial management. Unlike general-purpose medical billing tools, DME | HME billing software addresses the unique challenges of medical equipment billing, including complex HCPCS coding, rental and purchase billing cycles, prior authorization workflows, and payer-specific documentation requirements.

Why DME | HME Providers Need Specialized Billing Software

The DME and HME industry operates under a distinct set of billing rules, compliance mandates, and operational workflows that generic billing platforms are not equipped to handle. DME | HME claims processing involves multi-step documentation verification, SWO management, and recurring rental billing cycles that require purpose-built automation. Without specialized DME | HME billing software, providers face higher denial rates, slower reimbursements, and increased compliance risk.

How BFLOW® Transforms DME | HME Billing Operations

BFLOW® is an AI-powered DME | HME billing software platform that goes beyond basic claims submission. The platform integrates intake management, prescription tracking, intelligent worklist automation, AI-powered reporting, and full revenue cycle visibility into a single connected platform.

Whether you operate a single-location DME | HME business or manage a multi-branch HME software operation, BFLOW® provides the workflow automation, AI intelligence, and operational visibility needed to reduce AR days, improve follow-up consistency, and maximize reimbursement rates across your entire organization.

Questions and answers.

Everything you need to know about choosing and using DME | HME billing software.

See it live. Thirty minutes, no pitch deck.

A walkthrough of the DME billing software your team would actually use, with the people who built it.

Email Ted

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