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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
HighlightsCase studiesReviewsVerificationNewsContact
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.

What they do
REVENU
Revenue Cycle Management
Billing & RCM Firms
AUTHOR
Authorization Management
Billing & RCM Software
CLAIMS
Claims Submission
Billing & RCM Software
DENIAL
Denial Management
Billing & RCM Software
ELIGIB
Eligibility Verification
Billing & RCM Software
PAYMEN
Payment Posting
Billing & RCM Software
CLAIM-
Claim Scrubbing
Clearinghouse & Claims
CLAIMS
Claims Processing
Clearinghouse & Claims
§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.

Product details

Starting price
$30/mo as of May 2026
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.
Deployment
Cloud
Free tier
No
Integrations
ABA Matrix, Jane, NowMD
§06 · Reviews

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§07 · Verification

What we checked.
What we couldn't.

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Verified Client Reviews
0
Overall Review Rating
Last Updated
Apr 22, 2026
OWNR
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PENDING
SITE
Website on file
https://www.claim.md
VERIFIED
§09 · News

What the press is saying.

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§08 · Contact

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