Straightforward monthly pricing
Affordable, published rates for the care, billing, documentation review, or 835 remittance workflow you need. Pay month to month for the products and usage you choose.
Each product can be discussed on its own. We confirm program, payer, and implementation fit on the demo.
Care operations
$299/month platform fee
+ $7.99 per active participant
For case management or Adult Day Health Care (ADHC) agencies organizing service records and staff review.
Claims
$1.20/submitted claim
+ $0.30 per claim successfully reconciled automatically, or $0.10 per claim in a parsed manually uploaded 835 file
For billing teams submitting claims through supported clearinghouse routes, with or without a Care Module. Submitting and automatically reconciling the same claim totals $1.50 across both steps.
Billing customers do not pay the standalone ERA Dashboard's $99 monthly base for manual uploads.
Explore Billing / RCMHuman-reviewed evidence
$299/month Starter
For teams reviewing uploaded PDFs against agency-configured criteria. Authorized people verify evidence-linked flags and decide follow-up.
Remittance review
$99/month
+ $0.10 per claim in each parsed ERA file
For billing staff reading 835 files alongside their current clearinghouse, EMR, or billing platform.
| Tier | Monthly rate | Included reviews | Each additional review |
|---|---|---|---|
| Starter | $299 | 500 | $1.00 |
| Growth | $599 | 1,250 | $0.60 |
| Scale | $1,199 | 3,000 | $0.50 |
| Enterprise | From about $2,000 | Scoped to your needs | Discuss on the demo |
The Compliance Review tiers cover the compliance checker and copy-paste checker; ask which checks are included in your tier during the demo. No platform fee for standalone compliance review.
One Care Portal connects documentation, oversight, and reimbursement work shaped by Medicaid program operations. Choose the modules your team needs instead of managing separate workarounds for each step.
Keep participant information, notes, authorizations, and staff review together in a Care Module.
Use Billing for claims and follow-up, or the standalone ERA Dashboard when you only need remittance review.
Guided organization setup, role configuration, one hands-on training, and email and phone support are included. Onboarding scope is reviewed on the demo.
Start with a Care Module. Add Billing with separate counts for submitted claims and each 835 reconciliation method.
Workflow fit
Case Management or ADHC? Both use the same platform and participant rate. Choose the module that matches your service documentation.
Count each claim under only one reconciliation method. Reconciled claims may come from an earlier month's submissions.
Need Billing alone or Compliance Review? Review Billing or compare review tiers above.
Monthly estimate
Based on published rates; actual module fit and onboarding scope are confirmed on the demo.
This is an estimate, not a quote. Billing customers do not pay the standalone ERA Dashboard's $99 monthly base for manual uploads.
Illustrative monthly calculations using published rates. These examples assume each submitted claim is also successfully reconciled automatically in the same month.
45 active participants · 300 submitted and auto-reconciled claims
90 active participants · 600 submitted and auto-reconciled claims
1,000 submitted and auto-reconciled claims · no Care Module
Yes. Bring your participant count, claim volume, current tools, and workflow gaps to the demo. We can review module fit and implementation scope together.
The RCM module supports Medicaid and Medicaid MCOs, Medicare and Medicare Advantage, and commercial payers through supported clearinghouse workflows. Payer enrollment and supported clearinghouse routes govern submission.
Yes. Billing is a standalone module. Keep your existing documentation workflow or connect Billing to Case Management or the ADHC Care Module.
Billing costs $1.20 per submitted claim. Automatic 835 reconciliation adds $0.30 only for each claim successfully reconciled automatically. Manually uploaded 835 files cost $0.10 per claim in each parsed file instead. A claim submitted and automatically reconciled totals $1.50 across both steps.
No. Billing customers can manually upload 835 files at $0.10 per claim in each parsed file without the standalone Dashboard's $99 monthly base. The standalone Dashboard remains $99/month plus $0.10 per claim in each parsed file.
Yes. It is sold separately at $99 per month plus $0.10 per claim in each ERA file One Care Portal parses. Keep your current clearinghouse, EMR, or billing platform.
Guided organization setup, custom contact note configuration, role setup, one hands-on training, and email and phone support are included.
The monthly base is $99 plus $0.10 for each claim in an ERA file One Care Portal parses. For example, an ERA file with 2,000 claims costs $99 + $200 = $299/mo. This product is separate from Care Module platform and participant pricing.
Case Management connects assessments, care plans, visit notes, authorizations, signatures, participant records, scheduling, staff workflows, document storage, and supervisor review. Billing / RCM is a separate module for claim submission, denials, 835 ERA posting, and reconciliation through supported payer routes.
No. One Care Portal products are month to month, with pay-as-you-go usage according to the published participant, claim, or ERA Dashboard rates.
We’ll walk through your care and billing workflows, confirm product fit, and discuss onboarding scope.
Book a 30-minute demo