Complete · for solo and small-group therapy practices already running

One operating team. No owner stuck in the middle.

Complete runs the front office and revenue cycle under one operating standard—so scheduling, intake, claims, denials, posting, patient balances, and reporting stop arriving as separate problems for you to reconcile.

Starts at$995/month
Price basisCompleted-session bands
Collections feeNever a percentage

20 minutes · honest disqualification included

Your practice. Your payer contracts. Your client relationships. Your data.
Grasshopper operates the contracted administrative work; the owner keeps the practice and the decisions.

Illustrative weekly operating view One accountable team
Work operatedFront office + revenue cycle
Owner seesDecisions, flags, and the record

Operating queues

  • Front officeScheduling, intake, inboxDaily
  • ClaimsScrub, submit, postEvery session
  • Denials + ARWork, flag, action planTracked
  • ReportingWeekly snapshot + monthly reportVisible

Owner decision queue

  1. 01Payer and contract choices
  2. 02Policy exceptions and escalation
  3. 03Clinical communication

The work may be delegated. The operating seams are still yours.

One person handles scheduling. Another submits claims. The EHR produces alerts. Payer portals hold the status. When something crosses those boundaries—or nobody is sure who owns it—the practice owner becomes the integration layer.

Complete replaces that handoff burden with one team, one operating record, and a defined queue of decisions that still belong to you.

Complete is built for
  • An open solo or small-group therapy practice
  • An owner ready to hand off both front office and billing operations
  • A practice that wants visible cadence, flat fees, and a planned transition
Keep billing in-house?

Essentials carries the front office without claims or billing. It remains the narrower path—not an equal Complete package.

Full coverage is more than “we submit claims.”

Complete separates the work Grasshopper operates, the information the owner receives, the decisions the owner keeps, and the work that remains outside the service.

01
Grasshopper operates

Front office

Scheduling and calendar coverage, intake coordination, appointment reminders, voicemail and inbox handling during Eastern Time business hours with scheduled callbacks, EHR administration, and the Friday operations snapshot.

Visible standardSame-business-day scheduling response; no unworked inbox item older than 24 hours
02
Grasshopper operates

Revenue cycle

Eligibility and benefits verification before first sessions, claim scrubbing and submission, denial work and appeals, ERA and payment posting, patient invoicing, and balance follow-up.

Visible standardClaims within 2 business days; denials worked within 5 business days
03
Grasshopper reports

Visibility and flags

A monthly revenue report covering charges, collections, denial rate, AR aging, and payer mix; a weekly operations snapshot; and an action plan for accounts receivable older than 60 days.

Visible standardMonthly report by the 7th (or next business day); aging items flagged with an action plan
04
The owner decides

Practice policy

Payer participation and contract terms, exceptions to financial policy, escalation or write-off decisions, and any communication that requires clinical judgment.

Operating ruleGrasshopper surfaces the decision with context; the practice owner approves the direction
05
Outside Complete

Explicit exclusions

Payer contract negotiation, collections-agency work, clinical services or supervision, clinician staffing, and legal, tax, or accounting advice.

Outcome boundaryNo promise of reimbursement, payer action, revenue, or any other payer-controlled result

Accountability lives in timing, triggers, and visible evidence.

The ledger is not a promise that a payer will approve, reimburse, or move on Grasshopper’s schedule. It states what Grasshopper does, when it does it, and where the owner can see the work.

All service commitments are activity commitments. Grasshopper does not guarantee revenue, reimbursement, panel acceptance, rankings, client volume, or payer-controlled timelines.

Complete commitment ledgerSix activity commitments · visible operating evidence
ClaimsClaims submitted within 2 business days of session completion
CadenceWithin 2 business days
Visible inSubmission status in the operating record
DenialsDenials worked within 5 business days
CadenceWithin 5 business days
Visible inDenial work log
ReportingMonthly revenue report with charges, collections, denial rate, AR aging, and payer mix
CadenceBy the 7th (or next business day)
Visible inMonthly revenue report
ReceivablesAccounts receivable over 60 days flagged with an action plan
CadenceMonthly
Visible inAR action plan
Front officeSame-business-day response to patient scheduling messages; zero unworked inbox items older than 24 hours
CadenceEvery business day
Visible inInbox and scheduling work queue
SnapshotWeekly operations snapshot
CadenceEvery Friday
Visible inWeekly operations snapshot

Switch without pretending the transition is risk-free.

A running practice already has live appointments, access credentials, claims in flight, open denials, patient balances, and vendor obligations. Complete begins by making those dependencies visible and assigning the handoff in writing.

  1. 01

    Inventory

    Systems audit

    Confirm the EHR, clearinghouse, scheduler, voicemail, inbox, payment tools, reports, current vendors, and administrator access.

  2. 02

    Map

    Payer-portal and data access

    Map portal roles, ERA and EFT paths, claim-status access, data exports, and any credential or platform constraint that could block the switch.

  3. 03

    Assign

    AR transition plan

    Inventory open claims, denials, remittances, patient balances, and posting gaps. Set a cutoff rule and named owner for every work category.

  4. 04

    Protect

    Parallel run where needed

    Use a limited overlap when the practice needs it to verify queues and access. The plan must also prevent duplicate claim work, duplicate posting, and conflicting patient messages.

  5. 05

    Close

    Clean handoff gates

    Confirm live access, open-work ownership, the first reporting cycle, unresolved risks, and the access or records the prior vendor must return.

One-time transition fee $750

Systems audit, payer-portal mapping, and AR transition plan. Waived for Practice Launch graduates.

Transition riskControl to settle in writing
Existing AR
Cutoff date, accepted inventory, and named owner
Duplicate work
Submission, posting, and communication boundaries
Access gaps
Administrator rights and exports verified before cutover
Unresolved items
Status list carried into the first operating review

Hand off the work. Keep the operating leverage.

Grasshopper needs defined access to operate the service. That does not make Grasshopper the owner of the practice infrastructure.

YoursThe practice
YoursPayer contracts
YoursClient relationships
YoursPractice data

Before PHI access: A Business Associate Agreement is executed before any access to protected health information.

At exit: open claims, denials, balances, reports, credentials, access removal, and record transfer belong in a written offboarding plan governed by the signed agreement.

Flat bands follow operating volume—not collections.

The solo band is based on completed sessions per calendar month using a three-month rolling average. Band changes take effect the following month with notice. Group and transition mechanics are published beside the solo bands.

Solo practice

Monthly fee by completed-session band
Complete solo-practice monthly pricing
Completed sessions per calendar monthFlat monthly fee
Up to 40 completed sessions/monthRamp$995/month
41–70 completed sessions/month$1,295/month
71–100 completed sessions/month$1,595/month
101–140 completed sessions/month$1,895/month
Above 140 completed sessions/monthCustombook a fit call
Measurement
Three-month rolling average of completed sessions per calendar month.
Change timing
Band changes take effect the following month, with notice.
Review
Annual review each January.
Fee basis
Completed-session volume—not collections.

Groups · 2–5 clinicians

$1,595 base + $595 per additional clinician/month

Each additional clinician is assumed at up to 100 completed sessions a month. Above that volume, add a $200 per-clinician band uplift.

Existing-practice transition

$750 one time

Covers the systems audit, payer-portal mapping, and AR transition plan. Waived for Practice Launch graduates.

No savings claim is implied. Compare your actual vendor contracts, scope, transition requirements, and internal owner time against the published Complete terms.

Compare the operating model, not only the headline fee.

Percentage-billing and multi-vendor arrangements vary by contract. The useful comparison is whether scope, handoffs, visibility, ownership, and exit terms are explicit.

Questions to compare across Complete, percentage billing, and multi-vendor arrangements
DecisionCompleteAsk a percentage billerAsk separate vendors
Fee basisFlat published bands based on completed-session volumeWhat percentage applies, and which collections are included?What is the combined fixed and variable cost across contracts?
ScopeFront office, revenue cycle, reporting, and transition planning under one serviceDoes the agreement cover only billing, or also the front office and owner reporting?Which vendor owns work that crosses scheduling, claims, payments, and balances?
AccountabilitySix written activity commitments with cadence and visible evidenceWhich actions have a deadline, and where is the work recorded?Who resolves a missed handoff when two scopes touch?
Owner visibilityWeekly operations snapshot plus monthly revenue report by the 7thWhich reports arrive, at what cadence, and who explains exceptions?Which system becomes the source of truth across vendors?
Ownership and exitThe practice, contracts, relationships, and data remain yoursWhat access, records, and open AR return at exit?How are credentials, exports, and unresolved work reconciled across contracts?

Settle control, access, responsiveness, and exit before the switch.

These answers state the current public boundaries. The signed agreement and transition plan must resolve practice-specific details before work begins.

No. Complete delegates execution, not ownership or policy. You decide payer participation and contract terms, financial-policy exceptions, escalation choices, and all clinical communication. Grasshopper operates the documented front-office and revenue-cycle workflows and surfaces decisions that require the owner.

The practice, payer contracts, client relationships, and practice data remain yours. Grasshopper receives only the administrative access needed to do the contracted work, and a Business Associate Agreement is executed before any access to protected health information. Access, exports, and offboarding responsibilities should be written into the service agreement and transition plan.

Patient scheduling messages receive a same-business-day response, with zero unworked inbox items older than 24 hours. Claims are submitted within 2 business days of session completion, denials are worked within 5 business days, a weekly operations snapshot is delivered every Friday, and the monthly revenue report is delivered by the 7th (or next business day). These are activity commitments, not promises of payer action or reimbursement.

Patient invoicing and balance follow-up are included. Collections-agency work is not. When an account requires a policy decision, escalation, write-off, or outside collection action, Grasshopper surfaces the item and the practice owner decides what happens next.

No. Grasshopper can organize administrative facts and operating context, but payer contract negotiation is excluded. Grasshopper informs; the practice owner decides and engages legal or other professional advisers when needed.

The transition starts with an inventory of open claims, denials, patient balances, payment-posting status, and current vendor responsibilities. The written AR transition plan assigns an owner and cutoff rule to each work category. Grasshopper does not imply that every historical balance can be recovered or that every item can transfer without risk.

Compatibility is confirmed before the switch, not assumed on the sales page. The systems audit checks administrator access, exports, claim and remittance workflows, clearinghouse connections, payer portals, and any platform limits. Unsupported or high-risk constraints must be documented before a transition begins.

For groups of 2–5 clinicians, Complete is $1,595 base plus $595 per additional clinician each month. Each additional clinician is assumed at up to 100 completed sessions a month; above that volume, a $200 per-clinician band uplift applies.

No. Complete uses flat published bands based on completed-session volume, measured on a three-month rolling average. Grasshopper never charges a percentage of collections.

The practice, payer contracts, client relationships, and practice data remain yours. A clean exit should identify open claims and denials, outstanding balances, current reports, access handoff, and credential revocation. The signed agreement controls the exact notice and offboarding terms, which should be reviewed before enrollment.

Put the operating seams under one accountable team.

Bring the current systems, vendor setup, monthly volume, group structure, and open-AR questions. The fit call is used to identify the transition that is supportable—and the risks that need to be resolved first.

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