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Pricing Built Around Your Practice

Custom Pricing

We don't publish flat-rate packages because no two practices bill the same way. Your price reflects your provider count, claim volume, specialty, and the scope of work you actually need, confirmed in a clear written proposal after a free practice evaluation.

Get My Custom Quote Schedule a Free Revenue Assessment

Custom pricing · Clear scope · No surprise charges

Why Pricing Varies

Why We Don’t Use One-Size-Fits-All Pricing

Two practices with the same number of providers can have very different billing needs. Your rate is shaped by factors that a flat package simply can’t account for.

Practice Size

The number of providers and locations you operate shapes how much billing work is involved each month.

Billing Complexity

Multi-specialty billing, complex payer mixes, and higher denial rates all require more hands-on management.

Service Scope

Full-service RCM, credentialing only, or A/R cleanup each carry a different level of involvement and effort.

Volume

Monthly claim volume and collections influence the time and resources required to manage your account well.

Engagement Options

Choose the Support Your Practice Needs

From full-service billing to targeted project work, pick the level of support that fits where your practice is today.

Most Comprehensive

Full-Service Medical Billing & RCM

Customized PricingPercentage-based or structured pricing may be available depending on the engagement.
Ideal for
Practices wanting an accountable partner to manage the revenue cycle end-to-end
  • Eligibility & benefits verification
  • Charge entry
  • Medical coding support
  • Claims scrubbing
  • Electronic claims submission
  • Payment posting
  • Denial management & appeals
  • A/R follow-up
  • Patient balance support where included
  • Reporting & analytics
  • Dedicated account support
Request RCM Pricing

Credentialing & Payer Enrollment

Project-Based Pricing
Ideal for
New providers, growing practices, and groups onboarding clinicians or expanding payer participation
  • CAQH setup & maintenance
  • Commercial payer enrollment
  • Medicare/Medicaid enrollment support
  • Application submission
  • Application tracking
  • Recredentialing
  • Provider demographic updates
  • Payer follow-up
Request Credentialing Quote

A/R Recovery & Denial Cleanup

Customized / Performance-Based Options
Ideal for
Practices with aging receivables, unresolved denials, or billing backlogs
  • A/R aging analysis
  • Claim status research
  • Insurance follow-up
  • Denial analysis
  • Appeals
  • Filing-limit review
  • Underpayment identification
  • Recovery reporting
Request a Free A/R Review

Customized RCM Support

Flexible Engagement
Ideal for
Practices with internal billing resources that need additional expertise or capacity
  • Eligibility verification
  • Payment posting
  • Denial follow-up
  • Credentialing support
  • Billing backlog cleanup
  • Provider onboarding support
  • Temporary operational support
  • Selected revenue-cycle functions
Build My Custom Solution
Rate Factors

What Determines Your Rate?

We don’t use one-size-fits-all pricing. Your quote reflects the realities of your practice, so you only pay for what you actually need.

Monthly Collections

Helps determine the overall scale of the revenue cycle.

Claim Volume

Higher transaction volume may require additional resources.

Provider Count

More providers can increase billing, reporting, and credentialing complexity.

Specialty

Coding, documentation, authorizations, and payer requirements vary by specialty.

Payer Mix

Commercial insurers, Medicare, Medicaid, and other payers may require different workflows.

Existing A/R

The age and condition of outstanding receivables can affect onboarding and recovery work.

Denial Volume

High denial activity may require deeper analysis and follow-up.

Services Required

Full RCM and targeted operational support have different scopes.

Practice Structure

Locations, entities, provider groups, and organizational complexity can affect workflow.

EHR / Practice Management System

Implementation and workflow requirements can vary by software environment.

How It Works

A Simple, Transparent Quote Process

No pressure, no guesswork. Here’s exactly what happens between your first call and your written proposal.

1

Tell Us About Your Practice

Share your specialty, provider count, claim volume, and current billing setup so we understand your world.

2

Free Assessment

We review your data and identify opportunities to reduce denials and strengthen your collections.

3

Written Proposal

You receive a clear, itemized quote outlining exactly what’s included, with no hidden fees.

4

Onboarding

Once you approve, a dedicated onboarding specialist manages a smooth, guided transition.

What You Get

What You Can Expect From ClaimWell

Every engagement, regardless of size, comes with the same standard of service.

Dedicated Account Support

A consistent point of contact who knows your practice and answers your questions directly.

Certified, Specialty-Trained Coders

Coding and billing handled by people trained in your specialty’s rules and payer requirements.

Transparent Reporting

Regular, easy-to-read reporting so you always know what’s billed, paid, and pending.

Proactive Denial Management

Denials are categorized, root-caused, and appealed instead of quietly written off.

Clear Communication

Straightforward answers about your account, without jargon or runaround.

Scalable Support as You Grow

Your engagement can expand as you add providers, locations, or services, without starting over.

Built to Fit

Built for Practices at Different Stages of Growth

Whatever stage your practice is in, our approach is shaped around your reality, not a generic tier.

Solo & Independent

Ideal for
Solo providers and small independent practices managing billing on their own or with limited staff.
  • Hands-on support without a large administrative burden
  • Guidance on getting billing processes organized from day one
  • Room to add services as your practice grows
Talk to Us About Your Practice
Common Fit

Growing Group

Ideal for
Multi-provider practices adding staff, locations, or specialties and outgrowing their current billing setup.
  • Support that scales with new providers and payer relationships
  • Structured credentialing as you bring on new clinicians
  • Reporting built for multiple providers and revenue streams
Talk to Us About Your Practice

Multi-Provider & Multi-Location

Ideal for
Larger organizations with multiple locations, complex payer mixes, and higher claim volume.
  • Coordinated billing across locations and specialties
  • Dedicated resources sized to your claim volume
  • Executive-level reporting across your organization
Talk to Us About Your Practice
For New Clients

Ask About Preferred Introductory Pricing

We’re currently extending preferred pricing terms to a limited number of new practices as we onboard new clients. Ask during your assessment call whether your practice qualifies.

Ask About Introductory Pricing
How We Structure Pricing

Flexible Engagement Structures

Depending on the scope of work, your engagement may be structured one of a few ways.

Percentage of Collections

Pricing tied to what’s actually collected, aligning our incentives directly with your revenue.

Flat Monthly

A predictable monthly rate for practices that prefer consistent, budget-friendly billing.

Project-Based

A defined scope and price for standalone work like credentialing or an A/R cleanup project.

Performance-Based

Pricing structured around measurable outcomes for practices focused on recovery work.

Pricing Questions

Pricing FAQ

How much does ClaimWell RCM cost?
Pricing is customized based on your specialty, provider count, monthly claim volume, collections, payer mix, existing A/R, and services required. After a brief assessment, we provide a written proposal with the scope and pricing clearly outlined.
Why don’t you publish a fixed percentage?
Revenue-cycle workload varies significantly between practices. A single published rate may not accurately reflect the complexity, volume, or service requirements of every account. We prefer to understand the practice first and recommend pricing based on the actual work involved.
Do you use percentage-of-collections pricing?
Yes. Percentage-based pricing may be used for full-service medical billing and RCM engagements. Other pricing structures may be recommended depending on the scope and type of service.
Do you offer flat monthly pricing?
In certain situations, yes. Limited-scope services and predictable operational support may be better suited to a flat monthly or project-based arrangement.
How will I know my price before starting?
After the discovery and assessment process, ClaimWell provides a written proposal outlining the scope of services and pricing structure before the engagement begins.
Are there setup or onboarding fees?
Any onboarding, implementation, or special setup costs applicable to your engagement will be clearly identified in your proposal before work begins.
Is credentialing included in RCM pricing?
Credentialing can be included in a broader RCM engagement or provided as a standalone service. Scope and pricing depend on the number of providers, payers, applications, and services required.
Does pricing change if my practice grows?
It may. If provider count, claim volume, collections, locations, or service requirements change materially, the engagement can be reviewed and adjusted to reflect the updated scope.
Can ClaimWell work my existing A/R?
Yes. We can review existing receivables, denials, and unpaid claims. Pricing for legacy A/R depends on the age, volume, complexity, and condition of the outstanding balances.
Can I use ClaimWell if I already have billing staff?
Yes. ClaimWell can provide targeted support for specific functions such as eligibility verification, payment posting, denial management, A/R follow-up, credentialing, provider onboarding, or backlog cleanup.
Do you work with solo practices?
Yes. ClaimWell works with independent providers as well as growing and multi-provider practices. The recommended service structure depends on the needs and volume of the practice.
How do I get a quote?
Start with a free revenue cycle assessment. We'll learn about your practice, understand your current workflow and challenges, and provide a customized proposal based on your requirements.

Get a Proposal Built Around Your Practice

Book a free revenue assessment and we’ll build a clear, written quote around your providers, claim volume, and services, with no hidden fees.

Custom pricing · Clear scope · No surprise charges

Get My Custom Quote Schedule Free Revenue Assessment