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Pay As You Go

Only Pay for the
Patients You Treat.

No per-seat fees. No locked tiers. Zera scales with your caseload — you pay for AI Units consumed, and we show you exactly what you save.

Your Net Gain
+$1,005

pay as you go — $120 total cost

Patients 20
RTM (off) 0%
Time saved +$1,125
AI Units −$120
Start Free

How Pay-As-You-Go Works

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Step 1

Treat Patients

See patients as usual. Zera creates SOAP notes, suggests codes, and delivers exercise programs automatically.

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Step 2

AI Units Are Consumed

Each clinical action uses AI Units — SOAP notes, exercise programs, patient messages. ~120 units per patient. You only pay for what you use.

savings
Step 3

You Save Time & Earn More

~45 minutes saved per patient on documentation. Add RTM and Medicare pays you $160–220 per patient back.

Enterprise

Volume Pricing for Large Organizations

Custom unit pricing, Epic/Cerner integration, SSO, dedicated success manager, and SLA-backed uptime for 10+ provider organizations.

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security HIPAA Compliant
hub Epic Integration
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Custom unit rates available

Frequently Asked Questions

What is an AI Unit? expand_more
An AI Unit represents one unit of AI processing. Generating a SOAP note uses ~40 units, creating an exercise program uses ~30 units, and patient messages use ~5 units each. A typical patient averages ~120 units across all interactions. You pay as you go — no monthly commitment.
Do unused units roll over? expand_more
Yes. Unused AI Units roll over for up to 3 months, so quieter periods don't mean wasted spend. Your balance is always visible in your dashboard.
How does RTM billing work with PAYG? expand_more
RTM is a flat $35/patient add-on billed per billing period. Zera automatically tracks engagement and generates CPT 98975–98981 documentation. Medicare reimburses ~$190 per patient on average, so your net margin is ~$155 per RTM patient. RTM costs are separate from your documentation AI Units.
Is there a free tier? expand_more
Yes — every account starts with 250 free AI Units (~2 patients). No credit card required. When you're ready to scale, you only pay $0.05 per unit consumed. No monthly fees, no commitments.