Packaging

Buy one rung. Climb when you're ready.

Claimwell is priced by the work the agents carry, not by seat. A platform fee per rung covers the operations team. On top of it, the Mail Room is priced per document indexed, Claim File Intelligence per claim on file, and each agent per claim it owns. If the agents don't carry the work, you don't pay for it. Everything runs in your cloud account under your contract with your cloud provider.

Rung 01 · per document indexed

Mail Room

For claims operations replacing manual indexing. Compare the unit price to what you pay per document today.
  • Document pipeline, classifier, matcher
  • Write-back adapter to your claims system
  • Exception desk
  • Audit store
  • Accuracy report on your document mix before go-live
Mail Room
Rungs 01 + 02 · per document, per claim on file

Mail Room + File Intelligence

For the claims organization. Same adapter as the Mail Room, nothing new from IT.
  • Everything in Mail Room
  • Evidence deltas, file and clinical summaries
  • Claim timeline with provenance
  • Examiner panel or Claimwell workbench
  • Guideline table connection
The intake bundle
Rungs 03 to 06 · platform fee + per claim owned

Lifecycle Agents

For claims leadership. Added in order: Intake, Ongoing Management, Decisioning, Transition and Appeals. Each agent bills per claim it owns. With all four running, every stage is owned.
  • Requires the intake bundle
  • Control plane with the first agent: runtime, constraints, strategy editor with replay, queues, dashboard
  • Sixteen named human-in-the-loop points
  • Operated by a named Claimwell team in your account
  • Four warranted rules with remedies
  • Benefit and clock engine included from Ongoing Management
  • HRIS, payment, and correspondence adapters as needed
  • Additional lines of business on the same agents
Lifecycle Agents

What's included where

CapabilityMail RoomIntake bundleAgents
Capture, match, label, write back
Exception desk and audit store
Evidence deltas, file and clinical summaries, timeline—
Workflow runtime, constraint checker, strategy layer, queues——with first agent
Benefit engine and clock service——from Ongoing Mgmt
Communications agent, call prep——with Intake
Strategy editor, replay, diff——with first agent
Leadership dashboard——with first agent
Model gateway with frontier comparisonsingle endpointsingle endpoint
Scenario Harnessaccuracy run includedaccuracy run included
Warranties on the four provable rules, with remedies——
Operated by a named Claimwell team in your accountoptionaloptional
Claimwell never makes an adverse decision

No seat licenses anywhere: fewer people touching claims is the point, and seat pricing would charge you for succeeding. The platform fee covers the named Claimwell operations team. The Scenario Harness is also available on its own as a test bench. Infrastructure runs in your account and is billed by your cloud provider, not by us.

How a carrier typically climbs

Each step is a separate decision. Nobody has to buy the lifecycle to get the Mail Room.

Q1Mail RoomTwo-week integration. Accuracy run on your document mix. Indexing backlog to zero. The offshore team becomes the exception desk.
Q2File IntelligenceNothing new from IT. Examiners open files that already know what changed. Nurses get referral packets.
Q3Intake agentThe control plane arrives. Examiners start signing agent work. Compliance reviews the sixteen handoff points once.
Q4+Ongoing, then DecisioningDuration management where the leakage is. Then approvals and denial packages, after months of signed recommendations.
Year 2Every stage ownedTransition and Appeals complete the ladder. All four agents running, the dial fully in your leadership's hands, one claim lifecycle end to end.

Start with the rung you can approve this quarter

Tell us where the pain is. We'll tell you which rung it is, what it needs from IT, and what it looks like in ninety days.