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UnclaimedRANK #02 · CLEARINGHOUSE & CLAIMS

Claim.MD

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

HQ
Austin, TX
FOUNDED
1980
TEAM SIZE
11-50 employees
ENGAGEMENT
Software
HighlightsReviewsVerificationNewsContact
NOT VERIFIED
§01 · 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.

§02 · 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.

§04 · Product details

What Claim.MD costs.

Pricing, deployment and integrations are self-reported by the vendor and re-attested each time the profile is updated. The figure below carries the month it was last confirmed.

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
§06 · Reviews

No published reviews yet.

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§07 · Verification

What we checked.
What we couldn't.

Every check is dated and re-runnable. If you can't reproduce the result with the source we cite, file a correction.

Verified Client Reviews
0
Overall Review Rating
Last Updated
Apr 22, 2026
OWNR
Ownership claim
No representative has claimed this profile yet.
PENDING
SITE
Website on file
https://www.claim.md
VERIFIED
§09 · News

What the press is saying.

Third-party coverage of Claim.MD, automatically discovered and filtered for relevance. We don't edit it. Click through to read the source.

§08 · Contact

Reach out to Claim.MD.

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