One rate per call. Nothing else to add up.
No seat licenses, no platform fee, no per-minute meter running while a member finds their ID card. You pay for calls we handle.
Your rate depends on volume, the scope of call types you hand us, and how complex your systems and scripts are. We quote it in writing after one scoping call.
Ask about our answer-only billing: routine calls we resolve are billable, misdials and abandoned calls are not.
Running a provider practice instead? See practice pricing. Managing a pharmacy benefit? See PBM pricing.
Three things move the number
Nothing hidden. These are the only variables in the quote we hand you.
Volume
Monthly call volume across every line you give us. Higher committed volume moves the rate down; we do not price it in secret tiers.
Scope
How many call types we take. A single claims status line prices differently from a full member and provider service line plus outbound campaigns.
Complexity
Your systems, plan designs, and script requirements. A modern API and three plan designs is straightforward; sixty custom plans and a legacy platform is not.
What a routine call costs you today
| Handling | Typical cost per call | Time to answer | Hours covered |
|---|---|---|---|
| In-house CSR or adjuster | $6–$12 | Queue dependent | Business hours |
| Offshore BPO | $2–$5 | Queue dependent | Extended |
| EHVAhealth | From 50¢ | Under 1 second | 24/7, every day |
Simple enough to explain to finance in one sentence
We scope, then quote in writing
One call to map your call types, volumes, and systems. You get a fixed per-call rate, starting at 50¢, before you sign anything.
Onboarding is included
Integration, script design, testing, and go-live are part of the service, not a separate implementation invoice.
Monthly invoice, one line item
Calls handled × your rate. Volume and containment reporting arrives with it so you can reconcile every call.
Scale up or down freely
Open enrollment triples your volume and the rate holds. No overage penalties, no unused-seat waste in the quiet months.
The things finance asks first
Is 50¢ really the price?
It is where pricing starts, and plenty of programs land there. Your quoted rate depends on volume, scope, and complexity, and we put it in writing before you commit. There is no bait: the rate we quote is the rate we invoice.
Is there a setup or implementation fee?
No. Discovery, integration, script configuration, testing, and go-live are included in the per-call rate.
What counts as a billable call?
A call we answer and handle. Misdials, immediate hang-ups, and calls that never reach handling are not billed. Outbound attempts that do not connect are not billed either.
Do long calls cost more?
No. Pricing is per call, not per minute, so a thorough answer never costs you more than a rushed one. That is deliberate: we do not want anything in the model that rewards cutting a caller short.
Is there a minimum commitment?
We work on annual service agreements with monthly volume flexibility. Pilots are available for teams that want to prove the line on a single call type first.
What about outbound campaigns?
Same per-call model, including the caller ID branding and STIR/SHAKEN attestation work. See outbound calling for what that covers.
We are a provider practice, not an administrator. Does this apply?
No. This page prices answering the calls that come in to a plan or administrator. For practices we make the outbound calls to payers, at a flat rate, see practice pricing. For pharmacy benefit managers, see PBM pricing.
What TPAs get for the rate
Acuity Group: 81% automated
Claims, eligibility, and benefits calls answered end to end for a TPA covering 16,471 lives.
Read the case studyCareFactor: 90% autonomy
Benefits and claims calls answered from plan documents and EOBs, 24/7, for 30,000 lives.
Read the case studyWLT Software partnership
WLT endorses EHVAhealth as its preferred voice AI partner for MediClaims customers.
Read the announcementThe math behind per-call pricing
What does a provider call cost a TPA?
A per-call cost model for eligibility, benefits, and claims status calls, including the costs finance usually leaves out.
Read the postVoice AI vs. an offshore BPO vs. more staff for provider calls
Three ways to answer eligibility, benefits, and claims status calls, compared on cost, hours, scaling, and quality.
Read the postContainment is the wrong metric for provider calls
A line that never escalates is not a line that resolves. What to measure instead, and why it changes how a call is designed.
Read the postHear it before you price it
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