BilNow Pricing Overview

End-to-end medical billing and RCM performed inside your existing EHR. Priced as a percentage of what you actually collect, starting at 2.7% - no setup fee, no long-term contract and no per-claim add-ons. Final pricing depends on specialty, provider count, claim volume and the services included.

Works inside your existing EHR - no migration
AAPC-certified coders assigned by specialty
Denial management with root-cause analysis
A/R recovery including inherited backlogs
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Standalone insurance eligibility and benefits verification at $1.50 per verification. Coverage, benefits, co-pay, deductible and authorisation requirements are confirmed before the visit and recorded directly in your EHR, so your front desk sees the same record. Reduces avoidable eligibility denials without adding front-desk headcount.

Coverage, co-pay and deductible confirmed pre-visit
Results recorded directly in your EHR
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Standalone medical coding from $1 to $4 per chart, priced by chart complexity. AAPC-certified coders assign ICD-10-CM, CPT and HCPCS codes with modifier review, NCCI edit screening and LCD/NCD checks before claims go out. Available separately from billing, so practices that only need coding support can use it on its own.

AAPC-certified coders, specialty-matched
ICD-10-CM, CPT and HCPCS with modifier review
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End-to-end prior authorization handling, priced per authorization and negotiable by volume and specialty. We manage payer submission, clinical documentation, status tracking and follow-up, and escalate stalled authorisations so treatment is not delayed. Especially valuable in behavioural health, musculoskeletal and post-acute services, where prior-auth requirements have expanded.

Payer submission and clinical documentation handled
Status tracking with escalation on stalled auths
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Provider credentialing and payer enrollment, priced per provider and negotiable by payer count and turnaround. Includes CAQH setup and attestation, primary source verification, payer applications, follow-up until approval, and re-credentialing reminders so enrollments do not lapse. Available as a standalone service separately from billing.

CAQH setup, attestation and primary source verification
Re-credentialing reminders so enrollments never lapse
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