Claim.MD
Low-cost medical claims clearinghouse: enter CMS-1500 and UB-04 claims in a web portal or upload them from billing software, check eligibility in real time, download ERA/835 remittance, get rejected claims back for correction, and file electronic appeals. Not an AI product; a billing backbone many small practices pair with other tools.
At a glance
- Pricing
- Basic $30/mo (pay per use: $0.30 per claim, ERA or eligibility check); Small Volume $60/mo (100 claims, ERA and eligibility included, then $0.50 each); Unlimited $120/mo (unlimited claims and ERA, 1,000 eligibility checks); no setup or per-provider fee; attachments $0.60; paper/faxed claims $1.00 (vendor pricing page)
- HIPAA BAA
- unverified – vendor FAQ lists a HIPAA-compliance question, but we could not confirm BAA terms from public pages; ask the vendor before sending claims
- Category
- Billing & Prior Auths
- Website
- www.claim.md
- Source
- www.claim.md
- Best fit
- Solo and small practices billing insurance themselves (or through an EHR without a built-in clearinghouse) that want a cheap, published per-month clearinghouse price.
- Last checked
- 2026-10-21
AIOP Score: 7.1/10
Methodology →Editorial score calculated from the facts on this page. Sponsorship and featured status never affect it. "Unverified" criteria are scored conservatively until confirmed.
| HIPAA / BAA availability (30%) | 2.0 | BAA not confirmed from public sources unverified | |
|---|---|---|---|
| Pricing transparency (25%) | 10.0 | Price published by vendor | |
| Small-practice fit (20%) | 10.0 | Entry price ~$30/mo; built for solo/small practices | |
| Setup & integrations (15%) | 7.0 | Integrations named: ehr | |
| Feature depth (10%) | 10.0 | 6 capabilities described in listing |
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Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.