Plans & Pricing
Simple, transparent pricing.
Replace hours of manual CMS, MAC, and Federal Register monitoring with daily, specialty-specific intelligence — the exact policy changes that move your reimbursement, and the specific codes to act on before claims are affected.
Standard
One seat, full platform — real-time critical alerts and audit-ready exports for when a MAC audit lands.
Single seat
Built to protect revenue, not save clerical hours: it surfaces the silent policy changes that turn into denials and prices them against the CMS fee schedule inside the product. Not a replacement for your encoder or CEU program — a purpose-built monitoring layer those tools do not provide.
- Full alert feed — all specialties, every MAC jurisdiction
- AI-generated action guidance on 79% of clinical alerts with specific CPT/HCPCS codes
- Citation-grounded Medicare appeal letters — quote the exact LCD/NCD language, verified verbatim
- Signal scoring with specialty-relative context
- Comment period tracking and compliance calendar
- Code lookup with full alert cross-reference (ICD-10, HCPCS, CPT)
- Historical alert archive — full dataset access
- Revenue leakage estimator and ROI calculator
- Weekly specialty digest + real-time critical alerts
- Exportable CSV and executive report downloads
Cancel anytime · no long-term contract
Solo
Daily CMS and MAC monitoring for a single specialty and jurisdiction.
1 specialty + 1 MAC jurisdiction
- Live reimbursement alerts scoped to your specialty + MAC jurisdiction
- AI-generated action guidance on 79% of clinical alerts — specific codes, not generic advice
- Signal scoring prioritized by clinical and financial impact
- Comment period tracking for proposed LCDs with submission links
- Code lookup with alert cross-reference (ICD-10, HCPCS, CPT)
- Government source links on every alert — 100% verified origins
- Weekly alert digest scoped to your specialty and MAC
National (all-jurisdiction) alerts are always included.
Cancel anytime · no long-term contract
Practice
For small billing offices and group practices. Everything in Standard, for up to 3 people.
Up to 3 seats
3 seats for less than 3 Standard plans — save $148/month.
- Everything in Standard
- Up to 3 named seats
- Shared alert dashboard — see what your colleagues have reviewed
- Consolidated billing
Cancel anytime · no long-term contract
Team
Up to 5 seats with a shared team dashboard.
Up to 5 seats
- Everything in Standard
- Up to 5 team members
- Shared alert dashboard
- Team-level audit exports
- Consolidated billing
Sample compliance report excerpt
Cancel anytime · no long-term contract
Lab
Exposure-priced reimbursement intelligence for molecular and diagnostic laboratories.
Exposure-priced · quoted on the call
- Everything in Standard — full platform access
- Molecular and lab exposure priced to the CMS Clinical Laboratory Fee Schedule (CLFS)
- Code-level dollar exposure on the molecular codes the Physician Fee Schedule can’t price
- MolDX LCD and Billing & Coding monitoring across the MolDX MAC jurisdictions
- Priority onboarding and support for lab RCM and compliance teams
Priced on your molecular exposure concentration, not seat count.
Agency
Multi-client intelligence for billing companies, RCM consultancies, and revenue integrity advisors.
15 seats · billed monthly or annually · quoted on the call
- Everything in Team
- 15 team members across your organization
- All specialties and all MAC jurisdictions
- 4 historical audit packs per year included
- Quarterly cross-specialty trend briefing
- Priority support
vs. per-client cost: under $150/mo per managed provider at 20+ clients.
Enterprise
For health systems, RCM platforms, and teams that need CLV intelligence inside their own systems.
Unlimited seats · custom licensing
- Everything in Agency
- Unlimited seats — custom licensing
- Custom integrations and data delivery (SFTP / webhook)
- SSO (on request)
- Dedicated onboarding and priority SLA
- API access to the alert intelligence feed
Custom pricing based on seats, integrations, and data delivery.
Billed monthly or annually — 2 months free on annual plans. Cancel anytime. Prices in USD.
- Cancel anytime — no contract
- Every alert links to its official government source
- Updated every weekday
What you unlock at each tier
The free weekly digest tells you what changed. Paid plans tell you what to do about it— the complete alert feed, specialty and code watchlists, the compliance calendar, and audit-ready exports the digest structurally can’t give you.
| Capability | Free | Solo | Standard |
|---|---|---|---|
| Live alert feed | Preview (10 newest) | Your specialty + MAC | All specialties, every MAC |
| AI action guidance with specific CPT/HCPCS codes — on 79% of clinical alerts | — | Your scope | |
| Citation-grounded Medicare appeal letters — quote the exact LCD/NCD language, verified verbatim | — | — | |
| Signal scoring & compliance calendar | — | ||
| Revenue analytics dashboard | — | — | |
| Executive reports & CSV export | — | — | |
| Audit-pack exports — a dated, source-linked record for when a MAC audit lands | — | — | |
| Weekly digest — what changed | Scoped to your specialty | + real-time critical alerts |
A one-time audit pack is $349–$1,499. Standard is $299/month — the same government-verified intelligence, continuously, for your whole revenue-cycle workflow.
Start here · no subscription
One-time audit packs
Not ready to commit to a subscription? Get a complete, government-sourced audit export for a single specialty — no account, delivered automatically the moment you pay. It’s the lowest-commitment way to start; upgrade to continuous monitoring whenever you’re ready.
Tripwire Audit Pack
12-month historical alert export for a single specialty.
- 12 months of specialty-filtered alert history
- Machine-readable CSV for analytics import
- Formatted PDF for compliance distribution
- AI-assisted executive summary of policy trends and high-signal changes
- Source document links for every alert — 100% government-verified origins
- Secure download link valid for 24 hours
CSV + PDF with AI-assisted executive summary — delivered automatically after payment.
AI-assisted — verify before acting
Alert summaries and executive narrative are AI-assisted and reviewed for factual accuracy against source documents. This pack documents policy monitoring activity — it is not a legal compliance opinion or audit certification. Consult qualified compliance counsel for regulatory interpretation.
Premium Audit Pack
24-month cross-specialty audit with year-over-year trend analysis.
- 24 months of cross-specialty alert history
- Machine-readable CSV for analytics import
- Formatted PDF for compliance distribution
- AI-assisted executive summary with risk trend analysis
- Year-over-year comparison of alert volume by type and specialty
- Proposed vs. final rule resolution tracking for your specialty
- Source document links for every alert — 100% government-verified origins
- Secure download link valid for 24 hours
CSV + PDF + executive summary with trend analysis — delivered automatically.
AI-assisted — verify before acting
Alert summaries and executive narrative are AI-assisted and reviewed for factual accuracy against source documents. This pack documents policy monitoring activity — it is not a legal compliance opinion or audit certification. Consult qualified compliance counsel for regulatory interpretation.
Audit packs are one-time purchases. Delivery is automatic via secure download link generated immediately after payment confirmation.
How CLV Intelligence fits your existing toolkit
Most coding teams need three things: an encoder for claim editing, education for credentials, and a monitoring layer for policy changes. CLV Intelligence is the third — the one most teams are currently doing manually.
| Tool | Annual cost | Daily monitoring | AI action guidance | MAC filtering | Code cross-reference | Comment deadlines | Priced $ exposure | Source provenance | Appeal-ready export | Primary use case |
|---|---|---|---|---|---|---|---|---|---|---|
| AHA Coding Clinic | ~$600/yr | — | — | — | — | — | — | — | — | Coding guidance and education |
| TruCode / 3M encoder | $1,200–$3,600/yr | — | — | — | ✓ | — | — | — | — | Code lookup and claim editing |
| MedLearn / AHIMA | $800–$2,000/yr | — | — | — | — | — | — | — | — | CEU education and credentials |
| MAC email subscriptions | Free | ✓ | — | — | — | — | — | — | — | Raw notices — unfiltered, no enrichment |
| CLV Intelligence StandardYou are here | $3,588/yr | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | Priced exposure, named provenance, appeal-ready export |
Your encoder and education tools remain essential. CLV Intelligence fills the monitoring gap — the daily policy intelligence layer those tools do not provide.
Frequently asked questions
How often are alerts updated?
The alert database ingests from live government sources every weekday: the CMS Coverage Database, Federal Register, CMS Transmittals (Publication 100-04), OIG guidance, FDA drug approvals, and every named MAC contractor portal. New alerts are processed, signal-scored, and enriched with AI-generated action guidance before appearing in your feed. Verify the current ingestion cadence at any time at clvintelligence.com/data-status.
Can I cancel my subscription?
Yes. You can cancel or pause your subscription at any time from your account settings. You will retain access until the end of your billing cycle.
What is an Audit Pack?
CLV Intelligence offers two one-time audit packs, both delivered automatically via secure download link immediately after payment — no subscription required. The Tripwire Audit Pack ($349) covers 12 months of specialty-filtered alert history for a single specialty and MAC jurisdiction. It includes a machine-readable CSV, a formatted PDF, and an AI-assisted executive summary with government source links on every alert. The Premium Audit Pack ($1,499) covers 24 months of cross-specialty history with year-over-year trend analysis and proposed-vs-final rule resolution tracking. Both packs document policy monitoring activity and are appropriate for pre-audit preparation, payer reviews, and accreditation surveys. They are not legal compliance opinions or audit certifications. Consult qualified compliance counsel for regulatory interpretation.
Do you offer enterprise pricing?
Yes. Enterprise is a custom, quote-based plan for health systems, RCM platforms, and teams that need CLV intelligence inside their own systems — unlimited seats under custom licensing, custom integrations and data delivery (SFTP or webhook), dedicated onboarding, and a priority SLA. Pricing depends on seats, integrations, and data delivery, so there is no list price: see the Enterprise plan above and book a call, and we will scope it with you. For smaller teams, Practice ($749/month, 3 seats) and Team ($1,199/month, 5 seats) are self-serve — Team is the largest plan you can buy without talking to us. Agency ($2,995/month, 15 seats) and Lab are quoted on a call, like Enterprise: Agency is the usual fit for billing companies and RCM consultancies, and Lab is priced on exposure rather than seats.