Pay by claims volume, not a flat SaaS tax

Care.Fi scores each claim 0-100 before submission. Claims above 65 receive a remediation checklist. A pre-check is not a payer decision, so a claim may still be rejected after submission. The claim can then be addressed through the payer's resubmission process.

Monthly limits are Starter, up to 250 claims/month; Growth, up to 1,000 claims/month; and Enterprise, unlimited claims. The plan details do not specify how resubmissions or withdrawn claims are counted. Ask Care.Fi to confirm those terms for your subscription.

Growth claims pending >14 days auto-qualify for an advance of up to 80 percent within 48 hours. Repayment happens at insurer settlement. There are no separate application steps.

Yes. Starter hospitals can add financing as a standalone add-on at a monthly flat fee, or upgrade to Growth, where financing is included by default.

Starter includes 3 TPA/insurer integrations. Growth and Enterprise include unlimited TPA/insurer integrations.

Patient identifying data is retained only for the claim processing period. After submission, Care.Fi retains anonymized claim metadata for analytics and model improvement. A DPA is available on request and covers retention, jurisdiction, and erasure rights. Enterprise customers can choose on-premises processing for sensitive fields.