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CLEARINGHOUSE / X12

Eligibility (270/271)

per transaction
up to 500,000/month

$0.05

per transaction
500,001 - 2,000,000/month

$0.03

per transaction
2,000,001 - 5,000,000/month

$0.02

per transaction
5,000,001+/month

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Claims (837/835)

per transaction
up to 250,000/month

$0.20

per transaction
250,001 - 750,000/month

$0.15

per transaction
750,001 - 1,750,000/month

$0.10

per transaction
1,750,001+/month

$0.07

Claims Status (276/277)

per transaction
up to 500,000/month

$0.05

per transaction
500,001 - 2,000,000/month

$0.03

per transaction
2,000,001 - 5,000,000/month

$0.02

per transaction
5,000,001+/month

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+ Pass-through fees may apply for certain Trading Partners

+ For Claims, an ERA registration fee may apply


DATA APIs

Claims Convert, Insurance Prices, Plans, Providers

$0.25 per request

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For additional information, please refer to our Pricing FAQ