Priced so the math is obvious.
Published rates. No hidden per-seat fees. No percentage of your overall practice collections.
Starter
For independent medical practices and specialty groups seeking automated denial recovery.
- Automated 835/ERA remittance ingestion
- Full CARC & RARC denial classification
- AI clinical appeal letter generator workbench
- Automated timely filing deadline tracking
- Standard clearinghouse & PM/EHR connectors
- HIPAA compliance & Business Associate Agreement (BAA)
- Unlimited staff user accounts
- Standard email & chat support
Growth
For high-volume practices, multi-location clinics, and surgical centers needing advanced recovery.
- Everything in Starter, plus:
- Contract underpayment & fee variance detection
- CMS-0057-F benchmarked payer scorecards
- Batch multi-claim appeal generation
- Bi-directional EHR integration with automated chart extraction
- Advanced root-cause analytics & executive reporting
- Custom appeal letter tone and template builder
- Priority phone & dedicated Slack channel support
- Dedicated Customer Success Manager
Partner & Enterprise
For medical billing companies, RCM enterprises, and PE-backed MSO platforms managing multiple entities.
- Multi-tenant client management architecture
- White-label client denial recovery reporting
- Per-claim-worked or revenue-share pricing options
- Custom REST API & direct database read integration
- Legacy A/R backlog clean-up recovery engine
- Enterprise SSO / SAML & granular RBAC
- Custom SLA guarantees & dedicated implementation engineer
- Quarterly executive strategy & payer contract reviews
How fast does RecoupOps pay for itself?
Consider a typical 10-provider specialty practice submitting 1,200 claims per month at an average initial denial rate of 11.8% (Experian Health). That generates roughly 141 denied claims per month.
At a conservative 70% appeal overturn rate (Premier Inc.), the practice recovers over $48,000 in monthly cash that was previously written off — yielding a net 12.6x return on investment.
Full Feature Comparison Matrix
Detailed breakdown across all functional capabilities, security features, and support tiers.
| Capability & Dimension | Starter | Growth | Partner |
|---|---|---|---|
| Remittance Ingestion & Data835 / ERA Batch Ingestion | |||
| Remittance Ingestion & DataReal-time Clearinghouse Feed (Availity/Waystar) | |||
| Remittance Ingestion & DataBi-directional EHR Document Ingest (athena/Epic) | Read-only | Bi-directional | Custom FHIR |
| Denial ClassificationFull CARC & RARC Root-Cause Parsing | |||
| Denial ClassificationAppeal-Worthiness Expected Value Scoring | |||
| Denial ClassificationContract Underpayment / CO-45 Audit | |||
| Appeal GenerationAI Clinical Appeal Workbench | |||
| Appeal GenerationCMS LCD / NCD & Payer Policy Citations | |||
| Appeal GenerationMulti-Claim Batch Appeal Generation | |||
| Appeal GenerationCustom Tone & Clinical Template Builder | |||
| Tracking & WorkflowTimely Filing Deadline Engine | |||
| Tracking & WorkflowPayer Appeal Overturn Scorecards | Basic | Advanced | Enterprise |
| Enterprise & SecurityHIPAA Compliant & Executed Mutual BAA | |||
| Enterprise & SecuritySOC 2 Type II Certified & US Data Residency | |||
| Enterprise & SecurityMulti-Tenant Client Separation (for Billing Co's) | |||
| Enterprise & SecurityWhite-Label Client Reporting | |||
| Support & SLASupport Channel | Email & Chat | Priority Slack + Phone | Dedicated CSM & SLA |
Pricing & Contract FAQs
A provider is defined as an active rendering clinician (MD, DO, DPM, DC, NP, PA, LCSW, PsyD) who submits billing claims under their individual NPI. We do not charge for non-clinical staff, practice administrators, billing coordinators, or read-only users.
See what your denials are actually worth.
Send us one month of 835 remittances under a signed BAA. We'll show you exactly how many dollars are recoverable — before you pay anything.