Stethoscope on a Medical Record

Triple R Billing

Reimbursement Results in Revenue


Karla Hornstein

Hi, My name is Karla Hornstein and I am the owner/operator of Triple R Billing. I am a thrid generation Montanan, and live in the Missoula area. I have 20+ years of experience in medical insurance and practice management. I am very passionate about what I do and will always fight to get the best reimbursement possible, while keeping client happiness a priority. In my free time, I enjoy spending time in the outdoors with my son, and going to local events like the farmers market and live music.



Person Paying Bills


Medical Billing and Coding

I've worked with an array of medical insurance companies, including the VA, and will always fight for the maximum reimbursement


Credentialing Services

I have experience with swiftly credentialing multiple providers in several different fields



I will commit to making a positive experience for all of your clients, giving them a clear idea of how much they will be paying, what their insurance includes, and other billing services

My Client Roster

I have worked within multiple different medical fields, providing different services to each,

including but not limited to billing, coding, credentialing, accounts payable/receivable, etc.

Young woman adjusting glasses in optical store

Envision Eyecare

Young Woman Talking with Therapist

Montana Center for Somatic Psychotherapy

Crop psychologist supporting patient during counseling indoors

Still Serving Counseling

Medicare, Medicaid, Aetna, Cigna, United, Triwest, Tricare, BlueCross, VA

Insurance Companies Serviceable

Plus Many More

Let's work together.

Team of Business People Working Together

Mailing Address

11999 Buffalo Speedway

Missoula, MT, 59808

Phone Number

+1 (406) 544 3760

Email Address