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I run a home-care agency. I built CareConnect because WellSky cost far more than a small agency should pay, and CareSmart 360 was terrible to live with every day. The part I care about most is claims. We used to send every claim through Availity and then call TriWest to find out what happened to it. CareConnect sends claims straight to PGBA/TriWest and reads the response files they send back, so you see the answer on your own screen. This document lists what each plan costs, what each add-on costs, and the three ways you can get claims out the door. These are our standard prices, meant as a starting estimate. Call (208) 495-0868 for a quote for your agency.
Seven plans. Pick by how many people log in and how many clients you serve. Every plan includes a support level, and you can pay to move up to a higher one.
| Plan | Monthly | Annual | Users | Clients | Storage | Support included | Who it is for |
|---|---|---|---|---|---|---|---|
| Starter | $149 | $1,490 | 5 | 15 | 5 GB | Basic | Small home-care agencies |
| Essentials | $229 | $2,290 | 10 | 30 | 16 GB | Basic | Core plus the everyday operations modules |
| Professional | $349 | $3,490 | 20 | 60 | 40 GB | Professional | Growing agencies with more clients. EDI Claims is included. |
| Professional Plus | $499 | $4,990 | 30 | 100 | 80 GB | Professional | Professional with most add-ons switched on |
| Enhanced | $699 | $6,990 | 50 | 200 | 200 GB | Professional | Medium-sized agencies |
| Enterprise | $999 | $9,990 | 75 | 300 | 350 GB | Premium | Large organizations |
| Enterprise Plus (All Features) | $1,499 | $14,999 | 250 | 10,000 | 800 GB | Premium | Every feature switched on, including full claims automation |
Annual billing: the annual price is ten times the monthly price, so you get two months free. The one exception is Enterprise Plus, which is $14,999 a year rather than ten times its monthly price.
Our recommendation for an agency with 5 to 15 caregivers: start on Professional ($349 a month, 20 users, 60 clients). It has room for every caregiver plus your office staff, and EDI Claims is already included, so you can send claims directly to PGBA/TriWest from day one.
Pay for a full year in advance and you get about two months free, roughly 17% off.
| Plan | Monthly | 12 months paid monthly | Paid yearly up front | You save | Discount |
|---|---|---|---|---|---|
| Starter | $149 | $1,788 | $1,490 | $298 | 17% |
| Essentials | $229 | $2,748 | $2,290 | $458 | 17% |
| Professional | $349 | $4,188 | $3,490 | $698 | 17% |
| Professional Plus | $499 | $5,988 | $4,990 | $998 | 17% |
| Enhanced | $699 | $8,388 | $6,990 | $1,398 | 17% |
| Enterprise | $999 | $11,988 | $9,990 | $1,998 | 17% |
| Enterprise Plus | $1,499 | $17,988 | $14,999 | $2,989 | 17% |
The plans build on each other. Anything not listed for your plan can be added as a paid add-on (prices in the Add-ons section).
| Plan | Add-ons already switched on | Still available as a paid add-on |
|---|---|---|
| Starter | The core features only (see the next section) | Every add-on |
| Essentials | Advanced Reporting, e-Fax, Messaging, Automatic Reminders, Text Messaging (SMS) | API Access, Audit & Compliance, Automatic Billing, EDI Claims, Eligibility Checks, Employee Auto-Onboarding, Encrypted Email, Full Automation, Multi-Location, Video Meetings, Workflow Automation |
| Professional | Everything in Essentials plus Automatic Billing, EDI Claims, Eligibility Checks, Employee Auto-Onboarding, Encrypted Email, Video Meetings | API Access, Audit & Compliance, Full Automation, Multi-Location, Workflow Automation |
| Professional Plus | Everything in Professional plus API Access, Audit & Compliance, Workflow Automation | Full Automation, Multi-Location |
| Enhanced | Everything in Professional Plus plus Multi-Location | Full Automation |
| Enterprise | Same set as Enhanced | Full Automation |
| Enterprise Plus | Everything, including Full Automation, AI Help, weekly and nightly backups, the email client and email templates | Nothing left to add |
These twelve core features carry no monthly charge on any plan.
Each add-on has a monthly price. Some have a one-time setup fee, shown in amber. Two of them have a usage charge after an included volume, and that is spelled out on the card.
Send claims straight to PGBA/TriWest over your own payer connection and read the response files they send back. No calling TriWest to ask what happened. Included on Professional and above.
Automatic invoice generation from completed visits, and scheduling of claim submission. Included on Professional and above.
Ask the payer whether a client is eligible before you schedule the visit (a 270/271 inquiry). Included on Professional and above.
CareConnect drafts your claims every night, or drafts and sends them on a schedule. See Claims processing for what each level does and what it costs.
Connects CareConnect to your QuickBooks Online company. You need your own QuickBooks Online subscription.
Send and receive faxes from inside CareConnect. We will set up a fax number for you, or configure your existing fax number with our partners. Included on Essentials and above.
Text messages to caregivers and clients from a number set up for your agency. Included on Essentials and above.
Sign and encrypt outgoing email with a security certificate issued in your agency's name. Included on Professional and above.
Hosted video calls with clients, families and staff. Included on Professional and above.
Reminders go out on their own instead of someone in the office sending them. Included on Essentials and above.
Ready-made emails you can edit and reuse.
The deeper reports beyond the standard set. Included on Essentials and above.
The audit and compliance tools for when a payer or the state asks you to show your records. Included on Professional Plus and above.
A help assistant inside CareConnect that answers questions about the software. Powered by Claude Haiku 4.5.
New hires work through their paperwork on their own instead of the office chasing each form. Included on Professional and above.
Set up rules so routine office steps happen without someone doing them by hand. Included on Professional Plus and above.
Run more than one office in the same CareConnect account. Included on Enhanced and above.
Lets your other software read from and write to CareConnect. Included on Professional Plus and above.
We take a backup of your data every week and keep it for you.
We take a backup of your data every night and keep it for you.
Most add-ons also cost less when you pay for the year up front. The savings range from 3% (video meetings) to 31% (e-Fax), depending on the add-on. Claims automation and AI help are sold monthly only, and the add-ons marked $0 are free.
| Add-on or support level | Monthly | 12 months paid monthly | Paid yearly up front | You save | Discount |
|---|---|---|---|---|---|
| EDI Claims | $39 | $468 | $399 | $69 | 15% |
| Automatic Billing | $39 | $468 | $390 | $78 | 17% |
| Eligibility Checks | $29 | $348 | $290 | $58 | 17% |
| e-Fax | $12 | $144 | $99 | $45 | 31% |
| Text messaging (SMS) | $25 | $300 | $250 | $50 | 17% |
| Encrypted email | $10 | $120 | $99 | $21 | 18% |
| Video meetings | $15 | $180 | $175 | $5 | 3% |
| Automatic reminders | $19 | $228 | $190 | $38 | 17% |
| Advanced reporting | $29 | $348 | $290 | $58 | 17% |
| Audit & compliance | $39 | $468 | $390 | $78 | 17% |
| Employee auto-onboarding | $10 | $120 | $99 | $21 | 18% |
| Workflow automation | $59 | $708 | $590 | $118 | 17% |
| Multi-location | $79 | $948 | $790 | $158 | 17% |
| API access | $10 | $120 | $99 | $21 | 18% |
| Weekly backups | $29 | $348 | $299 | $49 | 14% |
| Nightly backups | $49 | $588 | $499 | $89 | 15% |
| Professional support | $79 | $948 | $790 | $158 | 17% |
| Premium support | $199 | $2,388 | $1,990 | $398 | 17% |
Some add-ons need something from an outside company: a phone number, a fax number, a certificate, a video host. We can set that up and charge the one-time setup fee. Or, if you already have your own account with that company, you can plug it in.
If you bring your own account, there is no setup fee for that add-on.
This is the part I built CareConnect for. Getting a claim from a caregiver's clock-out to a paid claim used to take a person at every step. Here are the three ways it can work.
Every claim starts the same way: the caregiver clocks in and out on the app, and the timesheet is approved. From there, you choose how much of the rest CareConnect does for you. In every mode, CareConnect reads the response files that come back from PGBA/TriWest, so you never have to call to find out where a claim stands.
This is the EDI Claims add-on. You build the billing queue, draft the claims and send them yourself from inside CareConnect. The response files from PGBA/TriWest are read for you, so every claim shows its real status without a phone call.
Every night CareConnect builds the billing queue from approved, EVV-compliant visits, drafts the claims, and lists anything that needs a person as an Action Item. In the morning you look over the drafts and press send. Nothing goes to the payer until you do.
CareConnect drafts and sends claims on the schedule you set, then reads the response files as they come back. Your only work is the Action Items list. Safety controls you set yourself: limit a run to chosen clients and a date window, cap how many claims one run can send, pin the payer route it uses, pause it with one switch, and keep an audit trail for every run.
Automation is not magic. Some visits will be missing a signature, some authorizations will have run out, some clients will have no payer on file. CareConnect does not guess. It stops on that item, tells you why in plain words, and keeps going with the rest.
Some agencies want their records on a server in their own office. We can place a CareConnect server there. You get the same software and the same plans. The server stays our property; we supply it, set it up and maintain it.
We supply the server and install CareConnect on it. We set up the database, the secure web address, nightly backups, and the claims connection to PGBA/TriWest. We then walk your office through the first login.
Includes every update we release and support at the level of your plan. You pay once a year. See the table below for each plan.
Every add-on in this price list works on-premises at the same monthly price and setup fee.
| Plan | Users | On-premises, per year | Hosted by us, per year |
|---|---|---|---|
| Starter | 5 | $2,235 | $1,490 |
| Essentials | 10 | $3,435 | $2,290 |
| Professional | 20 | $5,235 | $3,490 |
| Professional Plus | 30 | $7,485 | $4,990 |
| Enhanced | 50 | $10,485 | $6,990 |
| Enterprise | 75 | $14,985 | $9,990 |
| Enterprise Plus | 250 | $22,499 | $14,999 |
On-premises requires a signed licence agreement. CareConnect and the server it runs on remain our property. The licence lets your agency use them in your office. It does not allow copying, resale, sharing with another company, or changing or reverse-engineering the software. The licence covers one agency and the users of its plan.
Which should you choose? For most agencies, hosted is simpler. We handle the server, backups and uptime for you. On-premises is for agencies whose policy requires records on their own hardware. It costs more because a copy of the software runs outside our control, and because we supply and maintain the server at your site.
Every plan comes with a support level, included in the plan price. You can move up to a higher level for the price shown below.
| Support level | Price if bought alone | What you get | Included with |
|---|---|---|---|
| Basic | $0 | Email support during business hours. | Starter, Essentials |
| Professional | $79 / month or $790 / year | Priority email and phone, chat, and help with onboarding. | Professional, Professional Plus, Enhanced |
| Premium | $199 / month or $1,990 / year | A dedicated account manager, 24/7 priority support, and quarterly reviews. | Enterprise, Enterprise Plus |
The "price if bought alone" column is what you pay to move up to a higher support level than your plan includes. The level your plan includes costs nothing extra.
Four steps. None of them require you to stop using what you have today until you are ready.
Short answers. If your question is not here, ask us.