Why usage instead of bundled mystery fees?
Claims and the network traffic behind them carry real costs. Rather than bury that in one bundled number, Medi prices each piece where you can see it.
Pricing
Per claim, starting at
$1.00/ claim
One service line or twelve, the price is the same, and the remittance is included, so nothing is added when the 835 posts. Fixing a claim before it sends is free; the charge only lands when the claim transmits to the payer.
No monthly fee, no per-practice fee, no per-provider fee. The bill tracks the claims you send, so a client in credentialing or a slow month costs nothing.
Volume tiers
The full schedule, published.
Claims are counted per billing company per calendar month, across every client practice you run. Each claim is priced by its bracket, so the lower rates apply to the claims in those brackets and not to the whole month.
Monthly claim volume
Price
What falls in the bracket
First 1,000 claims
$1.00 / claim
Claims 1 through 1,000 in the month
Claims 1,001 to 5,000
$0.90 / claim
The next 4,000 claims in the month
Claims above 5,000
$0.80 / claim
Every claim past 5,000 in the month
If you send
Monthly claim cost
How it adds up
2,000 claims
$1,900
1,000 at $1.00 plus 1,000 at $0.90
6,000 claims
$5,400
1,000 at $1.00, 4,000 at $0.90, 1,000 at $0.80
15,000 claims
$12,600
1,000 at $1.00, 4,000 at $0.90, 10,000 at $0.80
Usage transactions below are billed on top of these totals, and only when you run them. Run your own numbers in the pricing calculator.
Additional usage
Other transactions, billed when you use them.
If a payer or outside network charges its own fee, that is separate from what Medi bills, and we never fold it into your subscription.
Transaction
Price
How it works
Eligibility check
$0.25
Per eligibility inquiry
Real-time claim status
$0.20
Per status inquiry
COB check
$1.50
Per coordination-of-benefits inquiry (rolling out now; enabled for your book at onboarding)
Insurance discovery
$1.50
Per discovery inquiry (rolling out now; enabled for your book at onboarding)
Claim attachment
$1.50
Per attachment transaction (rolling out now; enabled for your book at onboarding)
277CA acknowledgments
Included
Claim acknowledgments are tracked inside Medi with no separate usage line
PDF generation
Included
Generated inside Medi with no separate PDF fee
Migration
Switching is real work, so we price it honestly.
Moving a book of clients off an incumbent takes weeks of shared effort. You can have it done free by committing to a year, or pay a one-time fee and stay month to month. Either way, your data is always yours.
Path
Migration cost
How it works
12-month commitment
Free
White-glove migration included when you commit to a year
Month to month
$100 / practice
One-time, capped at $3,000; no contract, cancel anytime
Leaving Medi
Free
Full data export anytime, in standard formats, at no charge
There is no early-termination fee. The annual commitment is the only thing that locks in; your data never does.
How does a workspace get set up?
Through a demo and implementation review, so billing companies start with the right practices, users, and permissions in place. You're only billed once claims start transmitting, at whatever bracket that volume falls in.
FAQ
Common pricing questions.
Straight answers to what billing companies ask before they sign.
How does claim pricing work?
Claims are counted per billing company per month and each claim is priced by its bracket. The first 1,000 claims are $1.00 each, claims 1,001 through 5,000 are $0.90 each, and every claim above 5,000 is $0.80 each. Line count does not change the price, and the remittance is included, so nothing is added when the 835 comes back and posts. There is no monthly fee, no per-practice fee, and no per-provider fee.
Do the lower rates apply to my whole month?
No, and we would rather say that plainly. The tiers are marginal, so each claim is priced by the bracket it lands in, not by your month's total. The count resets at the start of each calendar month: a slow month doesn't carry unused capacity forward, and a heavy month doesn't get charged back to the lower brackets you already used.
What if a claim is rejected or I have to resubmit?
Fixing a claim before it goes out is free, as many times as you need. A claim only counts once it actually transmits to the payer, so a scrub failure or a validation error that never leaves your queue costs nothing. A resubmission after a payer rejection or denial does count as one more transmitted claim, at whatever bracket you're in that month.
Why does Medi price per claim instead of per provider or per practice?
Per claim, not per provider and not per practice, and the rate steps down as your volume grows. Cost tracks the work you bill. A quiet client practice costs almost nothing, and a client that hires two more providers costs nothing extra until those providers start generating claims.
Is there a monthly platform fee?
No platform fee, full stop. Usage transactions like eligibility checks and COB inquiries are billed separately from claims, but only when you actually run them, so an idle account with no claims and no usage owes nothing for the month.
Is there a contract or a minimum?
No. Medi is month to month with no minimum. There is no early-termination fee, and exporting your data in standard formats is free at any time.
How much does migration cost?
Migration is free when you commit to a year. On month to month it is a one-time $100 per practice, capped at $3,000. Either way your data stays yours, and you can export it for free whenever you want.
Are the other transactions priced separately?
Eligibility is $0.25 and claim status is $0.20. COB, insurance discovery, and attachments are $1.50 each; they're rolling out now and get enabled for your book at onboarding. Claim acknowledgments and PDFs are included. You are billed for these only when you use them.