Pricing
Pricing that
pays for itself.
We only win when your facility wins. Mindful is priced as a share of the revenue we recover, 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
Four numbers.
No surprises.
A clean, four-part structure designed for residential and behavioral health facilities with high-value claims and complex payer mixes.
You only pay when we recover dollars for your facility. INN claims at 7.0–8.5%, OON and Single-Case Agreements at 10.0–11.5%.
- ›In-Network claims: 7.0 – 8.5%
- ›Out-of-Network & SCA: 10.0 – 11.5%
- ›Billed only on paid collections
A predictable baseline that keeps your AI agents, payer integrations, and dedicated billing pod on standby — even through low-census months. Contingency or minimum, whichever is higher.
- ›Unlimited users & seats
- ›Always-on automation & monitoring
- ›Named success manager
Everything required to get you live and earning revenue: payer enrollment, historical data migration, EHR and clearinghouse integration, and full staff training.
- ›EDI / ERA payer enrollment
- ›EHR & data migration
- ›Workflow design & training
Every facility includes a healthy allowance of automated eligibility checks and AI-generated appeal packs. Overages are clearly priced — no surprises at month-end.
- ›150 VOB checks / mo · $0.25 each thereafter
- ›50 AI appeal packs / mo · $15 each thereafter
- ›All overages itemized on every invoice
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
A 40-bed residential program collecting $500K / month.
At an 8% blended contingency, 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. The platform pays for itself in time recovered alone.
Monthly Collections
$500,000
Blended Rate
8.0%
Total Investment
~$40,000
Frequently Asked
The fine print,
in plain English.
What counts toward the contingency fee?
Only dollars actually collected from payers or patients on claims we manage. Write-offs, refunds, and chargebacks are excluded — you are never billed on revenue you didn't receive.
How is INN vs OON determined?
We classify each claim by the payer contract status on the date of service. INN claims are billed at the in-network rate; OON and Single-Case Agreements are billed at the OON rate to cover the additional negotiation and appeals labor required.
What happens during slow-census months?
The $3,500 platform minimum guarantees your facility stays fully supported even if census drops. In strong months, the contingency fee replaces the minimum — you are billed the higher of the two, never both.
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.
How fast is onboarding?
Most facilities are live and submitting clean claims within 30–45 days. Payer enrollment is the long pole; we begin EHR integration and staff training in parallel from day one.
What SLAs do you commit to?
We target a 98%+ first-pass clean claim rate, days in AR under 35, and a 90%+ appeal recovery rate on supported denial categories. Every contract includes written SLAs and monthly performance reviews.
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.