Pricing
Simple pricing.
Every line item visible.
Three layers — subscription, usage, and performance share. Every percentage shown. Nothing hidden in the fine print.
Layer 1
Subscription
Predictable monthly fee. Picks the tier that matches your volume.
Layer 2
Per-unit usage
Per claim scrubbed, per letter generated, per contract analyzed. You only pay for what you use.
Layer 3
Performance share
A percentage of dollars we recover, overturn, or unlock for you. We only earn it when you do.
Stage 1 · Predict
ReimburseOS
Know what every payer should pay you, before the claim ever goes out. Backed by Transparency in Coverage MRF data.
One-time audits
Tier 1
Free Snapshot
$0
No credit card · sign-up gated
| Setup fee | $0 |
| Top CPTs sampled | Included |
| Single-payer view | Included |
| Performance fee | None |
Tier 2 · Most popular
Practice Audit
$497 one-time
Founding price $297 with code FOUNDING_AUDIT
| Setup fee | $0 |
| Per-audit fee | $497 |
| Top 100 CPTs analyzed | Included |
| Multi-payer comparison | Included |
| Performance fee | None |
Tier 3
Full-Panel Audit
$997 one-time
Every CPT · every payer in your panel
| Per-audit fee | $997 |
| All CPTs analyzed | Included |
| Full payer panel | Included |
| Renegotiation pack | Included |
| Performance fee | None |
Subscriptions
Pro · Most popular
Pro
$499/mo
Founding price $299/mo · locked for life
| Monthly fee | $499 |
| Unlimited rate lookups | Included |
| Continuous rate intelligence | Included |
| Quarterly market-shift alerts | Included |
| Performance fee | None |
Growth
Growth
$1,499/mo
For multi-location practices and groups
| Monthly fee | $1,499 |
| Unlimited rate lookups | Included |
| Multi-location dashboards | Included |
| Priority support | Included |
| Performance fee | None |
Summit Access · live event tickets
Tier 1
Summit Access
$297 one-time
Day pass · core sessions
| Ticket fee | $297 |
| Core sessions | Included |
| Recordings | Add-on |
Tier 2 · Standard
Standard Pass
$497 one-time
Full event · all sessions + recordings
| Ticket fee | $497 |
| All sessions | Included |
| Recordings + slides | Included |
Tier 3
Founder Pass
$1,397 one-time
VIP · founder dinner + 1:1 working session
| Ticket fee | $1,397 |
| All sessions + recordings | Included |
| Founder dinner | Included |
| 1:1 working session | Included |
Stage 2 · Prevent
Sentry OS
AI scrubs every outgoing claim and catches the denial-causing problems before the insurer ever sees it.
Tier 1
Starter
$99/mo
Best for < 2,000 claims/mo
| Monthly fee | $99 |
| Per-claim scrubbed | $0.05 |
| CARC code library | Included |
| Performance fee | None |
Tier 2 · Most popular
Practice
$0.10/claim
No monthly minimum
| Monthly fee | $0 |
| Per-claim scrubbed | $0.10 |
| CARC code library | Included |
| PMS sync | Included |
| Performance fee | None |
Tier 3
Enterprise
$0.04/claim
Above 100,000 claims/mo
| Volume threshold | 100K+/mo |
| Per-claim scrubbed | $0.04 |
| SLA + dedicated support | Included |
| Performance fee | None |
Stage 3 · Fight
Denial OS
Auto-generated appeal letters that cite the contracted rate from the payer's own public TiC MRF. Math-backed, not generic.
Tier 1
Free
$0
For practices testing the engine
| Monthly fee | $0 |
| Letters per month | 1 |
| Fax credits | 0 |
| Delivery | Download only |
| Performance fee | None |
Tier 2
Starter
$49/mo
Solo practitioner
| Monthly fee | $49 |
| Letters per month | 10 |
| Fax credits | 10 |
| Delivery | Fax + PDF |
| Performance fee | None |
Tier 3 · Most popular
Practice
$199/mo
Multi-provider clinic
| Monthly fee | $199 |
| Letters per month | 50 |
| PMS sync | Included |
| Delivery | Fax + PDF |
| Performance fee | 20% |
| 20% of dollars overturned via appeal · opt-in | |
Tier 4
Enterprise
$499/mo
Multi-location group
| Monthly fee | $499 |
| Letters per month | Unlimited |
| Multi-PMS sync | Included |
| Dedicated success manager | Included |
| Performance fee | 20% |
| 20% of dollars overturned via appeal · on by default | |
Stage 4 · Recover
Reclaim OS
Auto-finds every underpayment by comparing what you were paid against what the contract says — then queues each one for appeal.
Tier 1 · Pure performance
Starter
$0/mo
No monthly fee. We earn only when you recover.
| Monthly fee | $0 |
| Setup fee | $0 |
| 835 ERA monitoring | Included |
| Performance fee | 25% |
| 25% of dollars recovered from the payer | |
Tier 2 · Most popular
Practice
$499/mo
Lower performance share when paired with subscription
| Monthly fee | $499 |
| 835 ERA monitoring | Included |
| Auto-queue to Denial OS | Included |
| Quarterly recovery report | Included |
| Performance fee | 15% |
| 15% of dollars recovered from the payer | |
Tier 3
Enterprise
$1,499/mo
Multi-location, white-glove ops
| Monthly fee | $1,499 |
| Multi-location 835 ERA | Included |
| Dedicated recovery analyst | Included |
| Performance fee | 10% |
| 10% of dollars recovered from the payer | |
Stage 5 · Renegotiate
Leverage OS
A renegotiation memo for every contract — backed by regional market data showing what other practices in your zip get paid.
Tier 1
Starter
$399/contract
1 contract per year
| Per-contract fee | $399 |
| Contracts included | 1 / year |
| Regional market p10/p50/p90 | Included |
| Performance fee | 5% |
| 5% of first-year contract increase · capped at $25,000 per renegotiation | |
Tier 2 · Most popular
Group
$2,990/yr
10 contracts per year
| Annual fee | $2,990 |
| Contracts included | 10 / year |
| Effective per-contract | $299 |
| Concierge memo edits | Included |
| Performance fee | 5% |
| 5% of first-year contract increase · capped at $25,000 per renegotiation | |
Tier 3
Enterprise
Custom
Unlimited contracts
| Annual fee | Talk to us |
| Contracts included | Unlimited |
| Dedicated negotiator | Included |
| Performance fee | 5% |
| 5% of first-year contract increase · capped at $25,000 per renegotiation | |
Buy more, pay less
Practice OS bundle.
All five products under one login, one dashboard, one bill. Subscription discounts compound — performance fees stay the same.
2 products
0%
No bundle discount
3+ products
15% off
All monthly subscriptions
All 5 products
25% off
Practice OS suite SKU
Important: Bundle discounts apply to subscription fees only. Per-claim usage fees and performance fees are never discounted — those scale with the value we deliver, not your tier.
Performance share · at a glance
We earn when you earn.
Every percentage we collect across the family — in one table.
| Product · Tier | What it's % of | Rate | Cap |
|---|---|---|---|
| Denial OS · Practice | Dollars overturned via appeal | 20% | No cap |
| Denial OS · Enterprise | Dollars overturned via appeal | 20% | No cap |
| Reclaim OS · Starter | Dollars recovered from payer | 25% | No cap |
| Reclaim OS · Practice | Dollars recovered from payer | 15% | No cap |
| Reclaim OS · Enterprise | Dollars recovered from payer | 10% | No cap |
| Leverage OS · All tiers | First-year contract increase | 5% | $25,000 per renegotiation |
| ReimburseOS · Free Snapshot | — ($0) | 0% | — |
| ReimburseOS · Practice Audit | — ($497 · $297 founding) | 0% | — |
| ReimburseOS · Full-Panel Audit | — ($997) | 0% | — |
| ReimburseOS · Pro | — ($499/mo · $299/mo founding) | 0% | — |
| ReimburseOS · Growth | — ($1,499/mo) | 0% | — |
| ReimburseOS · Summit Access | — ($297 / $497 / $1,397) | 0% | — |
| Sentry OS · All tiers | — | 0% | — |
Ready to start?
Open the demo platform and walk through every module — no credit card, no signup.