Pricing
3.5–5.5% of collections
A share of what we collect, and it gets smaller as you grow. An annual agreement, with 45 days to opt out.
5.5% of collections up to $2M a year in revenue, sliding toward 3.5% as you near $10M. A low monthly minimum sets the floor.
What you pay
One core rate covers the day-to-day billing work.
Old AR and credentialing are priced separately.
| Service | Price | How it works |
|---|---|---|
| Core billing | 3.5–5.5% of collections, set by practice size, with a low monthly minimum | Covers eligibility, coding review, claims, denials, posting and underpayments, patient billing and prior authorizations on claims from go-live. Appeals included, with no per-appeal fee. |
| Old AR recovery | Contingency: a share of what we recover | Unpaid balances from before we started. Billed only on what we recover, and never also charged at the core rate. |
| Credentialing and payer enrollment | A flat fee per provider | New providers, new payers and revalidations. |
| Billing audit | Free | Your practice profile, whether or not you sign. Get a free billing audit |
Our percentage applies to a short, written list of payments.
This is the list we propose to every clinic. Your quote confirms it for yours.
Counts
- Payer payments posted on claims we sent, for visits from your go-live date.
- Patient payments on statements we send.
Netted out
- Refunds and recoupments reduce the collections the fee is based on, in the month they’re taken back.
Doesn’t count
- Copays and other payments your front desk collects at the visit.
- Payments on claims your previous biller sent (their run-out), unless you hand them to us as old AR.
- Old AR recoveries. Those are billed only under the contingency share, never twice.
- Claims for payers we don’t bill yet (workers’ comp, no-fault), if someone else bills them.
Your rate is set by your practice’s size, and it gets smaller as you grow.
- Up to $2M
- 5.5% of collections.
- $2M to $10M
- Slides steadily from 5.5% toward 3.5%.
- Above $10M
- We set it with you.
Size is your practice’s annual revenue. We confirm your rate in writing after the audit.
An estimate, assuming collections equal revenue. Copays your front desk collects don’t count. If the percentage comes to less than your monthly minimum, you pay the minimum.
- Every denial worked and every appeal written, with no per-appeal fee. How we fight denials
- Eligibility, coding review, claims, denials and appeals, posting and underpayments, patient billing and prior authorizations, on claims from go-live
- A named billing specialist who knows your clinic
- Your dashboard, and a scorecard every month
- A BAA, signed before we touch any patient data
The core rate covers seven services.
Old AR and credentialing are the other two. Same team, priced in the table above.
See every service45 days to opt out, no questions asked.
After that it’s an annual agreement. Notice, account ownership, the files we hand back and who works the run-out are set in it, and you read it before you sign.
Questions
What owners ask before they sign.
Do appeals cost extra?
No. On claims we send, every denial is worked and every appeal is written inside the core rate, even the small ones. How we fight denials.
Do you charge on old AR you collect?
Yes, on contingency, as a share of what we recover. Old AR is billed separately from your core rate and never counted in both. If we don’t recover a balance, you don’t pay for it.
How do we pay you?
Payer payments keep going to your bank account; that doesn’t change when we start. How and when we invoice our fee is set out in your quote.
What if we leave?
If it isn’t working in your first 45 days, you can leave, no questions asked. After that, your annual agreement sets out the notice, account ownership, the files we hand back and the run-out.
Is there a setup fee?
Your quote says whether there’s an onboarding fee and what it is.
Do you bill traditional Medicare?
Yes. We bill traditional Medicare (Part B) and Medicare Advantage, along with commercial plans, Medicaid and TRICARE. Payments from all of them count toward the same rate. Only workers’ comp and no-fault are left out for now.
I have some workers’ comp or no-fault patients. What happens to those?
We don’t bill them yet. You keep billing them the way you do now, in-house or with your current biller, and those payments are left out of our fee. If they’re most of your volume, we’ll tell you during the audit.
What does the monthly minimum depend on?
Your size and specialty. It comes in the same quote as your rate, so the first invoice matches it.
Want the operating detail first? See everything we handle, how switching works, or ask us a question.
Talk through your numbers with us, then get a written quote.
3.5–5.5% of collections · annual agreement · 45-day opt-out
Rather start with your numbers? Get a free billing audit.