Priced to pay for itself.
Flat monthly pricing by agency size. No percentage of your collections, no per-claim fees, no surprises.
Plans
Solo
- ✓ Up to 300 claims / month
- ✓ 1 user seat
- ✓ Full DODD rule engine + eMBS
- ✓ EVV & PAWS checks
- ✓ Recovery & denial detection
Agency
- ✓ Up to 1,000 claims / month
- ✓ 5 user seats
- ✓ Everything in Solo
- ✓ Staff billing & EVV compliance
- ✓ Full analytics + roles
Agency Plus
- ✓ Up to 3,000 claims / month
- ✓ 15 user seats
- ✓ Everything in Agency
- ✓ Multi-location support
- ✓ Priority support
Soft caps — we never block you mid-month. You're warned at 80% and we move you up a tier only if usage stays high. Custom pricing for 6+ providers or billing companies managing multiple practices.
The DODD, behavioral health, VA Community Care and home health rails are available now. Pricing is for the platform only and does not depend on what you recover.
Three problems every billing office knows
Claims sit denied for weeks
A denial shows up days after you submit, then waits in a queue until someone has time to work out why.
Nobody knows which rule failed
A denial code tells you something is wrong. It rarely tells you which rule, or what to change.
Adjustments never get filed
Short pays and underbilling are easy to miss, and easy to put off until the window closes.
Made around the systems Ohio providers actually use
Each rail runs on its own rules, files and agencies, not a generic national rulebook.
Ohio DODD
Waiver claims checked against the service rules in OAC Chapter 5123-9, with corrected files staged for eMBS.
County boards & PAWS
All 88 Ohio counties mapped to their rate categories, and units checked against the PAWS authorization on file.
ODM behavioral health
The ODM Behavioral Health Provider Manual and the Ohio Medicaid BH fee schedule (OAC 5160-27-03), checked before an MCO sees the claim.
Home care programs
PASSPORT, MyCare Ohio and the Ohio Home Care Waiver, matched to your Sandata or HHAeXchange visit records.
VA Community Care
Every claim matched to its HSRM referral and paid against your Community Care Network agreement.
Your payer contracts
For any other practice, each paid line is compared with your contract rate or what that payer has really paid you.
Patient data stays inside the platform
From sign-up to your first checked claim
Sign up
Create an account, or start with the demo to see the platform first.
Approved
A person at ClaimYours AI reviews and approves your account.
BAA accepted
Your practice accepts the Business Associate Agreement inside the platform.
Upload & check
Upload claims inside your account and see every result with its source.
See how every claim gets checked.
Try the demo yourself, or ask for a walkthrough. No patient information needed.