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.
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
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