Pricing

Move beyond percentage-based billing and labor-driven RCM.

A modern, automation credit pricing model for Revenue Cycle Management — built so your team can spend more time on patient care and less on administrative burden.

Today’s Reality

Traditional RCM Costs

Medical Billing Companies

$2M practice$80K–$160K/yr
$5M practice$200K–$400K/yr

4–10% of collections (industry standard)

In-House & Outsourced RCM Staffing

2–3 billing staff$90K–$180K/yr
Fully loaded$140K–$200K/yr

Wages + benefits + training + turnover

Annual Cost

^$150K – ^$500K+

per year

Plus hidden costs — idle time, errors, denial rework, turnover, missed coding revenue.

The RSAI Model

Automation Credit Pricing

Pay only for actual automation usage
No percentage of your revenue
Frees your team to focus on patient care
Predictable, transparent monthly costs
Credits usable across all 6 Streams^*
Scales up and down with volume

Modern AI-driven pricing

Built for efficiency and scale

^*StreamCall priced separately.

Sources: industry benchmarks for medical billing outsourcing fees and in-house RCM labor costs — see Medcurrence: Medical Billing Outsourcing ROI.

Why RSAI Pricing Is Different

A modern model that gives your team time back for patients.

Healthcare practices spend hundreds of thousands of dollars per year on Revenue Cycle Management — labor, billing firms, and overhead that pull focus away from patient care.

RSAI modernizes Revenue Cycle Management.

Your team stays in the driver’s seat — overseeing automation, handling exceptions, and shaping the patient experience. RSAI handles the repetitive, time-consuming RCM workflows behind the scenes, so the people you’ve hired can spend their time where it matters most: with patients.

More time for patients — automation absorbs administrative load so your team can focus on care
Predictable costs — automation credit pricing scales with real-world volume
Aligned incentives — no percentage of collections, no opaque billing arrangements
Fully scalable — usage grows or contracts with your volume

How Pricing Works

Choose Your Plan

Select a monthly platform access tier — Practice Essentials, Growth Suite, or Enterprise Full Stack. This covers platform infrastructure, support, and integrations.

Activate Your Stream™s

Deploy any or all 7 Stream™ modules. Each module executes tasks independently — you only pay for what runs. Start with one, scale to the full suite.

Pay Per Execution

Stream™ executions are billed per use at volume-based rates. Higher volume = lower per-unit cost. No percentages, no seats, no hidden fees.

Platform Plans

All plans include HIPAA BAA, platform access, and Stream™ Credits. StreamCall™ Credits billed separately. No setup fees.

Entry Plan

Practice Essentials

Starting at

^$1,495/mo

For single-site practices getting started with RCM automation.

200Automation Credits / mo

Access to all 6 Stream™ modules
Overage $0.75 / Automation Credit
No credit rollover
StreamCall™ pay-as-you-go (separate)
HIPAA BAA · email + chat support

One credit pool. Six Stream™ modules.

Automation Credits are consumed at fixed rates as your modules execute work. StreamCall™ runs on a separate credit pool.

StreamDesk^™

1Automation Credit

per intake workflow

Patient scheduling, digital intake, insurance capture, pre-visit eligibility triggers.

StreamVerify^™

1Automation Credit

per eligibility inquiry

Real-time eligibility verification across 900+ payers with structured JSON response.

StreamBill^™

2Automation Credits

per statement or payment

Pre-service estimates, plain-language statements, online payment portal, auto payment plans.

StreamClaim^™

3Automation Credits

per claim submitted

4,000+ edit validation, direct payer submission, automated ERA/EOB posting, AI denial appeals.

StreamAuth^™

5Automation Credits

per authorization request

AI-assembled clinical documentation, electronic PA submission, real-time approval tracking.

StreamCode^™

8Automation Credits

per encounter coded

AI-powered ICD-10, CPT, and HCPCS coding from clinical documentation. Catches undercoding.

StreamCall™ Credits — separate pool

Voice automation, billed by the connected minute.

Pay-as-you-go at all tiers. No included allocation — purchase as needed. Rate decreases as monthly volume grows.

0–1,000

^$0.57/credit

credits / month

1,001–5,000

^$0.52/credit

credits / month

5,001–15,000

^$0.47/credit

credits / month

15,001–50,000

^$0.42/credit

credits / month

50,000+

Custom

enterprise pricing

Metric	All Tiers
Per minute	1 StreamCall Credit
List rate	$0.57 / Automation Credit (volume discounts apply, see tiers above)
Included allocation	None — purchase as needed
Rollover	90 days · all tiers

Custom enterprise pricing available for high-volume organizations. Detailed schedules provided during demo scoping.

Plan Comparison

What’s included at every tier.

Every plan includes platform access, all 6 Stream™ modules, HIPAA BAA, and core integrations. Differences scale with size, support, and Automation Credit allocation.

Capability	Practice Essentials	Growth Suite	Enterprise Full Stack
Plan basics
Monthly fee	$1,495	$2,495	$4,995
Automation Credits / mo	200	1,000	3,000
Overage rate	$0.75 / credit	$0.50 / credit	$0.25 / credit
Credit rollover		30 days	90 days
Stream™ modules
All 6 Stream™ modules
StreamCall™ (separate pool)	Pay-as-you-go	Pay-as-you-go	Pay-as-you-go
Integrations & deployment
Standard EHR connectors
Priority connector deployment
Custom EHR / payer integrations
Dedicated infrastructure
Reliability & intelligence
Uptime SLA		99.9%	Custom SLA
Denial intelligence	Basic	Advanced	AI denial suite
Revenue analytics dashboard
Support
Email + chat
Priority phone
Dedicated account manager
Executive business reviews
Compliance
HIPAA BAA
CMS-0057-F ready (StreamAuth™)

Need a custom configuration? Talk to sales for high-volume pricing.

FAQ

Pricing questions answered

Everything you need to know about how RSAI is priced, deployed, and integrated.

Pricing & Plans

No. There are no setup or onboarding fees. We handle implementation, integration, and configuration so you can get started immediately.

Yes. Each Stream™ module can be deployed independently or combined to support your full revenue cycle.

Yes. A fully executed HIPAA BAA is included at no additional cost.

Stream™-Specific Pricing

StreamDesk™ consumes 1 Automation Credit per intake workflow. Automation Credits are drawn from your plan's monthly pool; overage is billed at your plan's per-credit rate.

StreamVerify™ is usage-based and billed per execution, with volume-based pricing tiers. An eligibility check is a single execution verifying one patient's insurance benefits with one payer.

StreamAuth™ consumes 5 Automation Credits per authorization request submitted.

StreamCode™ consumes 8 Automation Credits per encounter coded. Higher consumption reflects compliance-critical Opus-class processing.

StreamClaim™ consumes 3 Automation Credits per claim submitted — including validation, payer submission, status tracking, and ERA/EOB posting.

StreamBill™ consumes 2 Automation Credits per statement or payment.

StreamCall™ runs on a separate StreamCall Credit pool — 1 credit per connected minute, $0.57 / Automation Credit, purchased as needed at all tiers with 90-day rollover.

Platform & Technical

RSAI integrates with all major EHR systems, including Epic, Oracle Health (Cerner), Athenahealth, NextGen, eClinicalWorks, MEDITECH, Veradigm, Greenway Health, Tebra, AdvancedMD, DrChrono, Practice Fusion, and more.

Most customers are live within days. Integrations are typically completed within hours depending on system access and configuration.

Move beyond percentage-based billing and labor-driven RCM.

Traditional RCM Costs

Automation Credit Pricing

A modern model that gives your team time back for patients.

Choose Your Plan

Activate Your Stream™s

Pay Per Execution

Platform Plans

One credit pool. Six Stream™ modules.

Voice automation, billed by the connected minute.

What’s included at every tier.

Pricing questions answered

Ready to see what RSAI can do for your practice?