# Medi pricing

> RCM software for medical billing companies, priced per claim. No monthly fee, no per-practice fee, no per-provider fee. ERA (835 remittance) posting is included in the claim price. Month to month, no minimum, free data export.

Canonical page: https://medibilling.app/pricing

## Per-claim schedule

Counted per billing company per calendar month. Each claim is priced by the bracket it falls in (marginal, not retroactive). Line count does not change the price.

| Bracket | Price | Notes |
|---|---|---|
| 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 |

### Worked examples

| Monthly volume | Total | Math |
|---|---|---|
| 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

Billed only when used.

| Transaction | Price | Notes |
|---|---|---|
| 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

Free with a 12-month commitment. On month to month, a one-time $100 per client practice, capped at $3,000. Data export is free at any time, and there is no early-termination fee.

## FAQ

### 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.

