Packages & Pricing

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Features, Packages, and Pricing to Fit Your Practice

Subscriptions are available in multiple levels and we will work with you to create a package that meets your specific needs. Here are the basics to give you an idea of features included in each subscription type.

Clearinghouse Features and Benefits

✔	Hundreds of payers	Coverage for most medical and vision insurance programs
✔	Enrollment assistance	Performed by us for you at no charge
✔	Training and setup	Performed by us for you at no charge
✔	Telephone and email support	Extended business hour support at no charge
✔	Eligibility & benefit checks	Easy online process
✔	Online claims submission via website or most practice management applications	Flexible solution doesn't disrupt your practice
✔	Instant claim scrubbing, with Additional Payer Rules, to catch mistakes in real-time and prevent payment delays	Catch Medicare and other payer coding and procedure mistakes immediately. Our solution reduces denials by catching the issues the moment the claim is submitted rather than passing them through the payer where they deny
✔	Support for secondary claims	Automatic processing of primary and secondary claims
✔	Electronically fix rejected claims	Easy online process to correct filing errors and rejected claims
✔	Electronic resubmission of denials	No More Duplicate Denials or Paper Claims to Track
✔	Claim tracking	Always know claim status
✔	Robust, online reporting	Keep good financial controls
✔	Unlimited ERAs	Included at no extra cost
✔	Workgroups	Ability to route and prioritize rejections

Packages and Pricing

Tiers	Monthly Fee	# Transactions Included	Additional Transactions and/or paper claims	One Time Startup Fee	Annual Fee
1	$68	100	$0.49	$250	$0
2	$118	250	$0.49	$250	$0
3	$188	500	$0.49	$250	$0
4	$318	1000	$0.49	$250	$0
Custom	Call	Call	Call	$250	$0

Why We Are Different

✔	We only handle optometry claims so you have our full attention.
✔	Our instant claim scrubbing catches most errors so you can correct them without delaying payment.
✔	Online resubmission of denied claims reduces further delays in receiving payment.
✔	We'll enroll you with any payers requiring enrollment. We handle the Red tape.
✔	You have no limit on ERAs, they do not count toward your transactions.
✔	We have extended support hours to help you with any issues or training needs.
✔	Our reporting tells you where your claims are in the process and helps you manage your practice finances.

Additional transactions or paper claims are 0.49 each for all tiers.

Included transactions refer to the total number of claims and/or benefit checking transactions included in pricing tier. ERAs are unlimited and do not count toward your claims and/or benefit checking transaction totals. Additional pricing tiers are available for practices with more than 1,000 total transactions per month. Fees include billing for one tax id number. Auto-posting Files are included with any package containing claims submission and/or electronic remittance files.

*Note: Enrollment Assistance, Rejection Workgroups, High-level Claims Scrubbing, Electronic Resubmission, Robust Reporting and ERA Auto-posting are generally NOT included in competitor's base offerings.