Pricing

Free where it matters most. Priced for how you practice.

The PA Engine is free, no account required. Patient engagement and practice-level tools scale with your headache panel.

For clinicians

Vault Access

$0forever

The complete PA Engine, no account required.

Use the PA Engine
  • PA letter generation (all payers)
  • Payer policy lookup
  • Field-by-field portal breakdown
  • Clinical decision support
  • No account required

Vault Billing

$25per month

Save PA history and track outcomes over time.

Get started
  • Everything in Vault Access
  • PA history + saved letters
  • Outcome tracking (approved / denied / appealed)
  • Multi-provider account
  • Email support
Most popular

Vault Specialist

$99per month

Built for headache specialists managing a headache population.

Start free trial
  • Everything in Vault Billing
  • Patient enrollment + tracking
  • Visit Ready Reports
  • Provider dashboard (functional trends, PA auto-populate)
  • Botox cycle tracking (LCD DL39909)
  • MIDAS / HIT-6 collection
  • CCM billing support
  • Priority support

Vault Champion

$399per month

For practices managing large headache panels or training programs.

Contact us
  • Everything in Vault Specialist
  • Up to 10 provider seats
  • Resident / fellow access
  • Research data export (IRB-approved cohorts)
  • Dedicated onboarding call
  • Slack support channel

Vault Specialist includes 10 active patients. Additional patients: $2.50/patient/month.

CCM billing calculator

See how the Vault pays for itself

CCM (CPT 99490) reimburses ~$42/patient/month for qualifying chronic patients. The Vault surfaces the documentation you need.

20
180

Monthly CCM revenue

$840

20 × $42

Vault Specialist cost

$50

$25 + 10 × $2.50

Net monthly gain

$790

revenue minus plan cost

ROI on Vault cost

1,580%

return on plan spend

CCM reimbursement varies by payer. $42 reflects median 2025 Medicare fee schedule for CPT 99490. Consult your billing team for payer-specific rates.

For patients

The free tier is a complete tool.

Every patient gets daily tracking, a Visit Ready Report, and AI Partner access at no cost. Premium adds continuous monitoring for patients who need it between visits.

Free

$0always

Full access to daily tracking and your Visit Ready Report.

Enroll as a patient
  • 30-day headache sprint
  • HV-FIS daily check-in
  • Voice notes + medication logging
  • Visit Ready Report (PDF-ready)
  • AI Partner access
  • Push notification reminders

Patient Premium

$25per year

Continuous monitoring and deeper insights between visits.

3-month free trial — no credit card required

Start free trial
  • Everything in Free
  • Chronic monitoring (beyond 30 days)
  • MIDAS + HIT-6 trend history
  • Longitudinal Visit Ready Reports
  • Priority report sharing with your care team
  • Early access to new features

Org sponsorship

Cover your patients' premium subscription

Academic medical centers, headache centers of excellence, and research programs can sponsor Patient Premium for their enrolled population. We handle billing, you get the data.

  • Single annual invoice — no per-patient monthly billing
  • IRB-ready data export for approved research cohorts
  • Branded enrollment experience with your practice name
  • Aggregate dashboard for program directors
  • Volume pricing available for panels over 100 patients
Contact us about org sponsorship

FAQ

Common questions

Start with the PA Engine. It's free.

No account required. Look up a payer policy and generate a PA letter in under two minutes.

Open the PA EngineCreate a provider account