HCL Service Rate Schedule New Customer HCL Service Rate Schedule New Customer – HealthcareLive
Service Rate
Schedule
OrthoLive, Inc., d/b/a HealthcareLive, Inc. β€” Direct-to-Employer
πŸ“„ Universal ToS: www.HealthcareLive.com/terms-of-service
Rates Effective
July 1, 2026
FFS accounts billed at time-of-service rate. Pre-funded balances serve as a de facto rate lock.
Service Details Rate β€” Effective July 1, 2026
Occupational Health Triage / First-AidUnlimited prior to escalation to Tier 2 ‑ Unlimited per episode $300.00
Injury Prevention & MonitoringAvailable after Tier 2 Unlimited per episode $275.00
Incident Report OnlyNEW Per incident $50.00
New Hire Screen β€” Simple Per screen $150.00
New Hire Screen β€” Complex Per screen $275.00
Bundle Details Rate β€” Effective July 1, 2026
PA + X-Ray+ Care Coordination & Scheduling Bundled β€” 1 occurrence † $600.00
PA + MRI / CT / Arthrogram+ Care Coordination & Scheduling Bundled β€” 1 occurrence † $1,150.00
MD + X-Ray+ Care Coordination & Scheduling Bundled β€” 1 occurrence † $650.00
MD + MRI / CT / Arthrogram+ Care Coordination & Scheduling Bundled β€” 1 occurrence † $1,200.00
Service Details Rate β€” Effective July 1, 2026
Interpreter / Translation Per session $27.50
Durable Medical EquipmentSubject to actual equipment cost Per item β€” cost + coord. $70.00
Drug ScreenTelehealth-proctored; min qty 25 Per panel $70.00
Care NavigationIn-person coordination on behalf of patientNEW Per episode $75.00
Claims Entry / ReportingIncident & claim data entry into Employer/TPA systemNEW Per episode $25.00
Surgical Care NavigationScheduling & coordination for surgical proceduresNEW Per case $500.00
Physical Therapist (PT) Per visit $70.00
PA β€” Ancillary / Follow-up Visit Per visit $325.00
MD β€” Ancillary / Follow-up Visit Per visit $375.00
Telehealth No-Show (Provider-Initiated)24-hour cancellation notice required Per occurrence $137.50
ATC On-Site No-Show24-hour cancellation notice required Per occurrence $70.00

† Imaging rates subject to local variability. Multiple body parts per episode receive a multiplier on the imaging portion.

‑ Occ. Health Triage / First-Aid visits are unlimited prior to escalation to Tier 2 services (physician consultation, imaging). Once escalated, Tier 2 rates apply.

TYPE 1
Pay-in-Arrears
FFS Β· Weekly Invoice
Billed per service at time-of-service rate. CC or ACH required β€” no exceptions. All services Mon–Sun invoiced the following Monday.
TYPE 2
Pre-Funded
FFS Β· No Weekly Invoice
Pre-fund your account; services drawn as rendered. Min. $2,500 deposit. 20% replenishment trigger. CC or ACH recommended.
FLAT FEE β€” FFPE
$950 / Episode
All Covered Services Included
Type 2 accounts only. Min. $10,000 deposit. Ancillary services billed separately at rates above. Max 2 MRI/CT scans per employee per year.
$22
50–249 Lives
Small Employers
$18
250–999 Lives
Mid-Market
$16
1,000–4,999 Lives
Large Employers
$14
5,000+ Lives
Enterprise

Benefits programs require a separate Benefits Service Agreement and Health Services Account Authorization. PEPM covers MSK, virtual urgent care, and personal wellness β€” non-work-related conditions only.

MRI / CT Limit: Max 2 MRI/CT/Arthrogram scans per eligible employee per contract year β€” all account types.
Flat Fee: $950/episode covers all primary services for the episode. Ancillaries billed separately at rates above.
Rate Lock: FFS billed at time-of-service rate. Pre-funded balances serve as a de facto rate lock until depleted.
Rate Updates: 30-day written notice required. Universal ToS: www.HealthcareLive.com/terms-of-service
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