Claim.MD review

Claim.MD is a clearinghouse, not a full billing system, and it is on this list for billers who already have practice management software and want a cheaper, clearer connection to payers. Plans are published: Basic costs $30 a month and charges per transaction, Small Volume costs $60 for 100 claims, ERAs and eligibility checks, and Unlimited costs $120 for unlimited claims and ERAs plus 1,000 eligibility checks, with no setup or per-provider fees. Claims can be keyed into CMS-1500 and UB-04 style forms with real-time validation or uploaded in formats from 837P and 837I to CSV and print image. Rejected claims come back for correction, ERAs download in 835, spreadsheet or XML, and eligibility runs through the portal or an API. It scores low on features because it has no scheduling, A/R worklists or denial analytics.

Who it is for

Billers and practices that already have billing software and want a low-cost clearinghouse with clear published rates.

Price

Basic $30 per month pay as you go; Small Volume $60 with 100 claims; Unlimited $120 per month.

Basic $30.00 /month
Quoted from the vendor pricing page on November 6, 2026.

Key features

• Direct claim entry for CMS-1500 and UB-04 claims with real-time validation
• Upload of 837P, 837I, CSV, XLS, XML, NSF and print image files
• ERA download as 835, spreadsheet or XML, or PDF payment details
• Real-time eligibility through the web portal and API
• Rejected claims returned for correction, plus electronic appeals

Strengths and weaknesses

• Strength: Published plans from $30 per month with no setup or per-provider fee
• Strength: Unlimited plan covers unlimited claims and ERAs for $120 a month
• Strength: U.S.-based support with tickets raised from a claim, ERA or eligibility check
• Weakness: Clearinghouse only, with no scheduling or A/R worklists
• Weakness: Paper and faxed claims cost $1.00 each
• Weakness: Basic plan charges for every transaction

Key facts

• Basic: $30 per month, pay for what you use
• Small Volume: $60 per month, 100 claims, ERAs and eligibility checks
• Unlimited: $120 per month, unlimited claims and ERAs, 1,000 eligibility checks
• Setup fee: None

Where it ranks

Claim.MD is No. 9 in our Best Medical Billing Software verdict.