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 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Net revenue $ 17,044,526 $ 7,513,592 $ 34,034,788 $ 23,518,416
Revenue Cycle Management Services [Member]        
Net revenue 11,695,675 6,725,939 26,954,715 21,085,696
Practice Management Services [Member]        
Net revenue 3,314,422 3,314,422
Professional Services [Member]        
Net revenue 532,763 52,418 717,031 162,682
Ancillary Services [Member]        
Net revenue 530,285 203,573 1,092,376 724,780
Group Purchasing Services [Member]        
Net revenue 477,168 477,168
Printing and Mailing Services [Member]        
Net revenue 335,999 348,060 985,522 989,480
Clearinghouse and EDI Services [Member]        
Net revenue $ 158,214 $ 183,602 $ 493,554 $ 555,778