Discovery
Requirements, claim mix, clearinghouse, users, and migration scope.
Pricing
Custom pricing for your billing operation.
Typical implementations range from independent practices to enterprise healthcare organizations. Pricing reflects organization size, claim volume, implementation scope, and support requirements.
Enterprise medical billing software — no public price card, because no two RCM operations are identical.
Pricing philosophy
We align cost to value — a billing company running 50 practices needs different packaging than an independent specialty practice. Every proposal starts with discovery, not a checkout page.
What’s included
- Software — full billing platform access
- Implementation — practice setup and configuration
- Training — biller, denials, and manager sessions
- Support — ongoing customer success
- Updates — platform improvements included
Optional: full-service RCM, migration services, custom integrations, enterprise support tiers.
Typical implementation timeline
Varies by organization size and migration complexity — a common pattern for new customers.
Setup
Practice profile, enrollment, scrub rules, roles, and test environment.
Training
Biller and manager training on Command Center, claims, EDI, and reports.
Go live
Parallel running (if migrating), 837 gate lift, production support.
Frequently asked questions
How is pricing calculated?
Based on organization size, monthly claim volume, professional vs institutional mix, number of practices (for billing companies/MSOs), and whether you need software-only or full-service RCM.
Is there a setup or implementation fee?
Implementation is scoped during discovery. Contact sales for a tailored proposal.
Do you help migrate from legacy billing systems?
Yes — CSV import, structured migration sessions, parallel running, and training. See our migration page.
How long does implementation take?
Typical go-live is 3–6 weeks depending on migration scope, clearinghouse enrollment, and user count. Enterprise rollouts may take longer.
What training is included?
Role-based training for billers, denials specialists, and managers — scoped to your workflows during implementation.
Who owns the data?
Your organization owns your billing data. Export and migration support are available per contract terms.
What contract terms do you offer?
Annual and multi-year options discussed during sales. No self-serve monthly checkout.
What support is included?
Standard support with onboarding; enterprise support tiers available for billing companies and health systems.
Is ObsidianRCM HIPAA compliant?
Built with HIPAA-oriented controls. BAA and security documentation provided during enterprise evaluation. See Security.
Can we integrate with our clearinghouse / EHR?
Yes — clearinghouse transport, FHIR R4 read APIs, REST APIs, and webhooks. See Integrations.
Are platform updates included?
Yes — software updates are included in subscription pricing.
What if we need to cancel?
Contract terms are discussed during proposal. We focus on long-term partnerships — talk with sales about your situation.
Ready for a tailored proposal?
Tell us about your billing operation and claim volume.