Pricing that scales with your claim volume.
Advanced AI does the heavy lifting and certified coding experts confirm every claim, so you get accurate, payer-compliant coding and audit at a competitive per-claim price, with no platform fees and no long contracts.
Less than you pay your coders & auditors today.
Most urgent-care and hospital operators spend more on manual medical coding and audit than they need to. ClaimPrism AI typically runs 20–40% below your current coding & audit fees, the same certified-expert oversight, with far less overhead. We'll show your exact savings against your current spend on your revenue check.
Find your fit, priced to your volume.
No fixed list price. We recommend the right tier from your number of care centers and per-center claim volume, then we beat what your current coding & audit house charges. You see it all on your revenue check.
- AI coding + certified review on every visit
- Payer-specific claim checks before submission
- Recovered-revenue & denial reporting
- Everything in Essentials
- Denial-prevention dashboards
- Per-location revenue visibility
- Everything in Growth
- Dedicated integration lead
- Ongoing payer & CMS rule tuning
- Everything in Professional
- Custom integration & SLAs
- Volume-based pricing across sites
We’ll beat your current claim house. Bring us what you pay today for coding & audit, we’ll show you a lower, competitive per-claim price with the same certified-expert oversight, and prove the savings on your revenue check.
Try it on real claims, on our dime.
New ClaimPrism AI partners get their first 100 claims free for one designated care center. We integrate, code your visits with certified-coder review, and show you the recovered revenue before you pay a thing. No commitment.
on us
What operators ask first.
No. ClaimPrism AI reads the notes your team already writes in your EHR. There's no new template, no extra clicks for providers, the work happens after the visit, not during it.
No, and that's deliberate. AI does the fast first pass and flags under-capture, but certified coders review and you approve before submission. Human-in-the-loop is how coding stays accurate and defensible.
ClaimPrism AI is built to fit alongside the major EHR/PM and hospital information systems used across U.S. urgent care and hospital settings. Tell us what you run and we'll confirm the integration path on your revenue check.
The opposite. ClaimPrism AI is built for independent operators with 1–10 locations who need enterprise-grade coding without standing up an enterprise RCM department.
Yes. ClaimPrism AI codes CMS-1500/837P professional claims for urgent care, ED, and physician encounters, and UB-04/837I facility claims for hospital inpatient and outpatient, including ICD-10-PCS, MS-DRG, and APC/OPPS logic where applicable.
To HIPAA and HITECH standards, with a BAA available, encryption in transit and at rest, role-based least-privilege access, and a full audit trail on every coded claim, built to withstand a CMS, RAC, or CERT review.
Three light steps: on your revenue check we confirm your EHR fit and review sample charts; we connect to your EHR and configure payer rules; then we begin chart review. Your clinicians don't change anything.
It depends mainly on access to your EHR/PM system, but onboarding is intentionally light, we handle the integration setup, and your first 100 claims are free for one designated center.
Usually the owner, billing lead, or RCM/operations lead. ClaimPrism AI works behind your existing billing process, so a single point of contact is enough to get started.