Quarterly report pursuant to Section 13 or 15(d)

Revenue - Schedule of Disaggregation of Revenue (Details)

v3.8.0.1
Revenue - Schedule of Disaggregation of Revenue (Details) - USD ($)
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Net revenue $ 8,307,325 $ 8,220,074
Medical Billing Revenue [Member]    
Net revenue 7,392,390 7,332,635
Ancillary Services [Member]    
Net revenue 248,637 283,657
Printing and Mailing [Member]    
Net revenue 348,243 346,793
Clearing House and EDI Services [Member]    
Net revenue 193,439 186,335
Enrollment Plus [Member]    
Net revenue 83,657
Professional Services [Member]    
Net revenue $ 40,959 $ 70,654