Number of Seats/Users: ClearGage offers discounts based on the number of users or seats. A higher volume typically leads to a better discount structure, especially for enterprise-level usage.

Commitment to a Long-Term Contract: Discounts are often provided to companies that commit to using the service for a longer period (e.g., 1-year or 3-year contracts). A longer commitment shows ClearGage that the company is serious and willing to invest in the platform long-term.

No Active Discounts: Companies that are not already receiving other active discounts may have a better chance of qualifying for additional discounts from ClearGage. ClearGage reserves discounts for new customers or those not currently under promotional pricing.

Volume or Usage Commitment: ClearGage offers discounts if you agree to a minimum amount of usage or transaction volume. This could be based on data storage, transactions, or other metrics tied to how much you will use the platform.

Enterprise-Level Negotiation: Companies that qualify as “enterprise” due to their size or complexity (e.g., having large teams, multiple departments, or geographical presence) may be eligible for additional discounts from ClearGage. Such companies are often in a position to negotiate for better pricing.

Early Renewal or Prepayment: ClearGage often offers discounts if you renew early or prepay for the entire contract period. This is a common approach to securing a lower price.

Here at Spendbase our internal data shows that ClearGage is generally well‑liked by our clients, but there are a few consistent friction points that are important when you’re thinking about costs and contract terms.

Overall sentiment and usage
– Typical rating: around 4–5 out of 5.
– ClearGage is seen as:
– Easy to use once set up
– Strong on automation
– Helpful for patients who need payment plans

Key strengths our Spendbase clients point out
– Automation & Collections
– Auto‑posting of payments to the practice management/EMR system
– “Set it and forget it” recurring payments and custom plans
– Noticeable reduction in small balance write‑offs

• Integrations & Patient Experience
• Smooth integration with systems like drchrono, Aprima, and practice management tools
• Text‑to‑pay, email links, and online portals make it easier for patients to pay

• Patients can better fit payments into their monthly budgets

• Operational Benefits

• Less time “chasing” payments with calls and paper invoices
• Efficient batch statements and digital billing flows

Main pain points impacting value for money
Our internal data shows recurring issues that can directly affect your total cost and the discount leverage you should push for:

• Pricing & Transparency
• Limited visibility into:
  • Merchant/processing fees
  • Transaction‑level fee breakdowns
  • Actual loss percentage on financing portfolios

• Some clients haven’t had proactive outreach about PCI compliance or hardware upgrades.

• Product Limitations

• Can’t combine multiple patients (e.g., siblings) under one guarantor payment plan
• Desire for longer payment terms and more flexible reporting

• Contract cancellation and account suspension controls feel rigid.

• UX & Communication

• Some financing pages and forms are hard for patients to follow
• Emails sometimes look like spam to patients
• Service can be slow at peak times, and feature requests may stall.

How Spendbase typically responds
When negotiating ClearGage (or alternatives), we usually focus on:
– Lowering processing and platform fees given the automation benefits you’re delivering back to ClearGage in volume
– Adding contract clauses around:
– Transparency of fee and loss reporting
– SLAs on support response and system performance
– Roadmap commitments for key missing features (multi‑patient plans, better reporting)

This way, you keep the automation and collections benefits, but with clearer economics and stronger protections baked into the deal.