Pricing Plans
Free Trial
$0/Month
- Claims and Attachments 100 Documents for all Payers
- User/Role ManagementUpto 10
- Days in Cloud Storage30 Days
- Reports & Analytics
Basic
$49/Month
- Claims and Attachments 200 Documents for all Payers
- ERA Files & Payer Enrollment25 ERA (Per Claim) including Payer Enrollment
- Claim Status25 Real Time Claim Status Requests for all Payers
- Eligibility Check 25 Real Time Eligibility & Benefit Inquiry for all Payers
- Authorization & Referral Review
- Claims Resubmission (For Exclusive Payers)
- User/Role ManagementUpto 15
- Days in Cloud Storage90 Days
- Reports & Analytics
- Print & Mail - Pay Per Use Attachments, Statements etc.
Premium
$99/Month
- Claims and Attachments 500 Documents for all Payers
- ERA Files & Payer Enrollment60 ERA (Per Claim) including Payer Enrollment
- Claim Status60 Real Time Claim Status Requests for all Payers
- Eligibility Check60 Real Time Eligibility & Benefit Inquiry for all Payers
- Authorization & Referral Review
- Claims Resubmission (For Exclusive Payers)
- User/Role ManagementUnlimited
- Days in Cloud Storage90 Days
- Reports & Analytics
- Print & Mail - Pay Per Use Attachments, Statements etc.
Advance
$199/Month
- Claims and Attachments 1,000 Documents for all Payers
- ERA Files & Payer Enrollment125 ERA (Per Claim) including Payer Enrollment
- Claim Status125 Real Time Claim Status Requests for all Payers
- Eligibility Check125 Real Time Eligibility & Benefit Inquiry for all Payers
- Authorization & Referral Review
- Claims Resubmission (For Exclusive Payers)
- User/Role ManagementUnlimited
- Days in Cloud Storage120 Days
- Reports & Analytics
- Print & Mail - Pay Per Use Attachments, Statements etc.
Advance +
Customized
Enterprise Services are Customized for Large Volume (over 1,000 Documents per Month) Transactions.
Supports Claims Edits and Correction Functionality.
Additional tech-enabled solutions
Claim Edit Resolution
Coding, Auditing & Consulting Services
Denial Management
Remittance Processing (XBP)
Medical Record Submission
Medical Lock Box
Revenue Integrity Services and Appeals Management
Patient Billing & Payments (XBP)
Patient or Insurance Collection Services
Appeals & Claims submission and resubmission
Eligibility & benefits verification
Claim status check
Enroll for an ERA & receive ERA’s
Prior authorization
Our all-payer electronic appeal & EDI transaction gateway
PCH Health provides a direct connection with a broad range of payers, facilitating the seamless electronic submission of paper appeals. This exclusive capability distinguishes us from major, traditional EDI clearing houses. We handle appeals, correspondence, and claims with 100+ plans.
Our single-point gateway efficiently manages both paper and EDI transactions for providers. Additionally, our team also prints and mails payer attachments or claims to payers not listed with us. Discover the limitless benefits of PCH Health – connect with us today.
PLAN ADD-ON
Non-Expiring Transaction Available as Bundles
| Rate Per Bundle | Qty Per Bundle | Service Type |
|---|---|---|
| $50.00 | 250 Documents | Claims & Attachments |
| $50.00 | 400 ERA's | ERA & Payer Enrollment |
| $50.00 | 300 Requests | Real Time Claim Status |
| $50.00 | 300 Requests | Real Time Eligibility & Benefit Inquiry |
| $50.00 | 350 Requests | Authorization & Referral |
Attachments supported by PCH Health include but are not limited to
Claim
- Professional, Institutional, & Dental Claims
- Primary/Secondary/Tertiary Claims with EOB/EOMB
- Corrected Claims
- Resubmission Claims
- Member Claims
- Roster Claims
- Vaccination Claims
Attachments for appeals and grievances
- Appeals and Grievances
- Medical Records
- Clinical Records
- Additional Information
- Copy of EOB/EOMB
- Critical Claim Information
- Consent Form
- Trauma Report
- Claim Payment Dispute
- Claim Payment Dispute-Proof of Timely Filing/Member
- Cost Share/Claims Editing (CCI/LCD/NCD)
Other attachments
- Copy of ID Card
- Copy of Medicare Card
- Date of Injury
- Invoice
- Itemized Bill
- Pre-Certification/Authorization Information
- Referral
- W9
- Cost Containment-Overpayment/Refund/COB & Hospice
- Provider Information Change Form
- DME Review
Simple and transparent services
100K+
Provider users
10M+
Yearly transactions
1M+
Daily appeals processed
50%
Direct administrative cost savings