Simple Pricing
Start free. Pay when you recover.
No hidden fees. No long-term contracts. Start with a free denial audit and only pay when you're ready to fight back.
Free Denial Audit
Understand your denial problem before you spend a dollar.
$0
No credit card required
- ✓ Denial rate assessment for your practice
- ✓ Identify top denial reason codes
- ✓ Estimated recoverable revenue
- ✓ Expert consultation call
- ✓ No obligation, no sales pressure
Single Appeal Package
One denied claim. Full expert appeal. We handle everything.
$299
One-time, per appeal
- ✓ Full clinical documentation review
- ✓ Expert appeal letter written & submitted
- ✓ Payer-specific strategy
- ✓ Portal access to track appeal status
- ✓ DRG appeals, clinical validation, prior auth, and more
- ✓ Turnaround within 5 business days
Monthly Starter
Ongoing denial management with a dedicated expert team.
$499
per month — cancel anytime
- ✓ Everything in Single Appeal
- ✓ Unlimited appeals per month
- ✓ Proactive denial prevention audits
- ✓ CDI support & clinical documentation coaching
- ✓ Weekly denial trend reports
- ✓ 24/7 portal with real-time recovery tracking
- ✓ Upgrade to % of collections after first month
💼 Enterprise / High Volume?
For practices with high claim volume, we offer performance-based pricing at 6% of recovered collections — you only pay when we win. Request a free audit to discuss your situation.
Common questions
What happens after I pay for the Single Appeal Package?
After checkout, you'll receive an email with a secure link to upload your denial documentation. Our team reviews it within 1 business day and begins building your appeal. You can track progress in your ClaimGuard portal.
What types of claims do you handle?
We handle DRG appeals, clinical validation reviews, medical necessity denials, prior authorization appeals, behavioral health claims, and general denial management across all major payers including Medicare, Medicaid, and commercial insurers.
What's your success rate on appeals?
Our clinical appeal specialists maintain a high success rate — typically 60–80% of appealed claims are overturned or result in additional reimbursement. Results depend on the payer and type of denial, which is why we always start with a free audit to assess your specific situation.
Can I cancel the Monthly Starter anytime?
Yes. No long-term commitment. Cancel anytime from your account dashboard and you won't be charged again. Active cases will be completed through the end of your billing period.
What is performance-based pricing (6% of collections)?
For high-volume practices, we can work on a contingency basis — we get paid only when you get paid. 6% of the recovered amount on successful appeals. This works best for practices with $50k+ in monthly denied claims. Start with the free audit and we'll recommend the best structure for your volume.
Is my patient data secure?
Yes. ClaimGuard is HIPAA-compliant. All data is encrypted in transit and at rest. We sign Business Associate Agreements (BAA) with all client practices.
Still not sure? Start free.
Get a free denial rate assessment and see exactly how much revenue you're leaving on the table. No credit card, no commitment.
Request Free Audit →