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Claim.MD

Electronic claims clearinghouse with real-time claim status and ERA processing.

HQ
Austin, TX
FOUNDED
1980
TEAM SIZE
11-50 employees
STARTING PRICE
$30/mo
For owners

Work at Claim.MD? Claim this listing free → Owners edit the profile directly, and the facts buyers decide on are 35 of the 100 Index points.

Overview

About Claim.MD.

Claim.MD offers affordable per-provider clearinghouse access for practices and billing companies. It supports electronic claims, ERAs, eligibility checks, and direct payer enrollments and is a common alternative to the larger national clearinghouses.

Approach

How Claim.MD works.

Claim.MD is a leading EDI clearinghouse providing innovative, affordable electronic claims management solutions for healthcare providers and billing companies. Founded in 1980, the company has maintained long-term relationships with many of its original customers and continues to serve as a cost-effective alternative to larger national clearinghouses.

The platform streamlines the claims process through secure electronic claims submission, real-time claim status tracking, ERA (Electronic Remittance Advice) processing, eligibility verification, and direct payer enrollments. Claim.MD's extensive insurance network connects providers to Medicare, Medicaid, Blue plans, and thousands of commercial insurance companies across the United States, enabling efficient cash flow management.

Claim.MD operates with transparent pricing models including per-claim rates, monthly subscriptions, and enterprise solutions. All services include secure claims processing, validation, and customer support. The company maintains EHNAC accreditation, CAQH CORE certification, and SOC 2 certification to ensure safe and secure transactions for healthcare organizations.

Product details

What Claim.MD costs.

Nobody from Claim.MD manages this listing yet. The starting price carries the month it was last confirmed. Check current pricing with the vendor before you buy.

Starting price
$30/moas of May 2026
Deployment
CloudWhere the product runs
Free tier
NoNo free plan
Pricing notes
3 tiers: Basic $30/mo (pay-as-you-go, few claims), Small Volume $60/mo (solo/single provider), Unlimited $120/mo (100+ claims/mo). No setup fees, no annual contracts, no per-provider charges. Special pricing available for Jane App users.
Integrations10 LISTED
ABA MatrixJaneNowMDOffice PuzzleAcuBlissCounselEAREmpower EMREMR-BearEZClaimHealthie
Reviews

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Verification

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Client Reviews
0
Overall Review Rating
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Last Updated
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OWNR
Ownership claim
No representative has claimed this profile yet.
PENDING
SITE
Website on file
https://www.claim.md
ON FILE
How this listing is scored40 of 100 · T-1 in Clearinghouse & Claims · No change since Oct 16
Qualified reviews0 / 60No published reviews yet
Decision facts35 / 358 of 8 disclosed
Primary-category fit5 / 5Clearinghouse & Claims is its main category

Decision facts for this kind of listing:

  • Disclosed: Pricing +7
  • Disclosed: Integrations +5
  • Disclosed: Price checked recently +4
  • Disclosed: Deployment model +4
  • Disclosed: Capabilities +4
  • Disclosed: Free tier or trial +3
  • Disclosed: Description +4
  • Disclosed: Website +4

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News

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Buyer FAQ

Common questions about Claim.MD.

Answered from the details on this profile, and rebuilt whenever the listing changes.

§FAQ.01

How much does Claim.MD cost?

The listed starting price for Claim.MD is $30/month. Claim.MD does not offer a free plan. Confirm current pricing with Claim.MD before you buy.

§FAQ.02

Is Claim.MD cloud-based?

Yes. Claim.MD is listed as a cloud-hosted product.

§FAQ.03

What does Claim.MD integrate with?

Claim.MD lists integrations with ABA Matrix, Jane, NowMD, Office Puzzle, AcuBliss, CounselEAR and 4 more.