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Billing & InsuranceVerified June 2026

Claim.MD

Low-cost, reliable clearinghouse with transparent per-claim pricing.

About Claim.MD

Claim.MD is a clearinghouse with one of the lowest per-claim prices in the market (about $0.10 to $0.25 per claim), no monthly fees, no setup costs, and no contracts, backed by 40+ years in EDI and consistently high reliability ratings. It handles claim submission, scrubbing, ERAs, and denial workflows, and is the budget clearinghouse experienced billers often recommend to each other. A strong fit for cost-conscious solo and small group therapy practices that want predictable pricing without subscription lock-in. HIPAA-compliant.

What Claim.MD does

The features that actually matter for therapy practice.

Claim submission and scrubbing

ERA/remittance handling

Eligibility verification

Denial workflows

Transparent per-claim pricing ($0.10-0.25)

No monthly fee or contract

Honest assessment

What works and what does not, based on hands-on testing.

What works well

  • Lowest per-claim pricing in the market
  • No monthly fee or contract
  • 40+ year track record
  • Reliable and well-rated

Where it falls short

  • Less brand recognition than Waystar/Optum
  • Per-claim model needs volume tracking
  • Fewer enterprise analytics
  • Interface is functional, not flashy

FAQ

Common questions about Claim.MD

Is Claim.MD HIPAA compliant?
Yes. Claim.MD offers a BAA and is built to meet HIPAA requirements for therapists and behavioral-health practices.
What is Claim.MD best for?
Low-cost, reliable clearinghouse with transparent per-claim pricing.

© 2026 Mytherapist Tools. Independent editorial directory. We do not store or transmit PHI.