Quarterly report pursuant to Section 13 or 15(d)

Revenue - Schedule of Disaggregation of Revenue (Details)

v3.10.0.1
Revenue - Schedule of Disaggregation of Revenue (Details) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Net revenue $ 8,682,937 $ 7,784,750 $ 16,990,262 $ 16,004,824
Medical Billing Revenue [Member]        
Net revenue 7,866,650 7,013,263 15,259,040 14,345,898
Ancillary Services [Member]        
Net revenue 313,454 251,104 562,091 534,761
Printing and Mailing [Member]        
Net revenue 301,279 294,627 649,523 641,420
Clearing House and EDI Services [Member]        
Net revenue 141,901 185,842 335,340 372,177
Enrollment Plus [Member]        
Net revenue 19,200 102,857
Professional Services [Member]        
Net revenue $ 40,453 $ 39,914 $ 81,411 $ 110,568