Two components. Neither touches the money you would have collected anyway.
The practice keeps 100% of its 0–60 day collections. DueWell is paid a small platform fee and a cut only of the aged dollars it actually brings back — the dollars that were headed to an agency netting you 10–16 cents.
Platform fee
Committed monthly fee, tiered by practice size. Covers the per-practice isolated deployment, hosting, security, monitoring, support, AI, and a monthly communications allowance.
| Tier | Practice profile | Includes each month | Monthly |
|---|---|---|---|
| 1 | 1–3 locations | 10,000 text segments · 100 AI-voice minutes · unlimited email | $1,000–1,500 / mo |
| 2 | 4–10 locations | 25,000 text segments · 250 AI-voice minutes · unlimited email | $2,000–3,000 / mo |
| 3 | Multi-division group | 75,000 text segments · 750 AI-voice minutes · unlimited email | $3,500–5,000 / mo |
Beyond the allowance: 2¢ per text segment and 25¢ per AI-voice minute, itemized on the invoice. That is close to what the carriers and voice platform charge us — metered because you control the cadence, not to make money on it.
One-time setup: $2,500 — import mapping, carrier registration, voice agent, BAA. Waived if you sign within 30 days of your proposal.
Larger than Tier 3? Health systems, hospital-owned outpatient networks and groups with 20+ sites are scoped in conversation. Let us know and we can talk it through.
Success fee
of dollars recovered on accounts that were 60+ days past due at placement. Cash actually collected, invoiced monthly in arrears. Refunds and chargebacks credit the next invoice.
- Standard, 60+ scope
- 6%
- 90+-only scope, heavy-lift books, or fee-shifted (no platform fee)
- 8%
Managed
- Tier 1 · 1–3 locations
- +$750 / mo
- Tier 2 · 4–10 locations
- +$1,000 / mo
- Tier 3 · Multi-division group
- +$1,500 / mo
Priced by tier because the queue scales with the practice. Your staff still own anything that touches the chart or a write-off; we never decide those. Available on any tier.
- Our team works your triage queue, inbox, disputes and follow-ups every business day
- Payment-plan requests, hardship, and 'I already paid' claims handled within one business day
- Disputes paused, documented, and returned to your billing lead with a recommendation
- A weekly one-page summary: what came in, what was decided, what needs the practice
Health systems, hospital-owned outpatient networks, 20+ sites.
There is no list price above Tier 3, on purpose. The allowance, the integrations, the security review and the procurement path are different at that size, so we scope it with you instead of guessing. Tell us what you send to collections today and we will come back with a proposal.
Let us know and we can talk it through →What we never do: price as a percentage of all collections.
That re-creates the RCM-vendor model, invites comparison to 4–7% full-service fees, and taxes money we didn’t earn.
The fee is auditable because the terms are precise.
Billing disputes live in ambiguous definitions. These four are written into every agreement.
- Communications allowance
- Text messages are counted in carrier segments (a message with a payment link is usually two). Each tier includes a monthly allowance of segments and AI-voice minutes; usage beyond it is itemized on the invoice at the published per-segment and per-minute rates. Email is unlimited. Unused allowance does not roll over.
- Aged dollar
- An invoice balance that was 60 or more days old at placement into the platform, measured from the date of first patient statement (not date of service). Age at placement, not age at payment.
- Recovered
- Patient-paid dollars — card payments and recorded external payments — allocated to aged invoices, net of refunds and chargebacks in the same period. Face value only; if a settlement discount was granted, the fee applies to cash collected, never the written-off portion.
- Attribution window
- Payments within 12 months of placement count. Installments of a payment plan enrolled in-window count.
- The meter
- The platform’s own ledger. Your monthly statement shows the underlying account-level detail so every fee is auditable.
A mid-size imaging group, $500K of aged receivables in a year.
| Bucket | Placed | Recovery | Collected |
|---|---|---|---|
| 61–90 days | $150,000 | 62.8% | $94,200 |
| 91–120 days | $100,000 | 46.9% | $46,900 |
| 121–180 days | $100,000 | 30.8% | $30,800 |
| 180+ days | $150,000 | 10.5% | $15,750 |
| Total | $500,000 | $187,650 |
Same book of aged receivables, roughly 2–3× the net, in the practice’s own name. Run it on your numbers →
Straight answers.
Isn’t this just work for my front desk?
Less than the agency hand-off was. Replies to payment-link requests, thank-yous, wrong numbers and STOPs are answered automatically. What reaches a human lands in Triage as a one-tap decision with the recommended answer pre-selected — send the plan link, pause and flag the dispute, send the explanation. At the founding practice that is a few decisions a day, and the dashboard shows the estimated staff time so you can check. If you want none of it, the Managed tier puts our team on your queue.
Some vendors charge one flat percentage of every payment. Isn’t that simpler?
Simpler to read, more expensive to have. A 3.5% fee on every dollar a practice collects — including the fresh bills patients were going to pay anyway — costs a mid-size practice more than DueWell’s platform fee plus 6% of aged recoveries, and it pays the vendor the same whether the aged book moves or not. Our fee is two numbers and both are on this page: the platform fee for your size, and 6% of aged dollars actually recovered. Nothing on the money you were already collecting.
Why not a percentage of all collections?
Because that’s the full-RCM model, and it charges for money you would have collected anyway. DueWell’s success fee applies only to balances that were already 60+ days old when placed — the dollars headed to an agency.
Why meter texts and voice minutes at all?
Because you control the cadence. A practice that turns outreach up threefold sends three times the texts, and carriers bill us per segment. Hosting, security, and AI are fixed costs and they stay inside the platform fee; texts and AI-voice minutes are included up to a generous allowance and metered past it at 2¢ a segment and 25¢ a minute — close to our cost, and itemized so there is never a surprise.
What if the platform fee doesn’t make sense for us yet?
The setup fee is waived for anyone who signs within 30 days of their proposal. Small placements with heavy lift can be priced fee-shifted — 8% success fee, no platform fee. Ask us; the fee structure bends before the practice does.
Do you hold our money?
Never. Payments settle to your own merchant account and bank. DueWell does not hold, receive, or disburse client or patient funds at any time. We invoice you, net 15, ACH.
60 or 90 days?
Your choice per contract. 90+ is the easier first yes; 60+ maximizes what we can recover for you. Many practices start at 90 and widen on renewal.
What happens if we stop?
Terminable on 90 days’ notice without penalty. We provide transition assistance and return your data.
We are a health system, or we have more than twenty sites. Does this fit?
Yes, and there is no list price for it on purpose. Above Tier 3 the communications allowance, the integrations, the security review and the procurement path are all different, so we scope it in conversation rather than guess at a number. Tell us what you send to collections today and roughly how many sites, and we will come back with a proposal.
Pricing is simple because the definitions are strict.
Ask for the contract language. Every term on this page is in it.