name: Axxess FinOps
description: Financial operations guidance for teams consuming the Axxess API. Covers cost structure, billing policies, compliance obligations, and strategies for managing API integration costs within the Axxess platform.
url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html
costStructure:
  publicAPI:
    description: Access to Axxess public CEHRT APIs (g.7, g.8, g.9) is provided at no charge under the Axxess API Usage Policy.
    price: 0
    currency: USD
    notes:
      - No fee for CEHRT-compliant API access
      - Governed by non-exclusive, non-transferable license
      - All applicable taxes are the responsibility of the licensee

  enterpriseIntegration:
    description: Custom enterprise API and integration agreements carry fees defined in the applicable service order form. All fees are non-refundable and payable in US dollars.
    price: Custom
    currency: USD
    billingTerms: Net 15 from invoice date
    notes:
      - Fees non-refundable
      - Payable in USD
      - All applicable taxes borne by licensee
      - Governed by California law, venue in San Francisco

  softwareSubscription:
    description: Core Axxess EHR software subscriptions are separate from API costs. Home Health software starts at approximately $899 per user per month, with large enterprise implementations potentially reaching $150,000 total.
    priceRange:
      minimum: 899
      maximum: 150000
    currency: USD
    billing: Monthly
    notes:
      - No free trial available
      - Custom pricing for large organizations
      - Contact vendor for tailored quotes

billingPolicies:
  - name: Non-Refundable Fees
    description: All enterprise API and integration fees paid to Axxess are non-refundable.
    url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html

  - name: Payment Terms
    description: Enterprise invoices are due Net 15 from invoice date. All amounts are in US dollars.
    url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html

  - name: Tax Obligations
    description: The licensee (API consumer) is responsible for all applicable taxes associated with API access and integration services.
    url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html

  - name: Liability Cap
    description: Axxess limits its liability to amounts paid by the licensee under the agreement, with a minimum cap of $500.
    url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html

costOptimization:
  - name: Use Public APIs Where Possible
    description: Leverage the free CEHRT public APIs for federal interoperability compliance use cases (g.7, g.8, g.9) before negotiating enterprise integration agreements.
    url: https://engage.axxess.com/api.html

  - name: Monitor Call Volumes
    description: Track API call volumes against limits defined in Axxess developer documentation to avoid exceeding thresholds, which would require written consent for increases.
    url: https://engage.axxess.com/AxxessAPI_UsagePolicy.html

  - name: Evaluate Axxess Exchange Partners
    description: For clinical data exchange needs, evaluate Axxess Exchange (powered by Kno2) and existing interoperability partners (SureScripts, CarePort, Forcura) to avoid redundant custom integration costs.
    url: https://www.axxess.com/interoperability-partners/

  - name: Bundle Integration with Software Subscription
    description: Organizations already subscribing to Axxess EHR software should explore bundled integration options as part of their existing service agreement before pursuing standalone API contracts.
    url: https://www.axxess.com/

tags:
  - FinOps
  - API Costs
  - Healthcare
  - EHR
  - CEHRT
  - Interoperability
  - Billing