Why MedAlly

One job, done properly.

Most billing systems treat a concierge membership as a subscription and leave your staff to patch the difference. MedAlly is built for concierge medicine and nothing else, so the awkward cases are features rather than workarounds.

Solo and group practices. You keep your EMR and your staff, and we migrate your existing book before you pay anything.

Built for one thing

Concierge billing is not subscription billing.

These are the cases that break a general purpose tool. Each one is handled here without a spreadsheet beside it.

Annual cycles Annual, semi-annual, quarterly or monthly terms. Each member carries their own renewal date, or you align the whole book to one common date.
Installments An annual fee split across installments on any cadence, with the schedule tracked. A member who cancels halfway through one settles correctly.
Proration Joining in March, changing tier in August, moving to a different fee mid-term. The proration is calculated for you, forwards or backwards.
Households A couple or a family on one invoice, one renewal date, your household rate applied across it.
No two members alike Legacy rates, founding rates, professional courtesy, staff rates, hardship arrangements. The price belongs to the member, so nobody has to remember the exception at renewal.
Fee changes When you raise your fee, new agreements go out. Existing members stay on the terms they signed until you decide to move them.
The terms

What you are actually agreeing to.

The commercial terms are the part worth reading twice, so they are stated plainly rather than left to a call.

No contract on In-House You are not locked into a term. Managed runs on a minimum two year term because our team is operating the book for you, and it is limited and by application.
Free until you are paid Nothing is charged until your first member payment lands. If the book never goes live, you never pay us.
Migration before billing We move your existing membership book across before your first invoice, not after you have committed.
Refunds cost you nothing When you refund a member, our fee comes back to you with it, automatically. A refund never costs you more than the member paid.
Processing at cost Stripe processing passes through at cost. We do not mark it up.
A rate that falls In-House is a flat monthly fee plus a share of collections that drops as your panel grows, on marginal brackets. Managed is from 12 percent of collections with no fixed fees.
Who runs it

Your staff, or ours.

The plan decides who operates the book, not what the platform can do. Every feature is on from day one either way.

+In-House. Your staff runs enrollment and renewals, with guided setup and migration reviewed by our team before you go live.
+Managed. We run enrollment, renewals and collections end to end, including past due outreach, with no suspension without your sign-off.
+Not an EMR. MedAlly runs beside the clinical system you already use. We do not ask you to replace it.
+Verified practices only. We check your NPI against the national provider registry before billing is switched on.

You reach the people who built it.

MedAlly is a small team. When you write in, you are talking to the people who built the billing engine, not a queue. Email support answers within one business day on In-House, and Managed is on call the same business day on whichever channel you prefer.

Talk to us

Start free. Pay when a member does.

Every practice is verified before billing is switched on. We migrate your existing book before your first invoice.