01
Limited Pilot / Review Batch
Best for practices that want to evaluate Cliniclaim before ongoing support.
- Defined review scope
- Claims or A/R review
- Communication and workflow evaluation
- Clear result summary
- Pilot-first starting option
Pricing
FLEXIBLE BILLING SUPPORT BASED ON SCOPE.
Choose an engagement model based on practice needs, workflow complexity, software access, reporting expectations, and agreed billing support scope.
02
Complete Billing Support Package
Best for consistent support across the billing workflow.
- Eligibility and data review
- Claim submission support
- Rejections and denials
- A/R follow-up and payment posting
- Regular reporting cadence
03
Focused Workflow Support
Best for practices that need help with a specific billing queue.
- Denial support
- Old A/R follow-up
- Payment posting
- Eligibility checks
- Overflow billing work
04
Hourly Support
Best for mixed workflows, cleanup work, and flexible weekly needs.
- Backlog cleanup
- Mixed billing tasks
- Flexible weekly support
- Time and task reporting
- Scope-based collaboration
Final pricing depends on specialty, claim volume, software environment, access requirements, workflow complexity, reporting needs, and agreed scope.
Comparison
CHOOSE THE MODEL THAT FITS.
| Feature | Limited Pilot / Review Batch | Complete Billing Support | Focused Workflow Support | Hourly Support |
|---|---|---|---|---|
| Best for | Evaluation before ongoing support | End-to-end billing workflow support | Specific queues or work areas | Mixed or changing workflows |
| Scope type | Small defined batch | Ongoing scoped workflow | Focused service area | Flexible task blocks |
| Billing style | Limited pilot | Package-based support | Queue or workflow based | Time-based support |
| Flexibility | Defined starting point | Structured operating model | Targeted assistance | Highest flexibility |
| Reporting | Result summary | Regular cadence reports | Queue and status reporting | Time and task reporting |
| Ideal use case | Pilot or review batch | Claims, denials, A/R, payments, reporting | Denials, old A/R, eligibility, posting | Overflow and cleanup work |
FAQ
PRICING QUESTIONS.
Do you guarantee reimbursement?
No. Cliniclaim supports billing workflows, corrections, follow-up, and reporting within scope, but reimbursement depends on payer rules, documentation, eligibility, provider information, coding, and other factors.
Can we start with a small pilot?
Yes. A limited pilot or review batch can help your practice evaluate Cliniclaim's communication, workflow, and attention to detail before committing to ongoing support.
Can Cliniclaim work with our in-house billing team?
Yes. Cliniclaim can support overflow work, denials, old A/R, or a specific part of the billing process.
How is client information handled?
Cliniclaim uses controlled access, confidentiality expectations, secure business communication practices, documented workflows, and client-approved systems. Where PHI is involved, a business associate framework may apply.
What documents are used during onboarding?
Depending on the engagement, documents may include a proposal, Statement of Work, Master Services Agreement, Business Associate Agreement, Non-Disclosure Agreement, onboarding checklist, and client-specific SOP.
Do you provide medical, legal, or compliance advice?
No. Cliniclaim provides administrative medical billing support only.
Is pricing fixed?
Final pricing depends on specialty, claim volume, software environment, access requirements, workflow complexity, reporting needs, and agreed scope.