e4e Inc., is a US-based Healthcare Revenue Cycle and Information management company that has domain and contextual expertise in the US Healthcare Business Services ecosystem. e4e was formed in 1994 by a group of oncologists from the State College, Pennsylvania. As at that time, the outfit was known as Nittany Decision Services. In 2000, the Company expanded its services to other medical billing companies and TPAs in the U.S. The employee strength of the company also increased to over 800 in its Indian branch. In 2006, e4e Inc., acquired Nittany Decision Services. The company now has over 22 years of U.S. healthcare services experience with a number of reputed Healthcare clients across the US and beyond. Currently the company has over 2,350 employees based in the U.S. and India. e4e Healthcare Business Services is ISO 9001:2008, SOC II and SSAE 16 Type-II certified and HIPAA compliant.