Annual contracts. Pilot-first engagement. No setup fees.
ClaimVyne is priced by FNOL volume tier — not per-claim transaction. Every engagement starts with a structured pilot before an annual contract.
Pricing Tiers
Up to 2,000 FNOLs / month
- Full 4-step pipeline — parse, match, score, route
- Up to 2 LOBs (auto + property or auto + liability)
- Single CMS integration (Guidewire, Majesco, or Duck Creek)
- ISO ClaimSearch connection
- Email + portal FNOL intake
- Standard adjuster routing rules
- Operations dashboard access
- 60-day pilot included
Up to 10,000 FNOLs / month
- Full 4-step pipeline — all LOBs
- Auto, property, and liability coverage
- Up to 3 CMS integrations
- ISO ClaimSearch + estimating platform push (CCC or Xactimate)
- All intake channels including EDI 278/837
- Custom routing rules and adjuster skill taxonomy
- CAT event management mode
- SLA monitoring and escalation alerts
- 90-day pilot included
- Dedicated implementation manager
Over 10,000 FNOLs / month
- Everything in Carrier
- Unlimited LOBs and intake channels
- Unlimited CMS/PAS integrations
- Custom model tuning on your historical claims data
- Multi-entity / multi-brand support
- Dedicated infrastructure deployment
- Enterprise SLA with uptime guarantees
- Quarterly business reviews
Every engagement starts with a pilot — before a contract.
Technical Assessment
We map your CMS, PAS, and intake channels in a 1-hour technical session. No commitments. We identify integration points and define the pilot scope together.
Integration and Setup
We complete the CMS integration and configure routing rules in a 4-week onboarding window. You provide a historical FNOL sample; we validate the pipeline against your actual data.
Parallel Pilot Run
ClaimVyne runs in parallel with your existing triage process for 60–90 days. You compare outcomes: routing accuracy, cycle time, reserve accuracy. The data determines whether to continue.
Common questions about ClaimVyne pricing and contracts.
Any first notice of loss that enters ClaimVyne's intake pipeline counts — whether it arrives via email, portal, EDI, or API. Supplemental submissions, status updates, and resubmissions on the same claim do not count toward the FNOL volume. Volume is measured as a monthly average over the trailing 3 months.
We don't cut off processing if you exceed your tier's monthly FNOL limit. For occasional overages, we prorate the excess at your per-FNOL rate. Consistent overages trigger a tier discussion — we'd rather upgrade your contract proactively than leave you in an undersized tier.
The pilot cost is included in the first year of an annual contract. If you complete a pilot and don't proceed to an annual contract, the pilot has a standalone fee structure we discuss during the initial engagement. We want pilots to be low-risk — we don't charge pilot fees that create a sunken-cost dynamic before you've seen the data.
Yes. We offer structured multi-year pricing for two and three-year agreements, particularly on Carrier and Enterprise tiers. Multi-year pricing is discussed during the contract stage, after the pilot has concluded.
Annual contracts are the standard for all tiers. We don't offer month-to-month agreements post-pilot — claims automation infrastructure requires a stable integration investment that doesn't make sense on short terms. The pilot period serves as the evaluation window before a multi-year or annual commitment.
We'll run your FNOLs through the full pipeline before you sign anything.
Every ClaimVyne engagement starts with a technical assessment and a structured pilot. Contact us to begin the conversation — no contract required at the pilot stage.