Pricing overview

​

Overview

Thrizer does not charge monthly subscription fees, minimum usage fees, or long-term contract fees. Costs depend on how the session or claim is handled. Some fees apply to clients. Some fees apply to clinicians. In some cases, both a client fee and a clinician processing fee may apply. Insurance reimbursement is separate from Thrizer pricing. Paying a Thrizer fee does not guarantee that insurance will approve a claim, reimburse a claim, or pay a specific amount.

​

Client fees

Client fees depend on the payment type being used.

​

OON Pay

With OON Pay, the client pays the full session fee upfront. Thrizer submits the out-of-network claim after the payment is successfully processed. If insurance reimburses the claim, the reimbursement is sent back to the client through Thrizer. The OON Pay fee is 1% of the clinician’s full session fee. This fee only applies when reimbursement is actually sent to the client through Thrizer. If insurance reimburses $0, no OON Pay fee is charged. The fee also does not apply when an insurer sends reimbursement directly to the client instead of routing it through Thrizer. For example, if the insurer mails a reimbursement check straight to the client, that reimbursement is free and does not trigger the 1% OON Pay fee. For example, if the session fee is $200, the OON Pay fee is based on $200. It is not based on the amount insurance reimburses.

​

Thrizer Pay

With Thrizer Pay, the client pays an estimated responsibility upfront instead of paying the full session fee. Thrizer advances the remaining portion of the session fee to the clinician. Because Thrizer advanced that amount, insurance reimbursement for the claim is sent to Thrizer if insurance pays reimbursement. The Thrizer Pay fee is 5% of the clinician’s full session fee. This fee is charged at the time of service. If the claim is denied, the Thrizer Pay fee is refunded. If the claim is approved, the fee is retained. This includes claims that are approved but applied to the client’s deductible. Thrizer Pay is not available for every client or session. It depends on eligibility, deductible status, insurance information, prior claim history, and whether Thrizer Pay is supported for that situation.

​

Superbill Upload

With Superbill Upload, the client submits a superbill claim through Thrizer. The fee is $2 per session. This fee is charged when the claim is submitted. It is refunded if the claim is denied. It is retained if the claim is approved, including when the claim is applied to the client’s deductible. A Superbill Upload fee does not guarantee that insurance will approve or reimburse the claim.

​

Self-Pay

With Self-Pay, no insurance claim is submitted through Thrizer. There is no client Thrizer fee for Self-Pay. If the payment itself is processed through Thrizer, the clinician payment processing fee may still apply to the clinician.

​

Clinician fees

Clinicians pay a 3% payment processing fee when client payments are processed through Thrizer. This fee is separate from any client fee. The clinician processing fee is tied to the payment transaction. It does not depend on whether insurance later approves the claim, denies the claim, reimburses the claim, or applies the claim to the client’s deductible.

​

Why client and clinician fees are separate

Client fees and clinician fees pay for different parts of the process. Client fees are tied to the client-facing payment or claim type, such as OON Pay, Thrizer Pay, or Superbill Upload. Clinician fees are tied to payment processing when a payment is run through Thrizer. Because these are separate, more than one fee may apply to the same session.

​

How claim outcomes affect fees

Insurance claim outcomes can affect some client fees. An approved claim does not always mean money is reimbursed. Insurance may approve the claim and apply the amount to the client’s deductible instead.

​

Clinician-initiated refunds

If a clinician issues a refund for a Thrizer Pay transaction, the clinician’s payout for that transaction is reversed, and the client is refunded the amount originally charged. Thrizer Pay refunds are full-refund only. Partial refunds are not supported for Thrizer Pay transactions — the refund drawer refunds the full charge and cancels the associated claim. See Thrizer Pay refunds are full-refund only for how this works from the Clinician Portal. This is separate from claim-outcome handling. Thrizer Pay protections keep the clinician’s payout from being reduced by a claim denial, a lower reimbursement, or a $0 reimbursement. Those protections do not apply to refunds the clinician chooses to issue.

​

Referral program fee waivers

The clinician referral program can waive the 3% clinician processing fee for eligible transactions, up to a set volume cap.

• Referred clinician. A new clinician who signs up with a valid referral code during onboarding gets the 3% processing fee waived on up to $2,500 of transaction volume processed through Thrizer.
• Referring clinician. The referring clinician gets the 3% processing fee waived on up to $2,500 of transaction volume for each clinician they refer. The waiver activates after the referred clinician submits their first charge.

The waiver applies only to the 3% clinician processing fee on payments processed through Thrizer. It does not apply to client fees, Superbill Upload fees, or other charges. After the $2,500 cap is reached, standard pricing resumes. For how to enter a referral code during sign-up, see Referral program.

​

What Thrizer fees do not guarantee

Thrizer fees do not guarantee:

• insurance coverage
• claim approval
• reimbursement amount
• reimbursement timing
• final out-of-pocket cost
• availability of every payment type

Insurance makes the final decision on claim approval, reimbursement, deductible application, and timing.

​

What affects payment type availability

Pricing does not determine whether a payment type is available. Payment type availability may depend on:

• insurance information
• deductible status
• whether benefits can be verified
• whether prior claim information is available
• whether the payment type is supported for that client and session

For example, Thrizer Pay has additional eligibility requirements and may not appear for every client.

​

Related articles