Transparent, Performance-Based Pricing
You get paid first. Then we do. We charge exclusively a percentage of verified payer collections deposited into your bank account. No setup fees, no monthly retainers, and zero financial risk.
- $0 UpfrontNo setup, onboarding, or monthly platform retainer fees.
- Your Bank AccountPayers deposit 100% directly into your account; we never touch funds.
- BAA FirstA Business Associate Agreement is executed before data access.
- Zero Software DisruptionWe operate directly inside your current EHR and clearinghouse.
Everything included in our contingency rate
Unlike billing agencies that tack on fees for statements, clearinghouses, or appeals, our percentage covers full-lifecycle revenue cycle management.
Charge Entry & Scrubbing
On-time claim submission following clinical encounter sign-off, with automated CPT, ICD-10, and modifier validation against current NCCI edits.
Denial Appeals & Root-Cause Fixes
Line-by-line CARC/RARC analysis, correction of technical rejections, and submission of structured clinical appeals with chart notes before payer filing deadlines.
Payment Posting & Reconciliation
Daily posting of Electronic Remittance Advices (835 ERAs) and manual paper checks, fully reconciled against your practice bank deposits.
Accounts Receivable Follow-Up
Systematic triage of claims in the 30, 60, 90, and 120+ day buckets, with aggressive follow-up prioritized by payer timely-filing cutoffs.
Patient Inquiries & Statements
Compliant generation of patient statements and courteous handling of patient billing inquiries, explaining deductibles, co-pays, and balances.
Executive Weekly Reporting
Plain-language weekly KPI dashboards tracking Days in A/R (DAR), first-pass clean claim rates, denial trends by payer, and net collections.
What Determines Your Percentage Rate
Our contingency percentage is tailored to your organization's specific operational profile following our diagnostic audit:
- Monthly Collection Volume: Practices with higher monthly cash collections benefit from lower tiered contingency rates.
- Specialty & Coding Complexity: Multi-procedure surgical specialties (ASCs, Orthopedics, Spine) vs office-based medical practices.
- Payer Mix: Proportions of Commercial, Medicare Part B, Managed Care, Medicaid, and out-of-network claims.
- Average Encounter Value: High-ticket procedural claims vs high-volume, low-dollar clinical encounters.
Old A/R Recovery Project Pricing
Have a backlog of aging claims sitting unworked in your 60, 90, or 120+ day queues? We offer dedicated old A/R cleanup initiatives:
- Standalone or Add-On: Available either as an onboarding boost or as a standalone project without changing your daily billing vendor.
- Contingency-Only: We price old A/R projects on a separate contingency fee based on balance age and timely-filing feasibility.
- Zero Risk: If balances cannot be collected due to expired timely filing windows or missing clinical documentation, you owe $0.
What we need from you to get started
A simple, compliant onboarding path designed to begin recovery within days, without requiring software migration.
1. Executed BAA & Agreement
Mutual execution of our standard Business Associate Agreement (BAA) and performance services contract defining scope and rate.
2. Authorized EHR/PM Access
Creation of secure, role-based user logins inside your existing EHR/PM system with least-privilege permissions.
3. Fee Schedules & Payer Roster
Your current practice chargemaster, contracted commercial fee schedules, and active provider NPI list for clearinghouse routing.
Frequently asked questions about our pricing and terms
Are there any upfront setup or onboarding fees?
No. Ecardius charges $0 upfront, $0 for implementation, and $0 for system integration. We earn exclusively a percentage of verified collections deposited into your bank account.
What happens if an insurance claim is denied or never collected?
If a claim is not collected and deposited into your account, we earn $0. Our financial compensation is strictly aligned with your cash flow.
How and when are invoices generated?
Invoices are issued on a monthly cycle following month-end reconciliation, detailing the exact collections deposited into your practice bank account and the agreed contingency fee.
Are we locked into a long-term contract?
No. Our agreements include straightforward 30-day notice provisions with zero cancellation penalties and complete transition support.
Do we have to purchase new billing software or pay seat fees?
No. Our billing specialists integrate directly into your existing EHR, PM software, and clearinghouse. You incur no new software licensing charges.
How do we receive an exact contingency rate quote?
Submit a de-identified aging report or schedule a 15-minute consultation. We evaluate your volume, specialty, and payer mix to provide a prompt written fee proposal.
Receive your custom fee proposal and free 10-point audit
Start with a comprehensive review of your aging claims and denial history under a signed BAA. No cost, no obligation.