There is no setup fee and no software charge before your practice receives its first payable insurance claim. When that happens, normal monthly pricing begins immediately.
One practice workspace for provider readiness, coverage, care evidence, route review, claims, and client follow-through.
Normal pricing starts in the month of the first payable claim. The monthly fee is:
Prices are in U.S. dollars. A payable claim means a positive allowed amount or confirmed payment supported by an 835, imported EOB, or reviewed remittance record. Payer payment, client responsibility, and platform pricing are separate records. Taxes and third-party processing fees may apply where relevant.
Billing sequence
Signup, client import, provider evidence, eligibility checks, and route previews do not activate the platform fee.
Complete the practice agreements, Part 2 determination, provider readiness, and supported client intake.
Match payer policy, provider evidence, coverage, and the clinician-locked care record before a claim can move.
The first positive payable adjudication activates pricing once. A denial or zero-dollar result does not.
Questions
Yes. Practice setup, team access, provider-readiness work, client import after the required agreements, and route previews do not create a software charge.
Billing activates when the practice records its first positive payable claim adjudication. A denial, missing remittance, or zero allowed and paid amount does not activate pricing.
After activation, the monthly platform fee is the greater of $49 or the sum of $10 for each payable insured care month, $4 for each successfully collected and affirmatively permitted self-pay care month, and $2 for each practice-funded care month.
No. The platform price includes unlimited clinician and staff accounts. Role-based access and practice policies still determine what each team member can see and do.
No. During the controlled beta, a denied claim does not create an insured usage fee. The insured fee requires a positive allowed amount or confirmed payment from an 835, imported EOB, or reviewed remittance record.