Our History

e4e Healthcare Business Services (previously known as Nittany Decision Services) was formed by a group of oncologists based in State College, Pennsylvania as their captive operational center. This group owned and operated a large chain of Oncology and Radiology centers throughout the East Coast and was one of the first to see the Quality and Cost advantage of offshore processing of their medical billing and transcription functions.

The Company was transformed through a fresh capital infusion and expanded its services to other medical billing companies and TPAs in the U.S. As a result, the company grew its employee strength to approximately 800 in Chennai, India, while investing heavily on developing rigorous process controls, in systems & software platforms and in information security.

2006 to Present
In 2006, e4e Inc. acquired Nittany Decision Services. Today, with over 22 years of U.S. healthcare services experience, e4e Healthcare Services is one of the earliest movers in the cross border offshoring domain. Over the last seven years, the Company has witnessed robust growth and profitability, with an enviable list of reputed Healthcare Clients in both the Provider and Payer spaces. Currently with over 2,350 employees based in the U.S. and India (Chennai, Noida, and Bangalore), e4e continues its strong legacy and proven track record of delivering tangible value to its healthcare clients in the United States.

Client Thoughts

"The dedication from our e4e teams to provide the best possible services is beyond comparison."

"We are amazed and pleased with…the difference the e4e team is making to our inventory levels."

"All work being performed by you is good and very well appreciated."

"We really appreciate all that you do to help make us a better company and increase our business's revenue."

"e4e continues to be a key player in the success of our company."

"They are very accurate in their work and are very responsive to our changing needs."

"By utilizing your services, we are able to focus more on our client and strengthen our core delivery."

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Provider Solutions

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