specification: API Commons Plans
specificationVersion: '0.1'
schema: https://raw.githubusercontent.com/api-evangelist/interface-research/main/schema/api-commons.yml#/$defs/Plans
provider: Claim.MD
providerId: claim-md
created: '2026-06-21'
modified: '2026-06-21'
reconciled: false
tags:
- Healthcare
- Medical Claims
- Clearinghouse
- EDI
- X12
- Plans
description: >-
  Claim.MD pricing is quoted per provider through its sales team and is not
  published as fixed public self-service tiers. Pricing is typically structured
  per billing provider / NPI with clearinghouse transaction processing
  (claims, ERA, eligibility) included. Software vendors integrate through a
  separate partner program. Exact per-provider rates are not publicly listed
  and are not reconciled in this artifact.
notes: >-
  Contact Claim.MD sales for current per-provider pricing and software-vendor
  partner terms. Values below are structural placeholders, not confirmed rates.
sources:
- https://www.claim.md/services-providers
- https://www.claim.md/services-software-vendors
- https://www.claim.md/contact
plans:
- id: claim-md-provider
  name: Provider
  type: subscription
  description: >-
    Per-provider clearinghouse access for healthcare providers and billing
    services, covering electronic claim submission, claim status, ERA, and
    eligibility. Priced per billing provider via sales.
  entries:
  - label: Per-Provider Subscription
    name: per_provider
    type: flat
    metric: provider
    limit: -1
    timeFrame: month
    geo: us
    unit: 1
    price: contact sales
    userMultiplied: true
  elements:
  - name: Claim Submission (837P/837I)
  - name: Claim Status
  - name: ERA / Remits (835)
  - name: Eligibility (270/271)
  - name: Provider Enrollment
- id: claim-md-software-vendor
  name: Software Vendor
  type: enterprise
  description: >-
    Partner integration program for practice-management and EHR software
    vendors embedding Claim.MD clearinghouse services for their customer base.
    Negotiated terms via sales.
  entries:
  - label: Vendor Integration Agreement
    name: vendor_integration
    type: flat
    metric: contract
    limit: -1
    timeFrame: year
    geo: us
    unit: 1
    price: contact sales
    userMultiplied: false
  elements:
  - name: API Integration
  - name: White-Label Clearinghouse
  - name: Webhook Notifications
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com