Clearinghouse Vendor Guide
Last Updated March 2026
Guide Contents
Claim.MD
Transparent per-claim pricing with no hidden fees or long-term contracts.
Overview
Claim.MD has built its reputation on pricing transparency — something rare in the clearinghouse industry. Every transaction type has a published price on their website, with no hidden fees, no bundling requirements, and no long-term contracts. For practices frustrated by opaque enterprise pricing, Claim.MD is a breath of fresh air.
The platform handles electronic claims, eligibility verification, ERA/remittance, and claim status inquiries. It integrates with most practice management systems via SFTP or API, and offers a clean web portal for manual operations.
Claim.MD is particularly popular with billing companies and multi-practice operations where per-claim cost predictability is critical to maintaining margins. It's also the built-in clearinghouse for Elation Health and Jane App, which tells you something about the quality of the integration. The straightforward pricing model makes it easy to calculate exact costs before committing.
Pros & Cons
Strengths
- Published, transparent pricing. Every transaction type is priced and published online. No sales calls required to know exactly what you'll pay.
- Clean web portal. Modern, intuitive interface for manual claim submission, tracking, and reporting.
- Well-documented APIs. Rare for a smaller clearinghouse. Clean REST API and SFTP options make it easy to integrate with other tools.
- Knowledgeable support. You get a real person who understands billing. Issues get resolved quickly.
- Reasonable onboarding. Simple setup process. Most practices are up and running within about a week.
Weaknesses
- Smaller company. Independent operation means fewer resources than enterprise competitors. Less R&D investment.
- No AI or predictive tools. No denial prediction, no predictive analytics, no automated denial management. Core clearinghouse only.
- Integrated with smaller EMR options. Native integrations with Elation, Jane App, and other smaller EMRs. Larger systems may require SFTP configuration.
- Per-claim costs at very high volume. At extremely high volumes (100K+ claims/month), per-claim pricing may exceed flat-rate enterprise deals.
EMR Integrations
Claim.MD integrates with many EMR and practice management systems, including:
- Elation Health (built-in)
- Jane App (built-in)
- ChiroTouch
- Kareo (Tebra)
- AdvancedMD
- CollaborateMD
- Therabill
- Most PM systems via SFTP
Pricing
| Transaction | Price |
|---|---|
| Claims | $0.25/claim |
| Eligibility Checks | $0.10/check |
| ERA Retrieval | Free |
| Claim Status | $0.10/inquiry |
No monthly minimums, no setup fees, no contracts. Volume discounts available. Unlimited plan available at approximately $100/month.
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