Services Pricing

Straightforward Pricing. No Surprises.

Transparent, credit-based pricing. No hidden fees. No surprise billing. No upcharges. You know exactly what you’re paying and why.

How It Works

Three Tiers. Two Plan Options. Zero Hidden Costs.

Every authorization is assigned a tier based on complexity. Each tier costs a set number of credits. You purchase credits upfront in a bundle or monthly retainer (depending on auth volume) and use them as needed.

Tier Pricing

Three Complexity Tiers

Tier 1

Standard

1 Credit per Auth
Bundle $37.50
Retainer $35.00

Example Auths

  • Standard medication prior auths
  • Basic home health
  • EPSDT preventative screenings
  • Standard PT / OT / ST
  • Continuation & renewal auths
  • CPAP / BiPAP resupply
  • Routine DME supplies
Tier 2

Complex

2 Credits per Auth
Bundle $75.00
Retainer $70.00

Example Auths

  • TRICARE — all auth types
  • Power wheelchairs / CRT
  • AAC devices
  • ABA therapy
  • Home ventilator / high-acuity DME
  • Enteral nutrition / feeding pump
  • Custom orthotics & prosthetics
  • First-level appeals
  • Expedited / urgent auths
  • Out-of-network auths
  • Initial auths for complex payers
Tier 3

Exceptional

3 Credits per Auth
Bundle $112.50
Retainer $105.00

Example Auths

  • TRICARE ECHO Program
  • 2nd-level & subsequent appeals
  • Peer-to-peer review prep
  • PPO-drafted letters of medical necessity
  • Multi-step or multi-payer auths
  • PPO-designated exceptional cases
Choose Your Plan

Prepaid Bundle or Monthly Retainer

Bundles work best for smaller practices; retainers save ~6.7% for consistent volume.

Prepaid Credit Bundle

Best for smaller practices — no monthly commitment.

Bundle Options

10 Credits — $375 ~5–10 auths/mo
20 Credits — $750 ~10–20 auths/mo
  • Credits valid 90 days from purchase
  • Alert at 20% balance remaining
  • Work pauses at zero — no surprise charges
  • Repurchase anytime at the same rate
Best Value

Monthly Retainer

Best for consistent volume — $35.00/credit, save ~6.7% vs. bundles.

Retainer Options

40 Credits — $1,400/mo ~20–40 auths/mo
60 Credits — $2,100/mo ~40–60 auths/mo
80 Credits — $2,800/mo ~60–80 auths/mo
Custom Volume Assessed by volume
  • Up to 10 unused credits roll over (capped, expire next month)
  • Month-to-month — no long-term contract
  • Adjust credit level anytime with 30 days’ notice
  • Overages billed at $35.00/credit on next invoice
  • Alert at 80% monthly usage

Not Sure Which Plan Fits?

We provide a complimentary payer-mix and authorization-load assessment at onboarding to recommend the right starting package.

Schedule the Assessment →
The Fine Print

Key Policy Highlights

No Long-Term Contract

Month-to-month for all plans. Adjust or cancel retainers with 30 days’ notice. Bundles have no recurring obligation.

Tier Escalation

If an auth escalates mid-process (e.g., denial → appeal), the additional work is billed as a separate line item. Tier 3 always requires client approval before work begins.

Bundle Expiration

Prepaid bundle credits are valid for 90 days from purchase. Unused credits expire at 90 days — no rollover.

Retainer Overages

Credits used beyond your retainer are billed at $35.00/credit on the next invoice. You’re alerted at 80% utilization.

Retainer Rollover

Retainer clients may carry up to 10 unused credits into the following month. Rollover credits expire if not used that next month — they don’t accumulate.

Payer-Mix Assessment

New clients receive a complimentary intake review to determine the right starting plan and credit level. You can adjust your plan at any time.

Get a Plan Recommendation

30 minutes. No commitment. We’ll review your auth volume and payer mix and recommend the right starting plan.

Request a Free Consultation

or call us at (540) 223-4565