Our goal is to support your organization with a complete integrated claims service. Currently the two methods we support for invoicing your clients are:
Apex EDI will bill your client for claim services and remit a rebate to you based on client's subscription to Apex EDI eClaim services. Rebate checks are paid to you monthly. See below for available wholesale pricing options. (These rates are wholesale, you must decide the margins you wish to include - which will be billed to the providers)
This option allows you to offer a wide range of pricing based on current Apex EDI invoicing options. You can offer either flat (per provider) pricing or pricing based on the office claim volume. All pricing includes unlimited eligibility verification requests and unlimited payer ERA responses.
|Plan||Wholesale Monthly Pricing||Sample 20% Margin||Sample 30% Margin||Eligibility Included||ERA Included||Charge for additional Providers?||Additional Claims Fee||Set up Fee|
|50 Claims monthly||$20||$30||$35||Yes||Yes||No||$0.48||$250|
|100 Claims Monthly||$45||$60||$65||Yes||Yes||No||$0.48||$250|
|200 Claims Monthly||$80||$99||$105||Yes||Yes||No||$0.48||$250|
|500 Claims Monthly||$150||$185||$200||Yes||Yes||No||$0.38||$250|
|1,000 Claims Monthly||$250||$305||$325||Yes||Yes||No||$0.33||$250|
|2,000 Claims Monthly||$475||$570||$610||Yes||Yes||No||$0.32||$250|
|5,000 Claims Monthly||$1,175||$1,430||$1,675||Yes||Yes||No||$0.31||$250|
|10,000 Claims Monthly||$2,250||$2,750||$3,215||Yes||Yes||No||$0.31||$250|
If you prefer to bill your customers yourself, Apex EDI can bill you a monthly fee for each provider you bill. This system is currently based on a per provider subscription rate of $80 monthly per provider. This subscription rate includes unlimited claims, eligibility verification requests, and unlimited payer ERA responses.