You are not choosing between voc-rehab billing products, because for twenty years there weren’t any. You are choosing between typing it four times, paying someone a percentage to do half of it, or buying a tool built for a different profession. Here is each one, priced, with the honest edge of it named.
Search for software that does time-tracking and narrative reports and a CMS-1500 and workers’-comp receivables and you get government pages and law-firm tools. No product. The absence is the finding.
It is not a discipline problem and it is not a market failure you caused. Vocational rehabilitation and workers’-comp case management is a few thousand people spread across fifty different statutes, each with its own codes, forms and payers. That is a terrible market to build a product for. So nobody did, and the job got done in Excel and Word.
Which means every alternative below was built for somebody else, and is good at the job it was built for. The question on each page is not “is it bad.” It is where does it stop.
The dollar figures are the vendors’ own published prices. The billing-service line is worked against a real book: our first customer bills about $13,600 a month.
| The alternative | What it costs | What it is genuinely good at | Where it stops |
|---|---|---|---|
| Excel + Word by hand Full comparison → |
$0 plus your evenings |
Exact, yours, and it changes the second you change your mind. Fifteen years of your judgement is encoded in it. | It cannot compare a check to a bill. It cannot open Word and write the narrative. It cannot tell you which bill is sixty days old unless you build and maintain that too. |
| A workers’-comp billing service Full comparison → |
5–8% of collections $680–$1,088/mo on $13,600 |
Chasing payers, denials, appeals and the phone calls you hate. Volume relief. | Services bill. They do not write your weekly tracking log, and they need you to hand them coded, timed activity before they can do anything at all. |
| daisyBill Full comparison → |
From $300/mo volume-based, no contract |
The deepest workers’-comp e-billing and appeals tooling there is. State fee-schedule calculators, verified electronic delivery, second-review automation. | No Ohio BWC voc-rehab W-codes, no time-grid activity capture, no weekly narrative tracking log. Built for a clinic’s front desk, not a counsellor’s caseload. |
| CMS-1500 form-fillers Full comparison → |
$79/yr – $199/mo paper filler to small-practice PM |
Producing a clean, printable CMS-1500 for very little money. If that is the whole problem, this is the whole answer. | No fee schedules, no receivables, no documentation, no concept of your day. The form is the last five minutes of the work, not the work. |
| Med Claims Pro Pricing → |
$199–$499/mo flat no % of collections |
The whole chain from a timed activity to a paid claim: daily log, Word tracking log, CMS-1500 with overflow, fax with filed proof, receivables, short-pay flags. | No direct e-billing yet — fax, portal and paper today, e-billing on the roadmap. No clinical billing. Windows only. One state’s codes configured at a time. |
Vendor pricing current as of July 2026 — verify with each vendor. The billing-service percentages are the 5–8% range typical of workers’-comp revenue-cycle firms; daisyBill’s own billing service starts around 3%.
The real incumbent, and the one that deserves the most respect. Your workbook is accurate. What it cannot do is catch the $16.14 the MCO kept, stop the fourth retyping, or tell you which bill has been sitting for sixty days. Three things, and none of them are about you.
On a $13,600 month a 6% service is $816. Every month, forever, indexed to your success. And when it is done you still write the daily log, the weekly tracking log and the narrative — because services bill, and none of that is billing.
The workers’-comp billing leader, and a genuinely excellent product. Its users report recovering $100 million-plus through its appeals tooling. It is built for California physician practices and it is priced above our top tier. Here is the honest line between us.
medclaimsoftware.com at $79 a year, Speedy Claims at $41.95 a month, EZClaim at $199. They produce a claim form. If the form were the hard part, one of them would already have solved your week.
This is not modesty. It is the fastest way to stop you wasting a demo slot, and it is how you should judge whether to believe the rest of the site.
Chiropractic. High CMS-1500 volume, established fee schedules, and a dozen practice-management vendors who have served it for twenty years. daisyBill or a chiro-specific PM system will fit you better on day one and cost you less.
Physical therapy. Same story, plus scheduling and authorisation-unit tracking that PT-specific software already does properly. We do not do plan-of-care or visit scheduling.
Behavioural health. Your billing runs on session codes, group-health payers and telehealth modifiers. We have no concept of any of them, and SimplePractice and its competitors are good at all of them.
Physician practices and surgery centres. If your workers’-comp billing is physician services — especially in California — buy daisyBill. It is better at your job than we will ever be, and we mean that literally rather than politely.
Who it is for: workers’-comp vocational rehabilitation professionals — VRC, VRCM, QRC, rehabilitation supplier, rehabilitation practitioner — and nurse case managers, field or telephonic. If you bill a workers’-comp payer for your time, in units or hours, with a report attached, this was built around your exact week. If you bill for a procedure, it was not.
One book, $13,600 a month, four ways to handle it. The hours line uses our first customer’s own before-number: four to eight hours of paperwork a day. That is her figure, from her practice, not a study.
The point of the table is not that we are cheapest — a form-filler is cheapest, by a mile. The point is what each price buys, and whether it removes the second shift or leaves it exactly where it was.
A flat subscription has one property a percentage does not: when you have a good month, it does not go up.
Professional is $299/mo, or $249/mo billed annually — $2,988 a year. Solo $199 ($159 annual), Practice $499 ($415 annual). Vendor prices current as of July 2026; verify with each vendor. Full pricing →
Fourteen-day trial, no card. Sixty-day money-back guarantee: if it has not given you back five hours a week by week eight, we refund it and export your data. Cancel and the software goes read-only — your records stay yours. Or just call and ask which of the four you should actually buy: 1-877-843-1717.
Excel and Word by hand, with a cheap form-filler beside it. That is the true incumbent in workers' comp voc rehab, because for twenty years there was nothing else. Almost nobody arrives here from another piece of voc-rehab billing software — there isn't any to arrive from. See the spreadsheet comparison.
On a book of roughly $13,600 a month, yes, and it is not close: a 6% service is $816 a month against $299 flat. On a very small book — say $3,000 a month — a 6% service is $180 and is cheaper than we are. What the service will not do at any price is write your weekly tracking log. The full arithmetic →
Not really, and we would rather say so than pretend. daisyBill is the workers'-comp billing leader and it is very good, in California physician billing, with e-billing and appeals tooling we do not have today. It has no Ohio BWC W-codes, no activity grid and no tracking log. Different half of the same industry. The honest comparison →
Those are the real ones. No direct e-billing yet — fax, portal-assisted and paper today, with filed confirmations as your timely-filing proof, and e-billing for mandate states on the roadmap. Windows only. No clinical or group-health billing. Your state's codes are configured during onboarding, one state pack at a time.
Yes, and some people should. The service chases the payers; the software produces the coded activity, the documentation and the claim forms it needs, and keeps your own receivables view so you can check their work. That combination costs more than either alone, and for a busy multi-state practice it is often the right answer.
Book a demo and bring one real week and one real remittance. We load your state's codes before the call and run your own paperwork through it while you watch. If the answer is that a $79 form-filler covers you, we will say so on the call. Book a demo →
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.