Pricing

Start free. Pay only when it pays you back.

Every plan includes the full AI clinical platform from day one. No features locked, no per-feature upsells. Choose the billing model that fits your volume.

Pay-By-Case: First 10 cases freeSubscriber & Subscriber +: First 14 days freeNo credit card to startCancel anytime
Pay-By-Case
No subscription, no commitment
$20/ case
Pay as you go
$10 at accept · $10 at check-in
No-show protection: $10 if patient doesn't show.
  • Full AI clinical platform
  • Pre-visit summaries, consult notes, AVS
  • Multiple languages, 11 specialties
  • Audio transcription + billing codes
Start free trial
10 free cases · No card required
+ 10 bonus cases when your first patient submits feedback
Subscriber
For steady monthly volume
$149/ month
20 cases included · $10 / case overage
Cases beyond 20 split $5 + $5 (accept + check-in). Half the per-case rate of Pay-By-Case.
  • Everything in Pay-By-Case
  • Prioritized search in patient directory
  • Orella Network logo on profile
  • Assisted onboarding + priority support
Start free trial
14 days free · Upgrade anytime
+ 14 bonus days when your first patient submits feedback
Most popular
Subscriber +
Full revenue cycle, one platform
$249/ month
20 cases included · $10 / case overage · Full RCM
+$100/mo vs Subscriber replaces $500–$1,050/mo of clearinghouse and eligibility vendors.
  • Everything in Subscriber
  • Real-time eligibility (270/271) · unlimited
  • Claims to 3,400+ payers · 250/mo included
  • ERA / payment posting (835)
  • Insurance discovery + COB
  • Managed payer enrollment
Start free trial
14 days free · RCM unlocks on upgrade
+ 14 bonus days when your first patient submits feedback
Corporate
Multi-location, MSO, health system
Custom
20+ provider minimum
Negotiated subscription terms with dedicated payer enrollment and custom integration support.
  • Everything in Subscriber +
  • Unlimited claims and eligibility
  • Custom branding on patient surfaces
  • Dedicated onboarding + account manager
Contact sales
Custom terms · 20+ providers

All plans include: Full AI clinical platform · Multiple languages · 11 specialties · HIPAA-aligned architecture · No long-term contract · Cancel or switch plans anytime · Billed at end of month.

Special Offers

More value from day one.

Early movers and active referrers get more out of Orella — automatically.

LIMITED · FIRST 100 PHYSICIANS

Founding Member Rate

Join as one of Orella's first 100 physicians and lock in 50% off your subscription and case fees for the first 12 months. Available on Subscriber and Subscriber + plans only. The 50% discount on case fees is applied automatically at the end of each billing month — no manual steps required.

$74.50/mo instead of $149 · $124.50/mo instead of $249 · Case fees halved

Claim your founding rate
REFERRAL

Refer a colleague, reduce your costs

Refer a fellow physician to Orella. Once both of you have been active subscribers for at least 3 months, you receive a credit equal to the average of their last 3 monthly fees — applied directly to your bill. High referrers can reduce their Orella costs to zero.

No cap · Stacks across multiple referrals · Both parties must remain active subscribers for min. 3 months

Get your referral link
Split Billing

No-show protection, built into every plan.

Each case is split into two charges so a missed appointment never costs you the full rate.

Example: Subscriber or Subscriber +

Step 1 · Accept
$5
Charged when you accept the case in MD Panel.
Step 2 · Check-in
$5
Charged when the patient arrives and checks in.
No-show
$5 only
If the patient never checks in, you only pay half.
On Pay-By-Case, the split is $10 + $10 per case.
Feature Comparison

What's in each plan.

The full AI clinical platform is in every tier. RCM and visibility upgrades stack on top.

FeaturePay-By-Case$20 / caseSubscriber$149 / monthSubscriber +$249 / monthCorporateCustom
Pricing
Cases includedPay as you go20 / month20 / monthCustom volume
Overage rate$20 / case$10 / case$10 / caseNegotiated
Free trial10 cases14 days14 daysNegotiated
Billing model$10 accept + $10 check-in$5 + $5 on overage$5 + $5 on overageCustom
AI & Clinical Platform
AI clinical analysis
Pre-visit summaries, consult notes, AVS
Billing code suggestions (ICD-10, CPT)
Audio transcription
Multilingual intake
Revenue Cycle Management
Real-time eligibility (270/271)UnlimitedUnlimited
Insurance discovery
Claims submission (837)250 / month includedUnlimited
Electronic remittance (ERA / 835)
Payer connectivity3,400+ payers3,400+ payers
Payer enrollmentManaged for youDedicated
Visibility & Support
Search priorityStandardPrioritizedPrioritizedNegotiated
Profile featuresStandardNetwork logoNetwork + RCM badgeCustom branding
OnboardingSelf-guidedAssistedRCM-assistedDedicated
Support tierStandardPriorityPriority + RCM specialistDedicated
Minimum physicians11120+
Best forPhysicians who use Orella occasionally — when a patient sends a case, without changing their existing workflowPhysicians who have integrated Orella into their daily workflow to eliminate documentation overheadPhysicians who maximize Orella's full potential — replacing separate clearinghouse, eligibility, and billing subscriptionsPractices and health systems operating as part of a large network with centralized billing and custom requirements
Savings Calculator

Break-even at 8 cases / month.

At 8 cases per month, Subscriber costs less than Pay-By-Case. At 20 cases, you save $251 per month — $3,012 a year.

Cases / MonthPay-By-CaseSubscriberSubscriber +Savings vs PBC (Subscriber)
5$100$149$249−$49
8$160$149$249+$11 · break-even
10$200$149$249+$51
15$300$149$249+$151
20 (included limit)$400$149$249+$251
25$500$199$299+$301
50$1,000$449$549+$551
75$1,500$699$799+$801
100$2,000$949$1,049+$1,051
150$3,000$1,449$1,549+$1,551
Subscriber +

Replaces $500–$1,050/mo of legacy vendors.

For $100 more per month than the standard Subscriber tier, your practice consolidates what would otherwise require two or three separate vendors.

What it replaces
Standalone clearinghouse (Change Healthcare, Availity)
$150–$300 / mo
Included
Eligibility verification tool
$100–$200 / mo
Included
Insurance discovery service
$50–$150 / mo
Included
PM software billing module
$200–$400 / mo
Included
Estimated total replaced
$500–$1,050 / mo
$249 / mo

Net monthly savings of $251–$801 per practice — before counting revenue recovered through improved eligibility and insurance discovery.

FAQ

Pricing questions, answered.

No. Your first 10 cases (Pay-By-Case) or first 14 days (Subscriber & Subscriber +) are completely free with no payment information required. You’ll only be asked to choose a billing plan after your trial ends.
You’ll be prompted to select Pay-By-Case ($20/case), Subscriber ($149/month with 20 cases included), or Subscriber + ($249/month with full revenue cycle management). You can also upgrade at any time before reaching the limit.
Yes. You can upgrade from Pay-By-Case to Subscriber, or from Subscriber to Subscriber +, at any time. Changes take effect on your next billing cycle, and new capabilities unlock immediately.
On Pay-By-Case, you’re billed $10 when you accept a case through Orella, and $10 when the patient checks in. On Subscriber and Subscriber +, the split is $5 + $5 for cases beyond your monthly allowance. This protects you from no-show costs — you only pay the full amount for patients who actually arrive.
Subscriber + adds end-to-end revenue cycle management: real-time eligibility verification, claims submission to 3,400+ payers, electronic remittance and payment posting, insurance discovery, coordination of benefits, Medicare MBI lookup, and managed payer enrollment. These capabilities replace what would otherwise require a standalone clearinghouse, eligibility tool, and insurance discovery service — typically $500–$1,050 per month combined.
No. RCM is available exclusively to Subscriber-tier and Corporate accounts. Pay-By-Case practices can upgrade to Subscriber + at any time and unlock revenue cycle features immediately.
Eligibility verification is available the moment you upgrade. Claims submission requires payer enrollment, which typically takes 1-4 weeks per payer depending on the payer’s response time. Orella manages this enrollment process for you, so you don’t need to fill out paperwork. Most practices are submitting their first claims within two weeks of upgrade.
Yes. When your first patient submits a feedback survey through Orella, your trial is automatically extended — by 10 bonus cases on Pay-By-Case, or by 14 bonus days on Subscriber and Subscriber +. No action needed on your end; the extension is applied as soon as the feedback is submitted.
No long-term contracts for any standard plan. You’re billed monthly and can cancel anytime. Corporate plans have custom terms based on the agreement.

Process your first 10 cases free.

No credit card. No commitment. The full Orella platform from case one.

Start free trial
Pick your plan at case 11 · Switch anytime