Technology & billing solutions that free you to serve.

Since our founding in 1998, Primary Solutions has grown to proudly support 350+ customers united in a shared commitment to community service.

Columbus, Ohio has been our home since our start at a provider agency.

Partners in Your Success

Our technology and billing solutions are created to ease administrative burdens and allow your team to focus on what truly matters: serving your community.

Brian Marshall
President

Brian Marshall started Primary Solutions in 1998 for a provider agency. Brian’s career has been geared toward reducing administrative burdens within the I/DD community using the most up-to-date technology.

Liz Thompson

Liz Thompson
Director of Operations

With over 20 years at Primary Solutions, Liz’s expertise spans operational management of multiple departments and financial leadership for large provider agencies. She plays a critical role in supporting our leadership team.

Choosing Primary Solutions is an Investment in the I/DD Community

We’re more than a technology provider. Every partnership with Primary Solutions directly supports the I/DD community through our Community Give-Back Program, which has delivered:

0
free training hours
provided to the field
0
volunteer events
attended annually
$0
donated to important
missions

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Tammy Wolfe
Business Consultant

Tammy.Wolfe@primarysolutions.net

In Tammy’s 20 years at Primary Solutions, she’s held various roles, including Director of Billing Service. Her deep expertise in billing processes, combined with a genuine passion for serving our customers, makes her an invaluable resource

John Joyce

John Joyce
Business Consultant

John.Joyce@primarysolutions.net

With 15 years of experience in the I/DD field, John has worked with County Boards and supported individuals navigating Employment and VR Services. He stays actively engaged in the community by providing monthly CPR training to local providers.

Technology and Billing Services Built for You, By You

Meet Our Leadership Team

McKenzie Barnhouse

McKenzie Barnhouse
Director of Billing Service

McKenzie leads our billing experts in managing millions of dollars in Medicaid claims annually. With 15 years in the healthcare and I/DD fields, including as a Community Integration Manager, she brings hands-on knowledge and leadership to her role.

McKenzie Barnhouse

Sarah Jackson
Director of Support

As a former DSP and HPC Manager, Sarah brings firsthand understanding of the challenges our customers face. With a decade of experience in our technology platforms, she leads our Support Team, delivering exceptional training and customer care.

McKenzie Barnhouse
McKenzie Barnhouse

Josh Kramp
Director of Analysis

For 12 years, Josh has ensured our technology meets customer needs. His in-depth system knowledge, solutions-oriented approach, make him a trusted partner to our clients.

McKenzie Barnhouse

Mike Taft
Director of Development

With over a decade at Primary Solutions, Mike spearheads our software engineering team, driving innovation and developing the next generation of technology platforms designed for maximum accessibility.

A Commitment to Customer Success Over Investors & Profits

At Primary Solutions, we prioritize reinvesting in our products and people to better serve the I/DD field. Unlike competitors driven by private equity profits, we are a family-owned business focused on your success.

Transparent,
Fair Pricing

Each year, we evaluate Medicaid reimbursement rates, industry trends, and customer feedback to ensure our pricing remains fair and aligned with your needs.

Explore Our Solutions

Learn more about our platforms and billing services.

Advisor for I/DD Providers

Advisor
for I/DD Providers

Gatekeeper for County Boards

Gatekeeper
for County Boards

Finex for Government Agencies

Finex for Government Agencies

Billing Experts in I/DD Services

Billing Experts in
I/DD Services