Why we charge flat-fee, not per-claim

Per-claim pricing punishes the clinics that need the most help. The clinics with the highest denial rates, the most complex patient panels, the oldest EMR data — those clinics submit the most claims, and a per-claim model charges them the most.

That's the opposite of what we want. We want a model that rewards the clinic that uses us most aggressively — because that's the clinic where Zorva finds the most missed revenue.

The economics of per-claim

A per-claim model says: we make X cents on every claim the auditor runs on. The vendor's revenue is linearly tied to claim volume. The vendor's incentive is to push the clinic toward higher claim volume — even if that means running the auditor on claims the clinic already knows are clean.

Or worse: the vendor's incentive is to silently drop claims that the auditor would have flagged, because every false-positive the biller dismisses is one less claim the vendor has to pay the LLM provider for.

Why flat-fee aligns the incentives

A flat monthly fee says: we make the same amount whether Zorva runs 100 audits or 10,000. The vendor's revenue is decoupled from claim volume. The vendor's incentive is to make the biller happy — because the biller is the one who decides whether to renew next month.

This means we want the auditor to find real errors, not to look busy. If Zorva surfaces 100 false positives in a month, the biller churns. If Zorva surfaces 30 high-confidence findings, the biller renews and tells her peers.

How the tiers work

Three tiers, bracketed by encounter-audit volume:

• Solo ($499/mo) — up to 1,000 encounter audits per month.
• Practice ($1,499/mo) — up to 3,000 encounter audits per month.
• Network ($2,999+/mo) — 3,000+ encounter audits per month, custom volume.

We don't auto-upgrade you. If you hit 1,200 audits on the Solo tier, we reach out before the overage to talk about the upgrade. We don't bill the overage automatically.

What's not in the tiers

No per-claim charge. No percentage of recovered revenue. No recovery-linked fee. No setup fee. No minimum commitment longer than one month. You can cancel any time with 30 days' notice and export your data via the audit-trail chain.

For US clinics, the same model is AKS safe-harbor-aligned — the per-claim or percentage-of-recovery model would be a Stark/AKS risk for any US-based practice.