Request NeoClaim service

Tell us which path fits. We'll reply at your email — no PHI on this form.

NeoClaim Box — $10,000 Pay now. Hardware + setup + 2 years updates & support. Pipeline runs on your Box.

Monthly hosted — from $500/mo Core $500 / 250 · Plus $900 / 500 · Pro $1,500 / 1,000 · Custom quote. Processing on NeoClaim servers via /app. No Box required.

Do not include patient names, member IDs, claim numbers, or other PHI. Agency contact details and volume estimates only.

Name (required)

Email (required)

Agency / organization (required)

Path (required)

Box — $10,000 on your hardware (2 years support) Hosted — monthly on NeoClaim servers Not sure yet — help me choose

Hosted plan interest

Approx. monthly claim volume

Clearinghouse (optional)

Notes (optional — no PHI)

Email instead