Pricing
Integrate first, expand after
Transition
Agentic overlay on your current EHR.
Per providerper month
Fixed pricing
- Rides on your existing EHR
- Native chart of record
- Intake, decision support & ambient scribe
- Clinical coding & charge capture
- Insurance appeals & prior authorization
EMR
The single-clinic record.
Per providerper month
Fixed pricing
- Everything in Transition
- Scheduling & practice management
- Billing & cash payments (HIE add-on)
Flagship
EHR
The interoperability layer.
Per providerper month
Fixed pricing
- Everything in EMR
- National exchange — HIE & TEFCA
- Carequality & CommonWell
- eFax, SMS & email included
Enterprise
Multi-entity & governance.
Custom
Volume-based quote
- Everything in EHR
- Multi-entity, multi-state
- Master patient index & administration
- Dedicated implementation & SLA
What is in each tier
| Capability | Transition | EMR | EHR | Enterprise |
|---|---|---|---|---|
| The agentic coreintake, documentation, billing intelligence, UR/CDI | ||||
| Intake, decision support, scribe, coding, charge capture | ||||
| Insurance appeals & prior authorization | ||||
| UR and CDInative, no separate case-management license | ||||
| The practice recordthe native chart, portal, and scheduling layer | ||||
| Native chart of record | ||||
| Patient portal | – | |||
| Scheduling & practice management | – | |||
| Order management · CPOE | – | |||
| National exchangethis capability, not size, is the EMR → EHR line | ||||
| HIE & record exchange | – | Add-on | ||
| TEFCA participation through a QHIN | – | – | ||
| Carequality & CommonWell | – | – | ||
| Secure eFax | – | Add-on | ||
| Patient communicationsbundled at the EHR tier, add-on below | ||||
| SMS & email notifications | Add-on | Add-on | ||
| Enterprise scale & governancea different axis, contract structure, not record exchange | ||||
| Multi-entity, multi-state | – | – | – | |
| Centralized administration · master patient index | – | – | – | |
| Custom SLA, security posture, integrations | – | – | – | |
| Dedicated implementation & support | – | – | – | |
Add-ons
Fixed-price tiers · flat monthly fee
Transition · EMR · EHR, per provider, per month
HIE + exchange + eFaxEMR only, included free in EHR
Flat / mo
e-Prescribingnon-controlled substances, priced under standalone e-Rx
Flat / mo
Eligibility + eClaimseligibility, verification, claims, and ERA in one
Flat / mo
Telehealth videopriced under standalone
Flat / mo
e-Payments softwarecard fees pass through at cost
Flat / mo
SMS + email notificationsEMR only, included free in EHR
Flat / mo
e-Labstest bills to payer or patient
Flat / mo
Virtual physiciansAppendix partner, API-based physician review & e-prescribe
Flat / mo
Imaging + Imaging CDSno incumbent offers the read, in every tier
Included
Each flat fee is sized to a full-time PCP; a heavier practice moves to enterprise usage-based. Add-on pricing is shared during your demo and is subject to change.
Enterprise · usage-based (API)
metered per unit, volume never becomes a loss
HIE + exchange
included
e-Rx
per script
Eligibility
per check
Claims + ERA
per claim
Telehealth
per session
e-Labs
per order
SMS / email
per message
Patient app · separate axis
Starter
Flat / mo
Revenue Generator
Flat / mo
Clinical + RPM
Flat / mo
Employer / populationPEPM point solution
Per member / mo
