ClaimsRevenue™ Pricing

One subscription includes both Claims Validator™ and ERA Analyzer™. Every new practice starts with a 30-day free Claims Fingerprint™ with all evaluations. No credit card required. Pricing scales with active rendering providers when you convert.

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Claims Fingerprint™, free for 30 days

No credit card required. Upload up to 1,000 claims of ERAs, run the Validator, and see your full Claims Fingerprint report. Convert to a paid subscription any time to lift the claim-load limit and unlock claim filing, real-time eligibility, and AMA CPT® code reference.

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Free evaluation vs paid subscription:

Claims Fingerprint report	✓ Both
Claims Validator™ + ERA Analyzer™	✓ Both
Claim filing + eligibility checks	Paid only
AMA CPT® code reference	Paid only
Unlimited claim loading	Paid only

Start free, then scale with your practice

Every new practice starts with a 30-day free Claims Fingerprint™ with all evaluations. No credit card required. Pricing scales with active rendering providers when you convert.

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No credit card required. 30-day free Claims Fingerprint™ with all evaluations. Upload up to 1,000 claims of ERAs.

Solo

1 provider

$99 /mo

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Practice

2–10 providers

$499 /mo

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Group

11–25 providers

$1,399 /mo

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Scale

26–50 providers

$2,699 /mo

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Premier

51–100 providers

$4,999 /mo

Start free trial

Prefer a guided setup to a self-serve signup? Talk to our team. Any practice size. Over 100 providers? and we'll put together a custom plan.

Optional add-ons

AI is a usage-based add-on, not a bundled feature. Opt in by setting a monthly spending ceiling in Account Settings. Ask AI costs $0.10 per question. Revenue Max deep analysis costs $0.50, and only when the free pre-screen says material improvements are likely.

Claim filing $30 / month

Unlimited claim submissions filed through integrated Claim.MD. Flat rate per TIN, no per-claim charges.
Eligibility checks $0.02 / check

Real-time insurance eligibility verification via clearinghouse APIs. Pay only for what you use.
AMA CPT® Royalty $0.65 / provider / year

Mandatory AMA royalty for use of CPT® content under the Provider Health Analytics Model license. Charged at provider-add and annually on your practice anniversary. Cost-recovery pass-through, no markup, non-refundable per AMA license terms.
AI Denial Insight AI $0.10 / query

Ask AI why a specific claim shows denial-risk patterns. Grounded in your practice's own ERA history, not a generic model. Every answer cites a hit rate from your actual claims. Off by default; practice owner opts in by setting a monthly spending ceiling in Account Settings. $0.10 is charged on every Ask AI question. Billed monthly on the 1st.
AI Revenue Max AI $0.50 / deep analysis

AI reviews your draft and recommends legitimate billing improvements grounded in payer-specific patterns from your own ERA history. The free pre-screen runs first; the $0.50 deep analysis only runs when the pre-screen determines material improvements are likely. CMS-1500 / 837P only. Monthly ceiling and opt-in match AI Denial Insight. You never pay when the pre-screen finds no material improvements.
Payment processing 2.9% + $0.30 per invoice

Stripe's standard card processing fee, passed through at cost on each invoice.

Every plan includes

Claims Validator™ with unlimited claim validations
ERA Analyzer™ with unlimited ERA imports
Guided CMS-1500 claim builder
HIPAA 837P export for any clearinghouse
Optional Claim.MD integration (add-on, per TIN)
Multi-user access with role-based permissions
Live platform support

Plans are based on active rendering providers, not administrative staff.
All prices in USD. Monthly billing only at launch.
AMA CPT® Royalty rates are set by the American Medical Association and may be updated annually.

Pricing and billing FAQ

How are providers counted for subscription pricing?

Subscription tiers are based on the number of rendering providers whose services appear on claims. Administrative users are not counted as rendering providers solely because they have platform access.

Are there separate licensed-content fees?

Certain users or functions may require access to third-party licensed healthcare content. When applicable, a separate annual licensed-content fee will be disclosed before it is charged. Once charged, that fee is non-refundable except where required by law.

How does subscription billing and cancellation work?

ClaimsRevenue™ subscriptions are billed monthly and automatically renew each month until canceled. You may cancel at any time; cancellation takes effect at the end of the then-current paid billing period. Fees already charged are non-refundable except where required by law. Current pricing and applicable add-on charges are presented before purchase.

How are eligibility checks billed?

Eligibility checks run through the integrated Claim.MD clearinghouse are counted throughout the month and billed at $0.02 per check on the 1st of the following month. The itemized charge appears on your Stripe invoice. Only successful checks are billed; network errors and payer rejections are excluded.

What happens if my subscription payment does not go through?

If your monthly subscription payment is unsuccessful, we will notify you and give you an opportunity to update your payment method. If payment has not been received by the fourth business day after the first day of the month, your ClaimsRevenue™ account will be placed on hold. Once the outstanding subscription balance is paid and a valid payment method is on file, access to your account will be restored.

Is there a free trial?

No. ClaimsRevenue™ is a paid professional platform designed for active healthcare practices and does not currently offer a free trial.

What happens to my subscription when I add or remove providers?

ClaimsRevenue™ pricing is based on provider tiers. You may add or remove rendering providers as long as your total provider count remains within your current plan’s range without changing tiers. If adding a provider moves your practice into a higher-priced tier, the applicable additional subscription charge will be prorated for the remainder of the current billing period. If removing a provider qualifies your practice for a lower-priced tier, the lower rate will take effect on your next subscription payment date.

What happens to my account when I cancel my subscription?

Cancellation takes effect at the end of your current paid subscription period. Once the subscription ends, you will no longer have access to your ClaimsRevenue™ account or the information available through the platform. You should download or retain any information your practice needs before your access ends. ClaimsRevenue™ may continue to retain information as described in its Privacy Policy, Business Associate Agreement, and applicable records-retention requirements.

Not sure which plan fits? Start with a free 30-day Claims Fingerprint™ with all evaluations. No credit card required. Convert when you're ready.