The model before the number.
We scope per practice, so we will not put a headline figure here and make you unpick it later. What we will do is explain exactly what moves the price — for us and for anyone else you are comparing.
Five variables, in order of impact
01
Scope
Submission only, or submission plus denial rework, appeals and A/R? The backlog is where the hours go, and it is the biggest difference between two quotes that look similar.
02
Volume
Locations, providers, claim volume and call volume. More sites do not scale linearly — coordination across them is its own work.
03
Payer mix
Some payers are materially more work per claim. Any vendor quoting without asking about your mix has not priced your actual work.
04
Starting condition
A clean current A/R is a different engagement from a large aged backlog. The backlog is finite work and we price it as such.
05
System
On Dentrix Ascend we are efficient from day one. On a system we know less well there is a genuine ramp, and we would rather price it than hide it.
The comparison most practices skip
Before comparing vendors against each other, compare the total against your current fully-loaded in-house cost — salary, payroll taxes, benefits, PTO cover, software seats, recruitment, training, and the cost of a vacancy when your biller leaves. That last one is usually the largest and almost never appears in the spreadsheet.
- Ask every vendor to quote the same written scope, in the same model.
- Ask what they would not take on. The answer tells you whether they are scoping or selling.
- Be sceptical of guaranteed collection percentages quoted before anyone has seen your payer mix.
Common questions
Why isn't there a price on this page?
Because a number without your payer mix, location count and scope would be a guess, and you would have to re-do the exercise anyway. What we can do is tell you the model before the number, so you can compare us against other vendors like for like.
Which pricing model do you use?
We scope per practice and will tell you which model applies before quoting. For multi-location groups a flat monthly fee is usually the better structure, because percentage-of-collections pricing quietly becomes your largest line item as you grow.
Is aged A/R included?
It is scoped separately, because it is finite, labour-heavy work with a different shape from ongoing claims. We would rather price it honestly than bundle it in and under-serve it.
Is there a minimum contract?
We prefer starting narrow — one location or one workstream — with agreed metrics, precisely so you can leave cheaply if it is not working. A vendor requiring a long lock-in before you have seen the work is managing their risk with yours.