Percentage of collections. Nothing else.
You pay a percentage of what we actually collect for you. If a claim does not get paid, we do not get paid on it either. No setup fee, no monthly minimum, no per-claim charge, and no contract locking you in.
Billing Only
For practices that already have coding handled and need claims submitted, tracked and appealed.
- Claim scrubbing and submission within 24-48 hours
- Payment posting and reconciliation
- AR follow-up reviewed every 14 days
- Denial appeals with payer correspondence
- Patient statements and balance support
- Monthly reporting and a live dashboard
Full Revenue Cycle
End-to-end. We own the revenue cycle from eligibility check through final payment.
- Everything in Billing Only
- Medical coding by AAPC/AHIMA certified coders
- Eligibility and benefits verification
- Prior authorization handling
- Charge entry and audit
- Dedicated account manager on your EHR
- Quarterly revenue review call
Project & Add-On
Fixed-scope work priced per provider or per project, billed separately from collections.
- Provider credentialing and payer enrollment
- Old AR cleanup and recovery projects
- Coding audit and documentation review
- Medical scribing, billed hourly
- Virtual medical assistant, billed hourly
- Credentialing maintenance and revalidation
Why we quote a range rather than one flat number. Your rate depends on your specialty, your average claim value, your payer mix and your monthly volume. A behavioral health practice with high-volume low-dollar claims takes more work per dollar collected than a surgical practice with the opposite profile, so pricing them identically would be unfair to one of them. We give you a firm, written rate after we have looked at your actual data, and it does not change without your agreement.
What the percentage already covers
Some billing companies quote a low headline rate and then charge separately for the things you assumed were included. These are included.
EHR integration
We work inside your existing system. No migration, no new software to buy, no integration fee.
A named account manager
One person who knows your practice, reachable directly. Not a shared ticket queue.
Signed BAA
Executed before we touch a single record, as HIPAA requires of any business associate.
Denial appeals
Working a denial is part of collecting the claim. We do not charge extra to appeal.
Reporting
Monthly close report plus a dashboard you can open any time. Your data stays yours.
Clean exit
30 days' notice, and we hand over every file and open claim. No termination penalty.
How this compares to the alternatives
An honest look at the three ways a US practice usually handles billing.
| In-house biller | Large billing company | ClainetRCM | |
|---|---|---|---|
| Typical cost | A full-time salary + benefits | Commonly a higher % of collections | From 2.29% of collections |
| Cost when collections drop | Unchanged: salary is fixed | Scales down | Scales down |
| Coverage during leave | Billing stops | Team covers | Team covers |
| Who you speak to | The biller | Support queue | Named account manager |
| Setup fee | Recruitment cost | Often charged | None |
| Contract length | Employment | Commonly 12-36 months | 30-day notice |
| Specialty coding depth | Varies by hire | Varies by team assigned | Certified, specialty-matched |
Pricing questions we get asked
What exactly counts as “collections”?
Money actually deposited into your account for claims we worked: insurance payments and patient payments. We do not bill you on charges submitted, on adjustments, on refunds, or on money collected before we started. If it did not land in your bank account, it is not in the calculation.
Is there a minimum monthly fee?
No. If we collect nothing in a month, you owe nothing for that month. We think a minimum fee quietly removes our incentive to chase the difficult claims, which are exactly the ones you are hiring us for.
Do you charge for old AR cleanup?
Aged AR that predates our engagement is quoted separately, usually as a recovery percentage on what we actually bring in. We will tell you upfront if a batch of old claims is realistically uncollectible rather than billing you to chase it.
What does credentialing cost?
Credentialing is a flat fee per provider per payer, because the work does not scale with your collections. You get the fee in writing before we start, and it covers the application, follow-up with the payer, and the enrollment through to approval.
How long before I see a difference?
Onboarding takes 7-14 business days. After that, claims go out in 24-48 hours. Payer payment cycles being what they are, most practices see the effect on deposits within the second full billing cycle. Anyone promising you a transformation in week one is describing something outside their control.
What if it is not working out?
Give us 30-day notice to cancel. We hand back every file, every open claim and every payer login, and we keep working your claims through the notice period. Holding a practice's revenue hostage to a contract is not a business we want to be in.