{"id":183328,"date":"2026-08-18T07:29:36","date_gmt":"2026-08-18T07:29:36","guid":{"rendered":"https:\/\/pabau.com\/?p=183328"},"modified":"2026-08-18T11:43:40","modified_gmt":"2026-08-18T11:43:40","slug":"claim-md-pricing","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/blog\/claim-md-pricing\/","title":{"rendered":"Claim.MD pricing: Plans, add-ons, and what practices pay"},"content":{"rendered":"
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Key takeaways<\/h3>\n <\/div>\n
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Claim.MD publishes three plans: Basic at $30 a month, Small Volume at $60, and Unlimited at $120.<\/p>\n <\/div>\n

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The tiers meter volume, not capability. Every plan sends 837P and 837I claims, CSV files, print image files, and electronic appeals.<\/p>\n <\/div>\n

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Transactions above your monthly allowance are billed per item, and paper claims, attachments, and extra tax IDs sit outside every plan.<\/p>\n <\/div>\n

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A practice sending 300 claims a month pays $120 on Unlimited, against $385 on Small Volume. The tier choice matters more than the sticker price.<\/p>\n <\/div>\n

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Pabau partners with Claim.MD, but you sign up with Claim.MD and pay for the plan directly. Pabau charges nothing extra for the connection.<\/p>\n <\/div>\n <\/div>\n <\/div>\n \n\n\n

Claim.MD publishes three plans: Basic at $30 a month, Small Volume at $60, and Unlimited at $120. Those are the sticker prices, taken from Claim.MD<\/a> and verified in August 2026.<\/p>\n\n\n\n

One disclosure first. Claim.MD is the clearinghouse<\/a> behind insurance claims in practice management software like Pabau, and we partner with them commercially. Every figure on this page comes from Claim.MD’s own published pricing.<\/p>\n\n\n\n

The tier card tells you the monthly fee. It doesn’t tell you what a practice sending 300 claims a month pays once eligibility checks and overage rates are counted. So this page models three volumes and shows the arithmetic.<\/p>\n\n\n\n

Claim.MD pricing plans explained<\/h2>\n\n\n\n

The three plans differ by how many transactions are included each month. Capability is identical across all three, which is unusual for a clearinghouse and changes how you pick a tier. You are buying volume, so the only question is how much of it you need.<\/p>\n\n\n\n

Basic, $30 a month<\/h3>\n\n\n\n

Basic is the pay-as-you-go tier. Nothing is included in the monthly fee. Every claim, eligibility check, and electronic remittance advice<\/a> (ERA) is billed at $0.30. Claim.MD positions it for submitters sending a small number of claims per tax ID, and the arithmetic backs that up.<\/p>\n\n\n\n

Small Volume, $60 a month<\/h3>\n\n\n\n

Small Volume includes 100 claims, 100 ERAs, and 100 eligibility checks each month. Those are three separate allowances, not a shared pool of 100. Past them, every extra transaction is $0.50. Claim.MD pitches this tier at single-doctor practices.<\/p>\n\n\n\n

Unlimited, $120 a month<\/h3>\n\n\n\n

Unlimited covers unlimited claims and unlimited ERAs, plus 1,000 eligibility checks<\/a> a month. Eligibility is the only metered item left. Checks past 1,000 are $0.02 each for prime payers and $0.10 for non-prime. It is also the only plan that lists a rate for additional billing tax IDs.<\/p>\n\n\n\n

Plan<\/th>Monthly price<\/th>Included each month<\/th>Rate above the allowance<\/th>Claim.MD’s own fit<\/th><\/tr><\/thead>
Basic<\/b><\/td>$30<\/td>Nothing included<\/td>$0.30 per claim, ERA, or eligibility check<\/td>A small number of claims per tax ID<\/td><\/tr>
Small Volume<\/b><\/td>$60<\/td>100 claims, 100 ERAs, 100 eligibility checks<\/td>$0.50 per claim, ERA, or eligibility check<\/td>Single-doctor practices<\/td><\/tr>
Unlimited<\/b><\/td>$120<\/td>Unlimited claims, unlimited ERAs, 1,000 eligibility checks<\/td>Eligibility only, at $0.02 prime or $0.10 non-prime<\/td>Higher, steady claim volume<\/td><\/tr><\/tbody><\/table>
Plan prices and allowances published by Claim.MD, verified August 2026.<\/em><\/figcaption><\/figure>\n\n\n\n

Every plan accepts 837P and 837I<\/a> files, CSV and XLS uploads, and print image files. Electronic appeals are on all three too. Nothing is locked behind the higher tiers, which is worth knowing before you pay for headroom you don’t need.<\/p>\n\n\n\n

What costs extra<\/h2>\n\n\n\n

Four things sit outside the monthly fee:<\/p>\n\n\n\n