Pricing Plan
0Plan(s)
EDI Services
Enables Submission of Claims using EDI, Paper Upload, Direct Entry, Real time Eligibility & Benefit Verification, Real Time Claim Status Inquiry, Payer Enrollment & ERA Receipt & upload of Attachments.
0Plan(s)
Digital Print Services
Any type of documents could be printed and mailed. It may include but not limited to Claims, Attachment, EOB's,Check & Patient Statements.
API Services
Delivered as an API as a Service (APIaaS), our Interoperability Suite provides the secure, centralized platform for all digital record management, including submission, retrieval, and compliant release, with support for HL7, FHIR, and REST APIs.
Advance + Customized
Enterprise Services are Customized for Large Volume (over 10,000 Documents per Month) Transactions. Supports
Claims Edits and Correction Functionality.
| Select Plan | Basic | Basic Plus Monthly |
Basic Plus Yearly Save $29.00 |
Payer List |
|---|---|---|---|---|
| *Multi-Plan Discount: Receive 10% off each additional service paid plans | ||||
| Claim Submission | $0.00 | $29.00 | $319.00 | |
| Exclusive (Par) Payer Submission Transactions | Unlimited | Unlimited | Unlimited | View |
| Extended (Par+) Payer Network Submission Transactions | 500 | 6,000 | View | |
| Add Ons (Non Expiring): Bundle Quantity & Price | 250 for $15.00 | 250 for $15.00 | ||
| Attachment Submission | $0.00 | $29.00 | $319.00 | |
| Exclusive (Par) Payer Network Submission Transactions | Unlimited | View | ||
| Claim Status Inquiry | $0.00 | $29.00 | $319.00 | |
| Exclusive (Par) Payer Network Inquiry Transactions | Unlimited | Unlimited | Unlimited | View |
| Extended (Par+) Payer Network Inquiry Transactions | 175 | 2,100 | View | |
| Add Ons (Non Expiring): Bundle Quantity & Price | 75 for $15.00 | 75 for $15.00 | ||
| Eligibility & Benefit Verification | $0.00 | $29.00 | $319.00 | |
| Exclusive (Par) Payer Network Verification Transactions | Unlimited | Unlimited | Unlimited | View |
| Extended (Par+) Payer Network Verification Transactions | 175 | 2,100 | View | |
| Add Ons (Non Expiring): Bundle Quantity & Price | 75 for $15.00 | 75 for $15.00 | ||
| Electronic Remittance Advice (ERA) | $0.00 | $29.00 | $319.00 | |
| Extended (Par+) Payer Network ERA Transactions | 175 | 2,100 | View | |
| Add Ons (Non Expiring): Bundle Quantity & Price | 75 for $15.00 | 75 for $15.00 | ||
*Monthly: Subscription Billing Cycle Once every 30 Days |
**Yearly: Subscription Billing Cycle Once in a Year |
Days in cloud storage: 120 Days |
At the time of Payment, Tax and Card Service Charges will be collected |
| Select Plan | Basic | Basic Plus Monthly |
Basic Plus Yearly Save $29.00 |
|
|---|---|---|---|---|
| *Multi-Plan Discount: Receive 10% off each additional service paid plans | ||||
| Digital Print Services | $0.00 | $29.00 | $319.00 | |
| Postage Charges | At Cost | At Cost | At Cost | |
| Printing Charges | At Cost | Included | Included | |
| Printing Transaction(image/sheets) Allowed | 250 | 3,000 | ||
| Add Ons (Non Expiring): Bundle Quantity & Price | 125 for $15.00 | 125 for $15.00 | ||
- HL 7 FHIR Integration
- FHIR API Services
- Electronic Records Storage
- Release of Information
- Claim Submission API
- Attachment Submission API
- Claim Status Inquiry API
- Eligibility & Benefit Inquiry API
- Image Submission API
Get custom plans for bulk
users and enterprises
Bespoke Service for Bulk Transactions
We provide custom setup for high-volume transactions, including claims,
attachments, eligibility/benefits verification, claim status, and ERA.
For custom integration and to explore tailored solutions
Pricing Plan
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