Pricing
Pricing that
pays for itself.
We collect from insurance so families don't have to. Mindful is priced as a share of the dollars we recover from payers, never a cut of what a patient owes, and backed by a predictable platform minimum so your team is always fully supported.
Why Facilities Switch
Built around the
real cost of billing.
Hours lost chasing payers.
AI agents handle eligibility, status checks, and follow-ups around the clock.
Costly OON & SCA labor.
Dedicated negotiation pods backed by software that surfaces every leverage point.
Revenue lost to denials.
Clinical appeal packs drafted in minutes, with a recovery-first contingency model.
The Model
Priced by difficulty.
Aligned by design.
We only win when your facility wins, on dollars we pull out of insurance, never on balances we'd chase a family for. Our rate rises only where the work does.
Your everyday in-network claims, submitted clean and followed to payment. Priced at the low end of the market, this is the work our automation makes routine.
- ›In-network commercial claims
- ›Billed on insurance dollars collected
- ›Never billed on patient balances
Out-of-network claims and Single-Case Agreements take real negotiation labor, payer by payer, leverage point by leverage point. The rate reflects the work, not the claim value.
- ›Out-of-network & SCA negotiation
- ›Dedicated negotiation pods
- ›Billed on insurance dollars collected
Money you had given up on: aged AR, denials, and write-offs. You keep 70-80% of dollars that were otherwise gone, a windfall split on found money, never a tax on your everyday revenue.
- ›Aged AR, denials & written-off salvage
- ›Opt-in, worked on contingency
- ›You keep 70-80% of what we recover
Inside Recovery & Rescue
You keep 70-80% of dollars you'd already written off.
Commercial claims over 120 days from date of service, still workable, not yet written off.
Our share · 20%
Claims formally denied by the payer, requiring appeal and medical-necessity work.
Our share · 25%
Claims you had already written to bad debt or given up on entirely.
Our share · 30%
Medi-Cal & Medicare
Medi-Cal and Medicare are billed as a flat fee per claim we process, priced to the cost of processing the billing, never a percentage of what's collected. It keeps government billing clean and predictable, and your team always knows the number in advance.
Platform minimum & onboarding · by monthly collections
| Monthly collections | Platform minimum / mo | Onboarding (one-time) |
|---|---|---|
| Under $250K | $2,500 | $5,000 |
| $250K-600K | $3,500 | $7,500 |
| $600K+ | $5,000 | $10,000 |
Billed as the higher of your platform minimum or your live-claim contingency, never both. Recovery work is billed separately, on dollars we bring back.
The rates above are representative ranges. Final pricing is set per engagement once we scope your payer mix and book, and is confirmed in your signed agreement.
Included for Every Facility
One plan.
Everything in.
There are no feature tiers to navigate. Every facility gets the full platform, the full team, and the full compliance posture from day one.
- ✓AI clean-claim submission
- ✓Real-time eligibility (VOB)
- ✓Denial intelligence & root-cause analytics
- ✓AI-drafted clinical appeal packs
- ✓OON & Single-Case Agreement negotiation
- ✓Dedicated offshore billing pod
- ✓Payer-portal automation
- ✓Live AR & collections dashboard
- ✓HIPAA & SOC 2 posture, signed BAA
- ✓Named customer success manager
An Illustrative Facility
Hypothetical example, not a representation of any client's results
A 40-bed residential program collecting $500K / month.
At a blended 8% on live insurance collections, that facility invests roughly $40,000, and gets back the hours their clinical and administrative team used to spend on payer calls, denial tracking, and appeal letters.
Then there's the money they'd written off. On $100,000 of aged, denied, and written-off claims, our Recovery tier brings back roughly $70,000, and the facility keeps around $49,000-$56,000 of revenue that was otherwise gone for good.
Live Collections / mo
$500,000
Blended Live Rate
8.0%
Found Money · one-time
~$70,000
Frequently Asked
The fine print,
in plain English.
What counts toward the contingency fee?
Only dollars we recover from insurance on claims we manage. We never bill you a percentage on money collected from a patient or their family. Our job is to collect from insurance so families don't have to. Write-offs, refunds, and chargebacks are excluded.
How do the commercial tiers work?
Live in-network commercial claims are billed at 6-9%. Out-of-network claims and Single-Case Agreements, which take real negotiation labor, are billed at 12-18%. Claims you'd already lost, whether aged, denied, or written off, are worked under our Recovery tier. Every claim is billed under exactly one tier, never two.
What is the Recovery & Rescue tier?
It's found money. We work claims you had effectively given up on, whether aged AR, denials, or write-offs, on contingency, and take 20-30% of what we actually recover depending on how far gone the claim was. You keep 70-80% of dollars that were otherwise zero. It never touches your everyday revenue.
How are Medi-Cal and Medicare billed?
Government claims are billed as a flat, cost-based fee per claim we process, not a percentage of collections. The rate is set by our internal cost-of-processing model, so government billing stays predictable and compliant. Percentage-based contingency applies only to commercial and out-of-network claims.
What happens during slow-census months?
Your platform minimum, $2,500 to $5,000 per month depending on your collections, guarantees your facility stays fully supported even if census drops. In strong months the contingency fee replaces the minimum: you're billed the higher of the two, never both. Recovery work, when you opt into it, is billed separately on dollars we bring back.
Is there a long-term contract?
Standard agreements are 12 months to give onboarding and payer enrollment time to compound. After year one, agreements move to month-to-month with a 60-day notice period.
What SLAs do you commit to?
These are the performance standards we hold ourselves to: a 98%+ first-pass clean claim rate, days in AR under 35, and a 90%+ appeal recovery rate on supported denial categories. They're the bar we build toward and write into every contract as SLAs, with monthly performance reviews. They are not a guarantee of any specific result, since actual performance depends on your payer mix, documentation, and book.
Pricing on this page is indicative and provided for general information, not an offer, quote, or contract. Rates and terms are finalized per engagement in a signed agreement after we scope your payer mix and book. Performance figures are the standards we hold ourselves to, not a guarantee of any specific result; outcomes depend on your payer mix, documentation, and claims. Any facility example is hypothetical and not a representation of actual client results.
Ready When You Are
See your facility's
recovery potential.
We'll model your current payer mix, denial patterns, and AR aging against the Mindful RCM platform, and show you exactly what's recoverable.