Priced like billing. Comes with a front office.
Most billing companies won’t put a number on their website. We do: a flat monthly fee set by how many encounters you see, so a good month doesn’t cost you more. Or pay 8.0% of collections instead. No per-provider fees: the price depends on your specialty, not your headcount.
Full billing & coding
We become your billing partner and run your front desk’s systems: coding every visit from the note, eligibility checks, claims, denials and appeals, payment posting, patient balances, and the no-show and card fees your policy allows. Everything except prior authorizations.
Billing and front desk included, for up to 260 encounters a month. One flat fee by volume, no per-provider fees.
| Encounters a month | Monthly fee |
|---|---|
| 0–260 | $3,700 |
| 261–325 | $4,150 |
| 326–390 | $4,600 |
| 391–455 | $5,050 |
| 456–520 | $5,500 |
| 521–585 | $6,200 |
| 586–650 | $6,900 |
| 651–715 | $7,600 |
| 716–780 | $8,300 |
| 781–845 | $8,950 |
| 846–910 | $9,650 |
| 911–975 | $10,350 |
976 and up: we'll quote it. Spread over every visit, the fee works out to about $10.58–14.23 an encounter, for billing, coding and the front desk together.
How the band is set
From your three-month rolling average, so one slow or busy month doesn’t move your bill. Each contract agrees an encounter cap for the band, so you’re never billed for volume we didn’t plan for together.
What’s included
Billing, coding and front-desk management for one price: every visit coded from the note and reviewed by a biller, insurance eligibility checked before the visit, claims through to payment, denials and appeals, posting and patient balances, Odin and Huginn set up and run for your front desk, and monthly reporting. The one thing not included is prior authorizations.
Terms
Month-to-month. Your data stays yours and leaves with you if you go.
What the fee replaces
Compare the fee with running billing yourself, not with a company that only sends claims. One in-house biller costs about what our fee does, and you get coding, eligibility and the front desk on top.
| An in-house biller and coder | $4,000–5,000 a month | One person's salary, payroll taxes and benefits, with nobody covering when they're out. |
|---|---|---|
| Eligibility checks and callbacks | 1–2 front-desk hours a day | Insurance checked before every visit, and missed calls on one follow-up list. |
| Coding review | Usually skipped | Every visit coded from the note and checked before the claim goes out, so add-on codes aren't left behind. |
| Front-desk systems | Separate software | Odin and Huginn instead: the daily work list, care gaps and wellness visits, and calls answered with the patient's card open. |
Typical costs for a small practice. Yours may differ.
Full billing & coding, as a share of collections
The same service as the encounter bands, paid as a percentage of what we collect. If you have capitated plans, capitation is priced separately and lower, because the work is encounter reporting and HCC coding, not chasing claims.
of claim collections. No per-provider fees.
| Claim collections | 8.0% | Insurance and patient payments on the claims we send. |
|---|---|---|
| Capitation | 3.5% | Only if you have capitated plans. Covers the encounter reporting and HCC coding that set your rate. Plans that do their own billing are left out. |
| Quality and incentive bonuses | 15% of growth | Opt-in. Nothing on the bonuses you already earn; we share only in the increase we help you reach. |
| No-show and late fees | 8.0% | Only on fees patients actually pay, and never where payer rules prohibit them. |
Includes the same billing, coding, eligibility and front-desk management as the encounter price. The one thing not included is prior authorizations.
These are our published prices. Your practice is a conversation.
What moves the price is your specialty and your mix of plans, not how many providers you have. We’ll look at your own numbers and agree terms that fit. Talk to us about your practice.
What changed at a practice we bill for
Results at a one-provider primary care practice in Florida whose billing we have run since October 2024.
Figures from our own billing data for one practice. Every practice is different and we don't promise a result; we'll show you what your own data says before you sign anything. Read the case study.
Billing support: your biller stays
For practices with their own biller who want backup instead of a replacement. A flat monthly fee by volume.
Support — small
Support — medium
Support — large
What support can include
Eligibility checks for the front desk, coding review on your biller’s drafts, denial and AR work they don’t have time for, fax intake with human review, payer and fee schedule review, and monthly reporting. We agree the mix with you.
Aged AR and denials
Want us to work old AR and denied claims behind your biller? That can be priced on what we recover instead of a flat fee.
Tools on their own
For practices that want one of our tools without the billing service.
Timeclock
$2.90 per user a month. Punches, missed-punch fixes, time-off approvals and pay-period review. About Timeclock
Phones and texting
$299 a month for the practice, all offices, plus $500 setup. Unlimited users and extensions, with up to 14,000 call minutes and 15,000 texts a month included. Beyond that, 2¢ a minute and 3¢ a text, and we’ll tell you before a month goes over. A long text, such as one with a link, can count as two. It’s the system Huginn runs on.
Phones on staff computers are included. Desk phones are bought as you need them, at our cost. Phones on staff iPhones and Android phones are available with an extra setup fee for each.
Clinic Flow
Quoted per practice, since it depends on how many rooms you have. About Clinic Flow
IT support
Remote, business hours, month-to-month. Covers our standard computers, Windows and Mac, and hosting and upkeep of the practice website. What IT support covers.
IT — basic
- Help desk by ticket and email
- Remote support sessions
- Firewall and antivirus
- 24-hour response
IT — standard
- Everything in basic
- Office network, Wi-Fi and VPN
- Single sign-on for staff
- 12-hour response
IT — premium
- Everything in standard
- HIPAA security review
- Disaster recovery planning
- Dedicated contact
- 4-hour response
Want us to look at your billing?
Send us a note or call. We will ask about your volume, your payers and what your front desk fights with, then tell you plainly whether we can help.