A subscription per rendering provider, plus a transaction line tied to claim volume. Both scale with the practice, so a two-provider clinic is never paying for a footprint it does not have. Pay annually and two months are free.
Independent practices, 1 to 5 providers
Everything needed to get a clean claim out the door and post the remittance that comes back.
Billed monthly, no commitment
plus $0.30 per submitted claim
Growing and multi-specialty practices
Adds the denial and analytics layer, which is where the difference between billing and getting paid actually shows up.
Billed monthly, no commitment
plus $0.30 per submitted claim
Billing companies managing multiple practices
Runs many practices side by side, with the reporting and access control that requires.
Billed monthly, no commitment
plus $0.30 per submitted claim
Counted on clinicians who generate charges. Staff accounts are unlimited, because charging for the people doing the billing work would penalize the behavior the software encourages.
Volume drives cost on our side too: with a live clearinghouse, every submission crosses its connection and every remittance comes back through one. Splitting it keeps small practices from subsidizing large ones.
Annual billing charges for ten months and gives twelve. The per-claim line is usage, so it is billed as incurred each month on either cycle.
A business associate agreement on request, posted amounts that are never edited, an audit log of key actions, and role-based access. Compliance is not an upgrade.
| Feature | Essentials | Professional | Billing Company |
|---|---|---|---|
| Front office | |||
| Appointment scheduling | |||
| Eligibility checks (270/271), single or whole schedule | |||
| Online check-in link with copay shown | |||
| Estimates and good faith estimates | |||
| Patient record and insurance history | |||
| Claims | |||
| Charge capture with CPT and ICD-10 | |||
| Built-in claim scrubbing rules | 47 rules | 47 rules | 47 rules |
| Payer-specific edits and prior authorizations | |||
| 837P generation and submission | |||
| 999 and 277CA acknowledgments | |||
| Corrected and voided claims | |||
| Custom fee schedules per payer | |||
| Remittance and denials | |||
| Automatic 835 posting | |||
| CARC and RARC preserved per line | |||
| Denial worklist with assignment | |||
| Appeal deadline tracking | |||
| Denial reasons ranked by dollars | |||
| Underpayment detection against contract | |||
| Patient billing | |||
| Statements following HFMA patient-friendly principles | |||
| Patient A/R tracked separately from insurance | |||
| Payment plans and discount policies | |||
| Analytics | |||
| Standard financial reports | |||
| Benchmark dashboard (A/R, NCR, clean claim, denial) | |||
| Payer performance comparison | |||
| Provider productivity | |||
| Per-client reporting across practices | |||
| Integrations | |||
| HL7 v2 interface (ADT, DFT) | |||
| Lab orders and results (ORM, ORU) | |||
| CSV patient import with column matching | |||
| Security and support | |||
| Business associate agreement, available on request | |||
| Posted amounts never edited; audit log of key actions | |||
| Role-based access control | |||
| Multiple practices under one login | |||
The ones a practice asks before it moves a billing system.
Either. Paying annually charges for ten months and gives you twelve, so two months are free and the effective rate drops by about 17%. The per-claim line is usage, so it is billed as incurred each month on both cycles.
Per rendering provider, per month. Front desk staff, billers and administrators do not consume a seat, because charging for the people who do the billing work would penalize exactly the behavior the software is meant to encourage.
Cost scales with volume: once a live clearinghouse is connected, every claim submitted is a transaction across it and every remittance is one coming back. Splitting the price into a subscription and a transaction line keeps a low-volume practice from subsidizing a high-volume one.
It stays yours. Patients, claims, remittances and the ledger are exported for you on request, and the Terms commit us to providing that export for 30 days after a subscription ends. Billing data is a legal record, not a lock-in mechanism.
Yes. A BAA is available on request and is signed before any protected health information is loaded. A practice is the covered entity and we are its business associate, which is the arrangement HIPAA requires.
It depends almost entirely on the state of the data being migrated and how many payer enrollments have to be moved. That is the first thing an onboarding call establishes, and we would rather give a real date than a marketing one.
An annual term is a twelve-month commitment; that is what the two free months are in exchange for. Monthly billing carries no such term. Whichever you choose, the export commitment in the Terms applies, so your data is never the thing holding you in place.
Tell us how many rendering providers you have and roughly how many claims you submit a month. That is all it takes to price it properly.