Enter- Pricing

Revenue Cycle Management on auto-pilot... in just six weeks.

Designed for practices of all shapes and sizes.

Large volume, fee for service, value based care, self-pay or unique business model

Volume
Discount

Plan Secific
Rates

Multi-facility
discount

Entreprise
Pricing

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What's Included -

Get 100s of the best Revenue Cycle management features out of the box with the most transparent pricing

Super Fast Onboarding

Fully managed to streamline integrations, manage contracts, and map products & payers

EMR Integration, Implementation, and Consultation. Enter will fully manage the EMR integration process during the client’s implementation process. .
Contract Manager
Chargemaster Manager
Payer Plan and Product Mapping

White Glove Service

Dedicated support team and robust documentation to troubleshoot, train and guide through complexities

24×7 support. Our team is here to help over email, phone, or chat.
Technical support. Chat with our engineering team in your dedicated ClickUp portal to help solve any integration and API issues.
Robust documentation. Understand RCM like never before with Enter’s documentation and RCM guides.
In depth training. Your Enter Rep will guide you and your team through the complexities of Healthcare Billing.

Comprehensive security and compliance

Industry-standard compliance and security accessible via dedicated dashboard

HIPAA security and encryption. Siloed infrastructure for the storage, encryption, decryption and transmission of HIPAA data.
SOC 2 Compliant. Enter is certified to the highest industry standards.
Annual Audits. Enter performs annual security, compliance and HIPAA audits each year.
Secure Dashboard access. Single Sign On, granular member permissioning, 2 factor authentication with SMS or Google Authenticator.

Contract Manager

Fully customisable system to seamlessly manage payer contracts and deliver value

State of the Art Contract Manager. Enter’s system stores, manages and analyzes every Payer Contract’s fee schedule.
Every Contract Type. Fee for service, Value Based Care, Self Pay, Employer Payments.
Customizable Contract Behaviors. Customize how Enter works with every payer like self-pay discounts or employer payments.
Chargemaster Management. Enter’s Chargemaster is customizable to work with every modifier pair.

The Fastest Most Accurate Claims - Guaranteed

AI-powered claims generated and mapped with perfect data, real-time, everytime.

100% Payer Connectivity. Enter can send claims to any Payer on Earth.
Programatic and Customizable Claim Creation. Instant claim creation with perfect data transfer from your EMR.
AI powered claim scrubber. Claims created without error automatically.
Real time eligibility. Enter runs a real time eligibility check on every claim to deliver to the right Payer, mapped to the right plan.

Instant, Accurate Payment Posting

Errorless payment analyzation, tracked and linked to claims, at your fingertips

Instant ERA & EOB Reconciliation. AI powered EOB posting.
Enter’s Adjudication Algorithm. Enter finds every dollar, even if the Payer’s adjudication system sends invalid ERAs or EOBs.
Payments analyzed against the Payer’ Contract. Every payer payment is analyzed against the Payer Contract to ensure adjudication was accurate.
Payment Organization. Every payment is tracked and linked to the claim and at your fingertips in the Dashboard and Reporting.

Denial Management

Automated system to generate & manage denials, analyze & reconsider appeals.

Real-time Underpayment / Denial Analysis. Every payment is compared against your contract in real time.
DenialAI. Enter is able to programmatically generate and send medical records, appeals and reconsiderations to any payer via Mail and Fax.
Manual Research. Many denials need specific research. Enter’s team will call payers and perform the research to solve the root of the denial.
Appeal Tracking. Every appeal and reconsideration is tracked and analyzed for performance.

Paperless

Automated mail & fax communications, EOB parsing with ease of access to business intelligence

Mail and Fax Send. Enter programmatically sends outgoing mail and fax and links to each claim.
Mail and Fax Receiving. All incoming mail and fax is processed, scanned, OCR’d and linked to each claim.
AI EOB Parser. Enter converts every EOB into an ERA. 100% of the EOB data is parsed and tracked.
24x7 Access. Access your Dashboards, or real time business intelligence any time.

Perfect Patient Payments

Effortlessly collect patient payments, handle refunds and provide front-line support

SMS, Email & Patient Statements. Patients receive their invoice instantly after a claim is adjudicated. Customize drip campaigns.
Front line Patient Support. Patients can call, email or text to understand their bill.
Patient Mobile Checkout. Patients can easily pay on the phone or by calling.
Automate refunds and collections with Enter’s POS Terminal. Capture patient Co-Pays with Enter’s payment terminal and automate post-adjudication payments and refunds.

Financial reconciliation and reporting

Insights and reports for easy bookkeeping and complete control over the revenue cycle

Real-time reporting. Real-time RCM business intelligence dashboard. Financial reports, RCM operations, A/R reports, Payer Mix, Denial Analysis, and more.
Robust Filtering and Customization. Filter reports across all the different plans, providers, patients, and more.
Payment to Bank Reconciliation Reports. Connect your bank account to Enter and we will run reports that map your Payer Payments to your bank records.
Monthly Static Financial Reports. Enter will send month-end, static financial reports to make accounting’s life easy.

Powerful RCM API

Collection of API that makes your development process friction-less

Create claims. Use our JSON endpoint to easily create and send claims to any Payer. Get claim status and claim responsibilities.
Payer Adjudication and Payments. Get adjudication responses and payment details with a simple call.
Initiate patient collections and pull patient information easily.
Run eligibility checks and pull complete data easily.

Credentialing, Contracting, Consulting

Expert teams from multiple units to help you & your staff to connect, navigate & augment

Credentialing and Enrollment. Leverage Enter’s Credentialing and Enrollment team to help connect your providers to your payers.
Payer Contracting. Enter’s Payer Contracting team help you navigate the waters of getting contracted with all US Payers.
Consultations. Leverage any of Enter’s technical or business intelligence teams to help you improve your practice.
Staff Augmentation. Access Enter’s team of FTEs to help augment your staff.

Super Fast
Onboarding

EMR Integration, Implementation, and Consultation.

Enter will fully manage the integration process during the implementation process. Enter has integrated into nearly every major EMR like eClinicalWorks, Allscripts and many more.

Contract Manager

Enter acts as your contract manager. Enter understands every service line item requirement: prior auts, documentation, modifier combinations, etc

Clearinghouse

Enter acts as your clearinghouse. We’ve partnered with healthcare’s top clearinghouses to provide maximum electronic connectivity.

Mail / Fax Lockbox

Go paperless. Enter centralizes, digitizes, and organizes all Payer fax and mail correspondence.

White Glove
Service

Our team is here to help over email, phone, or chat.

24×7 support.

Chat with our engineering team in your dedicated ClickUp portal to help solve any integration and API issues.

Technical support.

Understand RCM like never before with Enter’s documentation and RCM guides.

Robust documentation.

Your Enter Rep will guide you and your team through the complexities of Healthcare Billing.

In depth training.

Comprehensive security and compliance

Siloed infrastructure for the storage, encryption, decryption and transmission of HIPAA data.

HIPAA security and encryption.

Enter is certified to the highest industry standards.

SOC 2 Compliant.

Enter performs annual security, compliance and HIPAA audits each year.

Annual Audits.

Single Sign On, granular member permissioning, 2 factor authentication with SMS or Google Authenticator.

Secure Dashboard access.

Contract
Manager

Enter’s system stores, manages and analyzes every Payer Contract’s fee schedule.

State of the Art Contract Manager.

Fee for service, Value Based Care, Self Pay, Employer Payments.

Every Contract Type.

Customize how Enter works with every payer like self-pay discounts or employer payments.

Customizable Contract Behaviors.

Enter’s Chargemaster is customizable to work with every modifier pair.

Chargemaster Management.

Fastest and Most Accurate Claims - Guaranteed

Enter can send claims to any Payer on Earth.

100% Payer Connectivity.

Instant claim creation with perfect data transfer from your EMR.

Programatic and Customizable Claim Creation.

Claims created without error automatically.

AI powered claim scrubber.

Enter runs a real time eligibility check on every claim to deliver to the right Payer, mapped to the right plan.

Real time eligibility.

Instant, Accurate Payment Posting

AI powered EOB posting.

Instant ERA & EOB Reconciliation.

Enter finds every dollar, even if the Payer’s adjudication system sends invalid ERAs or EOBs.

Enter’s Adjudication Algorithm.

Every payer payment is analyzed against the Payer Contract to ensure adjudication was accurate.

Payments analyzed against the Payer’ Contract.

Every payment is tracked and linked to the claim and at your fingertips in the Dashboard and Reporting.

Payment Organization.

Denial
Management

Every payment is compared against your contract in real time.

Real-time Underpayment / Denial Analysis.

Enter is able to programmatically generate and send medical records, appeals and reconsiderations to any payer via Mail and Fax.

DenialAI.

Many denials need specific research. Enter’s team will call payers and perform the research to solve the root of the denial.

Manual Research

Every appeal and reconsideration is tracked and analyzed for performance.

Appeal Tracking.

Your Practice...
Paperless

Enter programmatically sends outgoing mail and fax and links to each claim.

Mail and Fax Send.

All incoming mail and fax is processed, scanned, OCR’d and linked to each claim.

Mail and Fax Receiving.

Enter converts every EOB into an ERA. 100% of the EOB data is parsed and tracked.

AI EOB Parser.

Access your Dashboards, or real time business intelligence any time.

24x7 Access.

Perfect Patient
Payments

Patients receive their invoice instantly after a claim is adjudicated. Customize drip campaigns.

SMS, Email & Patient Statements.

Patients can call, email or text to understand their bill.

Front line Patient Support.

Patients can easily pay on the phone or by calling.

Patient Mobile Checkout.

Capture patient Co-Pays with Enter’s payment terminal and automate post-adjudication payments and refunds.

Automate refunds and collections with Enter’s POS Terminal.

Financial reconciliation and reporting

Real-time RCM business intelligence dashboard. Financial reports, RCM operations, A/R reports, Payer Mix, Denial Analysis, and more.

Real-time reporting.

Filter reports across all the different plans, providers, patients, and more.

Robust Filtering and Customization.

Connect your bank account to Enter and we will run reports that map your Payer Payments to your bank records.

Payment to Bank Reconciliation Reports.

Enter will send month-end, static financial reports to make accounting’s life easy.

Monthly Static Financial Reports.

Powerful
RCM API

Use our JSON endpoint to easily create and send claims to any Payer. Get claim status and claim responsibilities.

Create claims.

Get adjudication responses and payment details with a simple call.

Payer Adjudication and Payments.

Patients Payments

Initiate patient collections and pull patient information easily.

Eligibility

Run eligibility checks and pull complete data easily.

Credentialing, Contracting, Consulting

Leverage Enter’s Credentialing and Enrollment team to help connect your providers to your payers.

Credentialing and Enrollment.

Enter’s Payer Contracting team help you navigate the waters of getting contracted with all US Payers.

Payer Contracting.

Leverage any of Enter’s technical or business intelligence teams to help you improve your practice.

Consultations.

Access Enter’s team of FTEs to help augment your staff.

Staff Augmentation.

SOC2 Compliant

Enter’s data is end to end SOC2 compliant. Enter’s data is secure and safe.

Learn more

Single Sign On SSO

Enter is SSO enabled, making it more secure whilst saving you time.
‍

Learn more

HIPPA Compliant

The privacy, security, and integrity of health information is of utmost importance to us

Learn more

Full Set of Enter Features

Guarantees

99% Accuracy

Service

Dedicated Troubleshooting

Effortless collections

Transparency & Reporting

Business Intelligence

Connecting seamlessly

Contracting

Navigation assured

Guarantees

99% Claim Accuracy

ENTER :

ADVANCED RCM
COMPETITORS :

If Provider’s Claim Error Rate is above 3% for three consecutive months, Collection Fee will increase by .5% / month until the error rate is below 3%. Claim Error Rate = total amount of Errored Claims divided by Claims Sent ina month. Errored Claim = a visit sent to Enter with missing or incorrect information (provider, payer, member id, patient info, etc) resulting in manual intervention.

48 hour work days to drop guarantee

ENTER :

ADVANCED RCM
COMPETITORS :

Enter is the fastest and most accurate RCM in healthcare. We guarantee that your claims will be transmitted to the Payer in under 48 hours.

Service

White Glove Service

ENTER :

ADVANCED RCM
COMPETITORS :

Read More Here

Enter clients receive best in class customer support. Live chat, engineering support, real time claim support, payer phone calls and executive consulting all come out of the box to support your practice.

Onboarding Tune Up

EMR Integration Planning Sessions And Free Implementation

ENTER :

ADVANCED RCM
COMPETITORS :

Enter will fully manage the EMR integration process during the client’s implementation process. Enter is able to integrate with any EMR via HL7, x12, and Enter's proprietary API.

Value: $50,000 setup and 2,500 per year

Contract Manager & Chargemaster

ENTER :

ADVANCED RCM
COMPETITORS :

In RCM, the devil is in the details. During onboarding, Enter will ingest all of your payer contracts into our the Enter Contract Manager. Enter's state of the art Contract Manager is able to manage any fee for service or value based care contract. The Enter Chargemaster is the brain of your practice's RCM. Does your contract require Prior-Authorizations or supporting medical documentation or unique modifier combinations?
No problem - the Enter Chargemaster will ensure that every claim adheres perfectly to your contracts.

Value: $60,000 per year

Clearinghouse Enrollment and Management

ENTER :

ADVANCED RCM
COMPETITORS :

Enter is your clearinghouse. We've partnered with the top healthcare clearinghouses to ensure maximum connectivity for Claim Submissions (837), Electronic Remittance Advice (835), Eligibility (270), and Claim Statuses (276) payer endpoints.

Value: $5,000 per year

Mail & Fax Lockbox

ENTER :

ADVANCED RCM
COMPETITORS :

Enter is your mail and fax lockbox provider. All incoming and outgoing mail flow thorugh Enter's system. Each mail and fax is scanned, OCR'd and linked with the corresponding claim so you can go completely paperless.

Value: $15,000 per year

Automation Apps

ENTER :

ADVANCED RCM
COMPETITORS :

During onboarding, if you have unique requirements for Payers, Enter can configure customizable automation apps to ensure that every detail is picture perfect.

Value: $25,000

Payer Contracting

ENTER :

ADVANCED RCM
COMPETITORS :

SETUP

$1,500 per Contract per month.
Pricing includes payer contracting management for 1 Payer Contracts for a 120 day period beginning on March 1, 2022. For each additional contract requested, Company will bill an additional $1,500 per month.

PORTFOLIO MANAGEMENT

$1,000 / month per signed contract for ongoing contract management.
Ongoing Payer Portfolio management after Payer Contracting – Up to 15 active contracts. Annual contract paid monthly - evergreen.

$1,000 / month for additional contracts.

Claims and Billing

Claims Created, Verified & Sent In 1 Second

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's Claim AI is able to create the fastest and most accurate claims without any human intervention. Every claim is programatically created from your EMR with medical records. We apply your chargemaster, scrub the claim with Enter's propretary scrubbers, and run a real time eligibility check to verify the payer and the plan.

Value: $25,000

Auto Eligibility

ENTER :

ADVANCED RCM
COMPETITORS :

Enter runs a real time eligibility on every claim before transmitting to verify the payer and map the plan.

Value: $0.50 / claim

Government & Commercial Claim Submission

ENTER :

ADVANCED RCM
COMPETITORS :

Enter is conected to every payer on Earth. Enter partners with the top clearinghouses and also supports paper claim submissions. We guarantee your claim will always get to the right government or commercial payer.

Value: $1.50 / claim

Real Time Payment Posting

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's Payment AI programatically posts ERAs and EOBs back to the claim and analyze the payment against the contract.

24/7 Denial Surveillance

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's Payment AI is analyzing every Payer payment and comparing them against your Contracts. Any time a claim is underpaid or denied, Enter's Denial AI is able to automate payer follow up with comprehensive reconsiderations, appeals, or medical documentation.

Value: $5 / claim

Intant Appeals, Reconsiderations & Medical Documentation

ENTER :

ADVANCED RCM
COMPETITORS :

Any time a claim is underpaid or denied, Enter's Denial AI is able to automate payer follow up with comprehensive reconsiderations, appeals, or medical documentation.

Value: $11.25 / claim

Coordination of Benefits

ENTER :

ADVANCED RCM
COMPETITORS :

Enter maximizes the reimbursement for the full coordination of benefits. Primary, secondary and tertiary payers are all managed in Enter's system.

Value: $1.50 / claim

Patient Billing

Automated Patient Collections

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's Patient AI is able to fully automate the patient collections process. Once a claim has been fully adjudicated patients receive SMS, Email and Paper Statement notifications guiding them to pay via an online checkout system.

Value: 5% - 10% of patient collections

Patient Statements

ENTER :

ADVANCED RCM
COMPETITORS :

Enter automatically sends beautiful, white label, comprehensive patient statements.

Value: $1.50 / statement

Integrated Patient Mobile Billing

ENTER :

ADVANCED RCM
COMPETITORS :

Patients can pay their bill with credit cards, bank accounts or via check with a beautiful, white-labeled interface.

Value: 5% - 10%

Payment Plans

ENTER :

ADVANCED RCM
COMPETITORS :

Providers can configure payment plans to provide financial flexibility to their patients. Patients can choose to pay via payment plan in the Checkout system. No need for a phone call.

Value: $4 / claim

Enter Terminal

ENTER :

ADVANCED RCM
COMPETITORS :

With Enter's payment terminal and gateway, you can collect payments at the front desk and Enter will securely store the credit card for automatic recharges and refunds post-adjudication.

Value: Increase patient collections by 50%

Tracking and Reporting

ENTER :

ADVANCED RCM
COMPETITORS :

All patient payments and AR is deeply tracked. Enter provides consolidated month end financials for all patient payments.

Value: $500 / month

Track All Patient Statements And Payments In Cloud Based Dashboard

ENTER :

ADVANCED RCM
COMPETITORS :

Patient POS

ENTER :

ADVANCED RCM
COMPETITORS :

Transparency & Reporting

Cloud Based Dashboard That Tracks Everything

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's cloud based dashboard is fully API-driven. Easily search for patients, providers, plans and more. Enter's Business Intelligence Suite is the most advanced in the industry.Enter can also customize and configure your dashboard to fit any unique reporting requirements

Value: $1,000 - $10,000 / month

Completely Paperless Infrastructure (No More File Cabinets)

ENTER :

ADVANCED RCM
COMPETITORS :

While your EMR is your clinical repository of data - Enter is your financial data repository. Everything is fully digitized, organized, analyzed and at your fingertips

Value: $1,000 - $10,000 / month

Claim & Patient Search

ENTER :

ADVANCED RCM
COMPETITORS :

Enter's Provider Dashboard enables the most robust claim search functionality with detailed filtering out of the box.

Value: $2 / claim in saved man-hours

Robust Business Intelligence And Reporting

ENTER :

ADVANCED RCM
COMPETITORS :

Enters Base Business Intelligence Suite is the most sophisticated and robust infrastructure in RCM. You can access, download, manipulate and filter all of your data from RCM heatmaps, to financial summaries, to payer analysis, to denial analysis and so much more.

Value: $1,000 - $10,000 / month

Month-end Static Financial Reports

ENTER :

ADVANCED RCM
COMPETITORS :

Enter generates month-end, static, financial reports configurable for your reporting period.

Value: $1,000 / month

Customizable Monthly Email Reports To Your Doctors

ENTER :

ADVANCED RCM
COMPETITORS :

With Enter's Advanced BI, you can customize and configure your BI Suite along with month end static financial reports.

Value: $10,000 / month

RCM

The End-to-End Solution

ENTER :

ADVANCED RCM
COMPETITORS :

Enter is your end-to-end, wholistic Revenue Cycle Management partner. We've painstakingly designed and developed our platofrm to connect every component of the Revenue Cycle to yield best in industry results.

EXAMPLE PRICING :

Monthly Minimum

$5,000

Reimbursement Fee

4.90%

Per Claim

$0.30

Patients Collection Fee

4.90%

Credit Carge Charge Fee

$0.30

Terminal per Point of Sale Terminal

$375

Terminal Charge Rate

1.49% + Interchange

Terminal per Transaction Rate

$0.30

Coding

Access Enter's marketplace of leading coding vendors. From AI coders to skilled individuals.

ENTER :

ADVANCED RCM
COMPETITORS :

While Enter is not a coding service, our progratic coding solution is able to connect your practice with healthcare's best coding solutions. With just an integration into your EMR, you can have everything, including coding, out of the box,

Value: $500 / month

EXAMPLE PRICING :

Price / claim coded

Pass Through fees

Enter's data-driven platform tracks everything.

ENTER :

ADVANCED RCM
COMPETITORS :

Examples:

Per Eligibility Run via API:

$0.10

Per Letter Mailed (up to 20 pages):

$2.20

Per Extra Page Mailed (after 20):

$0.20

Per Shipment Mailed

[USPS Flat Rate]

Per Letter Scanned

$1.00

Per Page Scanned

$0.52

Per Page Fax Sent

$0.10

Per Page Fax Received

$0.10

Per minute phone calls, telephony, & transcription

$0.0252

Per minute for phone call transcription

$0.024

Per Patient Page Mailed: USD

$0.72

Per SMS or Email: USD

$0.02

Business Intelligence

Know how your practice is performing against the adjustments, payments and charges.

ENTER :

ADVANCED RCM
COMPETITORS :

EXAMPLE PRICING :

Base Business Intelligence Platform

$0.00

Advanced Reporting Suite per year

$10,000.00

Custom Reporting: per hour

$125.00

Staff Augmentation

Access Enter’s team of FTEs to help augment your staff.

ENTER :

ADVANCED RCM
COMPETITORS :

EXAMPLE PRICING :

Basic FTE

$25.00

Contracting

$65.00

Consulting

$125.00

Hard Collections

Partner with Hard Collection Agencies

ENTER :

ADVANCED RCM
COMPETITORS :

Enter can work with your existing hard collection agency or you can work with on of our partners. Enter can generate any report required for hard collections and programatically transmit the data to your selected vendor.

Value: $250 / month

EXAMPLE PRICING :

Price / claim coded

20%

Credentialing

Leverage Enter’s Credentialing and Enrollment team to help connect your providers to your payer

ENTER :

ADVANCED RCM
COMPETITORS :

EXAMPLE PRICING :

Credentialing Set Up / Provider

$1,500.00

Credentialing Maintenance / mo

$150.00

Credentialing and Enrollment (optional)

ENTER :

ADVANCED RCM
COMPETITORS :

SET UP FEE (OPTIONAL) :

$1500 per provider.Pricing includes 12 Provider Insurance Panels, Credentialing, PanelContracting/Application, Government And Commercial Payers, CAQHDatabase Management

ONGOING MANAGEMENT (OPTIONAL) :

$150/month per provider for ongoing credentialing management.Maintenance of CAQH, Re-attestation, Uploading new documents,Revalidation processing

A LA CARTE (OPTIONAL) :

$150 per commercial panel
$300 per governmental panel
CAQH: $95 per Rendering Provider NPI
Maintenance: $25 per provider per month

Contracting

Enter’s system stores, manages and analyzes every Payer Contract’s fee schedule.

ENTER :

ADVANCED RCM
COMPETITORS :

EXAMPLE PRICING :

Contracting Set Up / Payer / mo (first 4 months)

$1,500

Contracting Maintenance / Payer / mo (after 4 months)

$1,000

Submit Request

Try Enter Air - The easiest and most powerful way to experience Enter.

We can import your last 2 years of claim and payment data and provide you with the deepest analytics of your existing Revenue Cycle performance.

Learn more