October 1, 2018

Stephen Snyder
Chief Executive Officer
Medical Transcription Billing, Corp.
7 Clyde Road
Somerset, NJ 08873

       Re: Medical Transcription Billing, Corp.
           Registration Statement on Form S-1
           Filed September 25, 2018
           File No. 333-227524

Dear Mr. Snyder:

       This is to advise you that we have not reviewed and will not review your
registration
statement.

        Please refer to Rules 460 and 461 regarding requests for acceleration.
We remind you
that the company and its management are responsible for the accuracy and
adequacy of their
disclosures, notwithstanding any review, comments, action or absence of action
by the staff.

      Please contact Bernard Nolan, Attorney-Adviser, at (202) 551-6515 or Jan
Woo, Legal
Branch Chief, at (202) 551-3453 with any questions.



                                                            Sincerely,

                                                            Division of
Corporation Finance
                                                            Office of
Information Technologies
                                                            and Services
cc:    Peter B. Katzman