Pricing Policy
PMSLogix – Pricing & Billing Policy
1. Purpose & Scope
This Policy explains how PMSLogix, Inc. (“PMSLogix,” “we,” “our,” “us”) calculates, invoices, and adjusts Platform fees for customers that license the PMSLogix Practice Management System and related revenue‑cycle‑management (RCM) services (collectively, the “Platform”). Capitalised terms not defined here have the meanings given in the PMSLogix Terms of Service.
The Policy applies to every Order Form or Subscription Agreement that references PMSLogix’s Terms of Service and this Pricing Policy. If an Order Form conflicts with this Policy, the Order Form controls for that Customer.
I. Key Definitions
Term | Meaning |
Provider User | A licensed individual who renders billable professional services and appears on claims or invoices. Each Provider User consumes a full subscription seat. |
Physician Provider | A Provider User holding an MD, DO, DPM, DDS, DMD, OD, or comparable degree, authorised to bill Medicare/commercial payers under an individual NPI. |
Allied‑Health Provider | A nurse practitioner, physician assistant, therapist (PT/OT/SLP), dietician, chiropractor, or similar professional who generates a separate line on a professional claim. |
Facility Entity | An institutional NPI (Type 2) such as a group practice, ASC, laboratory, or urgent‑care centre that submits UB‑04 or CMS‑1450 claims. |
Billing‑Only User | An employee or contractor who works exclusively in scheduling, charge entry, payment posting, or A/R but does not sign claims as a rendering provider. Billing‑Only Users are counted in the “Back‑Office Seat” tier. |
Clearinghouse Transaction | One of: (a) ANSI 837 claim submission; (b) ANSI 270 eligibility inquiry; (c) ANSI 835 remittance (each claim status, paid or denied, counts once). |
Statement Mailing | A patient statement batch transmitted from the Platform to PMSLogix’s print‑and‑mail partner. |
Professional Services | One‑off or recurring services outside the core subscription—e.g., data migration, HL7/API interface builds, custom reports, on‑site training, Robotic Process Automation (RPA), or statement design. |
Monthly Claim Allowance | The number of Clearinghouse Transactions included per subscribed Provider User each calendar month, specified on the Order Form. Transactions beyond the allowance incur Transactional Fees. |
II. Subscription Plan & Provider-Based Fees
PMSLogix offers a unified, all-inclusive subscription tier called PMSLogix Core. Subscription fees are assessed monthly in advance per rendering provider (based on National Provider Identifier—NPI) and provide access to all software features, including charge capture, claim management, denial workflows, payment posting, analytics, reporting, and task-based automation.
| Plan | Eligible NPIs | Description | Monthly Fee (USD) | 837/835 Transactions |
|---|---|---|---|---|
| PMSLogix Core – MD | MD, DO, DPM, DDS, DMD, OD, etc. | Full-feature access with rendering privileges | $249 / Provider | Unlimited (Platform included) |
| PMSLogix Core – Non-MD | NP, PA, PT/OT/SLP, DC, RD, etc. | Same functionality as above | $175 / Provider | Unlimited (Platform included) |
Important Note: Subscription fees include access to PMSLogix-integrated claim generation (837) and ERA posting (835) functionalities. However, any external clearinghouse charges or third-party EDI transmission fees (e.g., those levied by OfficeAlly, Availity, Change Healthcare) remain the responsibility of the Customer and are billed directly by those vendors unless otherwise agreed in writing.
Subscription fees are fixed for the Subscription Term specified in the Customer’s Order Form and may be adjusted thereafter as set forth in Section VI (Price Adjustments
| PMSLogix Core – MD – MD | Physician NPIs (MD, DO, DPM, DDS, DMD, OD, etc.) | Full PMSLogix feature set plus unlimited 837 claim uploads, unlimited 835 remittances, and access to PowerBI dashboards | $249 / Provider | Unlimited* |
| PMSLogix Core – Allied | Nonphysician NPIs (NP, PA, PT/OT/SLP, DC, RD, etc.) | Same as above | $175 / Provider | Unlimited* |
*The PMSLogix platform fee covers all software usage.
*The Monthly Claim Allowance is pooled across all Providers in the same practice account.
III. Transactional & Communication Charges (Invoiced Monthly in Arrears)
PMSLogix monitors and invoices the following usage-based services on a per-unit basis. These fees are subject to reconciliation reporting and available on request for financial audit or CPA review.
| Item | Fee | Description |
| Electronic Claims (837) | Included in subscription | PMSLogix platform usage only. Third-party clearinghouse fees not included. |
| Electronic Remittance Advice (835) | Included in subscription | PMSLogix auto-posting included. Customer responsible for external ERA routing costs. |
| Eligibility Verification (270/271) | $0.05 per transaction | First 50 inquiries per provider NPI per month included. Excess billed monthly. |
| Email Patient Statement | $0.12 per email sent | PDF-based balance communication with delivery tracking. |
| Postal Statement (1-page) | $1.30 first page$0.20 each additional page | Includes postage, printing, and fulfillment. |
| Patient Statement via SMS | $0.02 per outbound text | Sent only to patients who have opted in. |
| Paper Claims (UB-04 / CMS-1500) | $1.05 first page$0.20 each additional page | Charged per claim mailed by clearinghouse integration. |
| Credit Card Processing | 2.75% + $0.30 | Fee charged by payment processor (Stripe). PMSLogix does not markup or collect this fee. |
All transactional charges are calculated based on system logs and clearinghouse acknowledgements and are auditable upon request
IV. Professional & Integration Services
PMSLogix monitors and invoices the following usage-based services on a per-unit basis. These fees are subject to reconciliation reporting and available on request for financial audit or CPA review.
| Item | Fee | Description |
| Electronic Claims (837) | Included in subscription | PMSLogix platform usage only. Third-party clearinghouse fees not included. |
| Electronic Remittance Advice (835) | Included in subscription | PMSLogix auto-posting included. Customer responsible for external ERA routing costs. |
| Eligibility Verification (270/271) | $0.05 per transaction | First 50 inquiries per provider NPI per month included. Excess billed monthly. |
| Email Patient Statement | $0.12 per email sent | PDF-based balance communication with delivery tracking. |
| Postal Statement (1-page) | $1.30 first page$0.20 each additional page | Includes postage, printing, and fulfillment. |
| Patient Statement via SMS | $0.02 per outbound text | Sent only to patients who have opted in. |
| Paper Claims (UB-04 / CMS-1500) | $1.05 first page$0.20 each additional page | Charged per claim mailed by clearinghouse integration. |
| Credit Card Processing | 2.75% + $0.30 | Fee charged by payment processor (Stripe). PMSLogix does not markup or collect this fee. |
All transactional charges are calculated based on system logs and clearinghouse acknowledgements and are auditable upon request
V. Billing & Invoice Schedule
Charge Type | Invoice Timing |
Onboarding & Data Import | One‑time – billed at signing |
Subscription Seat Fees | Monthly in advance |
Transactional Fees | Monthly in arrears |
Professional Services (T&M) | Monthly in arrears |
SMS Compliance Pass‑Through | Annually in advance |
Invoices are emailed to the Billing Contact on file and are due Net 15 unless otherwise stated on the Order Form. Unpaid balances accrue 1.5 % interest per month (or the maximum lawful rate).
VI. Price Adjustments & Indexing
- Annual Indexing. PMSLogix may increase Seat or Transactional fees up to 0 % once per rolling 12‑month period with 30 days’ written notice.
- Regulatory/Postal Increases. Postage and third‑party compliance surcharges (e.g., SMS A2P 10DLC fees) may be passed through at cost with 30 days’ notice.
- High‑Volume Shift. If a Facility Entity or practice processes >1,000 claims per seat per month for two consecutive months, PMSLogix may migrate the Customer to a 100 % transactional plan after 30 days’ notice.
VII. Notice of Non Renewal & Seat Changes
- Non‑Renewal. Either party may prevent auto‑renewal by giving 60 days’ written notice before the current Subscription Term ends.
- Adding Seats. Additional Providers are prorated for the remainder of the then‑current month and billed at the next cycle.
- Removing Seats. Deactivations take effect on the next monthly anniversary date; Seat fees remain payable for the balance of the Subscription Term.
VIII. Refund & Credit Policy
All fees are non‑refundable. Credits are not issued for partial‑month seat removals or for unused Transactional allowances. Customer remains liable for any monthly minimums set forth in the Order Form.
IX. Administrative & Reactivation Fees
| Fee | Amount | Trigger |
| Minimum Account Fee | $150 / month | Accounts with zero active Provider Users |
| Late‑Payment Reactivation | $49 | Re‑enable suspended account after payment received |
| Provider Website Export | $750 one‑time | Static HTML export of appointment‑only microsite |
X. Data Import & Migration Guidelines
PMSLogix accepts the following file formats for standard imports:
| Data Set | Accepted Formats |
| Patient Demographics, Insurance, Providers, Locations, Fees | CSV, XLSX |
| Appointment History | CSV, XLSX |
| Scanned Docs | PDF, JPG, PNG, TIFF |
| CCDA | XML |
Custom migrations between multi‑practice billing accounts require written authorisation from both account owners and are subject to a bespoke quote.
XI. Policy Updates
We may revise this Policy with 30 days’ notice by email or in‑platform message. Continued use of the Platform after the effective date constitutes acceptance.
For billing questions, contact billing@pmslogix.com.
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