Honest pricing. No surprises.

How medical billing pricing actually works

Most practices comparing medical billing companies get stuck on one question: flat fee or percentage of collections? The honest answer is that both can be fair — and both can be expensive — depending on your volume, specialty mix, and how much work you still want to own in-house. We publish three plans so you can model the math before you book a call, not after a sales script.

Starter is a flat $899/month for solo clinicians and small offices submitting up to about 250 claims a month. Growth is 4.5% of collections for practices roughly up to five providers who want denial management, credentialing support, and a dedicated account manager. Enterprise is a custom quote for multi-site groups, hospitals, and MSOs that need consolidated reporting, specialty coding pods, and contract-level analytics. No setup fees. No per-claim nickel-and-dime charges. Contracts that do not lock you in past 90 days.

Flat monthly vs percentage of collections

A flat monthly fee rewards predictability. If you are a solo primary-care or behavioral-health practice with steady volume, $899/month often beats a percentage once collections climb. You know the cost in January and in July. The trade-off: Starter includes core submission, eligibility, posting, and 60-day A/R follow-up — not full denial appeals or new-provider credentialing. If denials or payer enrollment are already eating your week, Growth is the better fit even when the percentage line looks higher on paper.

Percentage pricing aligns our incentive with yours: we get paid when you get paid. At 4.5% of collections, Growth includes the work that usually moves net revenue — denial management and appeals, patient statements, credentialing for new providers, and a weekly KPI view. Practices with higher RVU procedures, specialty imaging, or frequent commercial-payer friction often recover more than the fee difference within the first quarter because clean claims and worked denials compound faster than a cheaper flat fee that stops at posting.

What is included — and what is not

Every plan includes claim scrubbing and submission, eligibility and benefits checks, and ERA/EOB posting. That is the floor. Growth and Enterprise add denial workflows, patient billing, and credentialing support because those are the three places practices lose money after the claim leaves the clearinghouse. Enterprise adds multi-location rollups, specialty-matched coding pods, payer-contract variance reporting, an implementation team, SLA language, and quarterly executive reviews — the layer multi-site operators need when one dashboard has to speak for five clinics.

We do not charge for clearinghouse connectivity as a separate line item, and we do not bill you for every status call. If a feature is listed on a plan, it is in the monthly or percentage fee. Out-of-scope work — one-off consulting projects, legacy A/R clean-up older than the plan's follow-up window, or custom software builds — is quoted separately and only with written scope. Surprises on invoices are how billing vendors lose practices; we would rather leave a line off the marketing page than bury it in a contract.

Who each plan is built for

Starter fits solo practitioners and two-provider offices that want reliable submission and posting without an account manager on every call. Growth fits expanding groups — often family medicine, urgent care, dermatology, cardiology, or therapy practices — that need denial recovery and credentialing when a new clinician joins. Enterprise fits organizations that already have an ops leader and need us as an extension of that team across sites, with reporting that finance and clinical leadership can both read.

If you are mid-migration from another billing company, we run a free revenue audit first. That audit shows denial rates, A/R aging, and underpayment patterns so you can see whether Starter, Growth, or Enterprise is the right entry point — not guess from a brochure. Most clients start on Growth; some step down to Starter after we stabilize the front end, and some step up to Enterprise when a second location opens.

Contracts, exits, and how we keep pricing honest

We do not sell multi-year locks. Standard agreements renew on short cycles and can be exited with notice inside a 90-day framework. That forces us to earn the relationship every quarter. Pricing stays the same as published unless your volume or footprint clearly moves you into another tier — and we tell you before we recommend a change. If Growth's percentage is no longer the fair model because collections and claim mix changed, we put the math on one page and let you decide.

Nationwide practices work with us remotely from our Denver base. Hours are Monday–Friday, 8am–8pm ET. Support response targets are on each plan: 24 hours on Starter email, four hours on Growth phone and email. Enterprise SLAs are written into the statement of work. If you want a number before you talk to sales, use the tiers above; if your mix is unusual — high Medicaid, heavy DME, or hospital outpatient — request a custom Enterprise conversation and we will price from your last 90 days of remits, not from a generic average.