See if you qualify. Pay only for completed checks.
Eligible new organizations start with 50 completed checks free after production approval and payment-method setup. After the one-time promotion, graduated volume discounts apply to paid completed checks under the current pricing terms—without a fixed monthly, setup, location, provider, or monthly-minimum fee.
Start with 50 completed checks free — for eligible new organizations
Lower rates apply as paid usage grows
No charge for unsuccessful checks
One usage model
Medical, dental, therapy, behavioral-health, and other supported eligibility workflows
50
completed checks free
Available once per eligible organization for 7 days after production activation.
$0
$0
$0
$0
Paid usage graduates automatically
From $3.49 to $2.49 per paid completed check, applied by range.
Workflow, handoffs, history, and reports included
Lower rates apply automatically as paid usage grows.
The first paid tier is $3.49 per completed eligibility check after your free allowance. Promotional completed checks are free and do not count toward paid-volume tiers; each graduated rate applies only inside that range.
Compare common monthly volumes.
Choose paid completed checks after any free promotional checks have been used.
$1,620.00
Average $3.24 per paid completed check.
$125.00 less than pricing every paid check at $3.49
Each lower rate applies only to checks within that paid-usage range
Unsuccessful checks and automatic retries remain $0
Every range has one published rate.
| Paid checks in a billing period | Rate in that range |
|---|---|
1–250 | $3.49 each |
251–500 | $2.99 each |
501–and above | $2.49 each |
Paid-volume tiers reset at the beginning of each monthly billing period, based on the organization’s billing-activation date. The period may not align with the calendar month, and the one-time founding allowance does not reset monthly.
The workflow is included—not added line by line.
Medical, dental, therapy, behavioral-health, and other supported eligibility workflows use the same workspace, graduated usage counter, and operational tools; service type changes the request and result—not the customer price.
PT, OT, speech, behavioral health, chiropractic, acupuncture, urgent care, and telehealth use the same published pricing model.
Eligibility and benefits verification workflows
Run a single patient or prepare multiple editable checks from a CSV schedule using the same usage model.
Coverage and benefit detail organized for staff
Keep the requested-service answer close to payer-returned benefit rows, cautions, and deeper Check Details.
Front-desk and billing handoffs
Copy a concise staff summary, preserve billing context, and produce summary or full-audit PDF reports.
Controls without another fixed fee
Use role-based access, notes, follow-up, usage visibility, optional alerts, and Owner-controlled hard limits.
Compare the complete fee model—not only the headline rate.
A useful comparison includes fixed commitments, setup costs, billed outcomes, and the depth of the result—not only the advertised per-check number.
Fixed commitments
Is there a monthly, location, provider, or minimum-use charge before any verification is completed?
Setup and activation
Are implementation, onboarding, activation, custom-form, or integration fees billed separately?
Unsuccessful transactions
Are failed, duplicate, retried, or otherwise unsuccessful checks still billed?
Depth of verification
Does the published rate cover the eligibility and service-level detail your team actually needs?
ClearClaim’s published model: $0 platform, setup, location, provider, or monthly-minimum fee; $0 for failed checks and automatic retries; one graduated usage model for medical, dental, therapy, behavioral-health, and other supported eligibility workflows.
Founding promotion
Available once per eligible organization and valid for 7 days after production activation. A valid payment method and production approval are required. A response confirming active, inactive, or terminated coverage is a completed result even when the payer omits optional benefit details. Failed transactions and automatic retries are not billed and do not use the free allowance. Benefit detail varies by payer and plan. Prices exclude applicable taxes.
Evaluate the workflow before you scale it.
Start with the founding allowance, inspect a fictional sample result, or schedule a focused walkthrough for your team. Enterprise, Developer API, and custom multi-location contracts remain separate.
All ClearClaim operations are U.S.-based