Pricing – CMS
Pricing for AI Claims Management Platform
Modernize claims, end to end
Starter
Get your first modernization live.
The full claims platform with Clive built in, sized for your first rollout. Everything you need to run claims end-to-end on UAT + Production, with claim-level Clive agents and standard automation.
Professional
Built for broader rollouts.
From $300K/year
Enterprise
Run global claims operations.
Compare Plans
Starter
Professional
Enterprise
Environments
UAT + Production
Dev/QA + UAT + Production
Dev/QA + UAT + Production for enterprise rollout
APIs & webhooks
Included
Included
Included
Policy administration integration
Included
Included
Included
Payment solution integration
Included
Included
Included
Additional integrations
Custom scoped
Custom scoped
Custom scoped
Reporting & data access
Standard data export
Embedded real-time self-service reporting + BI
Embedded real-time self-service reporting + BI
Workflow automation & configuration
Standard self-service automation tools and workflows
Standard automation + embedded no-code workflow automation builder
Standard automation + embedded no-code workflow automation builder
eSign / DocuSign
Add-on
Included
Included
Clive included
Chat + Documents
Generally available claim-level agents
Generally available claim-level + portfolio-level agents
Support
Business hours + ticketing + monitoring
Priority response
24/7 escalation
Compliance
SOC 2 Type II
SOC 2 Type II
SOC 2 Type II
Usage fees
Sales-led usage estimate
Volume-based usage packages
Custom multi-LOB / enterprise usage packages
Mandatory launch package
From $100K
From $200K
From $350K+
Annual platform fee
$200K / year
$300K / year
$500K+ / year
What’s included in every platform plan
Every platform plan includes the core claims foundation.
Claim intake / FNOL
No-code FNOL UI and API configuration by LOB and sub-organization
Claim creation from manual, API, and AI-assisted inputs
Policy lookup and extraction
Automatic exposure creation, initial reserves, and triage rules
SIU support and investigation workflows
Claims handling / resolution
Notifications and diarying
Reserves, coverage, liability, damage assessment, litigation, and recovery workflows
Payment workflows
Advanced search across core claim records
Omnichannel communications
Phone, email, mail, SMS, and video workflows
Automated routing to the right claim and adjuster
Automated note capture
Templates and communication automations
Unlimited communications
SIU support and investigation workflows
Admin, automation, and configuration
No-code self-configuration
Standard self-service automation tools
Profiles, permissions, and authority controls
Dynamic FNOL and policy configuration
Configurable claim-model elements
Automation rules and templates
Integration layer
APIs and webhooks included across all tiers
Policy administration integration
Payment solution integration
Built-in ecosystem integrations where available
Export and connectivity patterns for external systems
Platform operations
Cloud-hosted SaaS
Unlimited users
Unlimited storage
UAT access
Continuous upgrades
SOC 2 Type II compliance
Standard post-go-live Customer Success
Add-ons & managed services
Add-ons create clean expansion paths after go-live without
bloating the core platform tiers.
Operational add-ons
Add-on
What it adds
Pricing
Additional line of business
Adds another LOB to the platform
$18K–$36K / year
Analytics & BI package
Custom dashboards, custom reports, enhanced exports, BI support, dashboard maintenance, and revisions
$12K–$24K / year
Platform expansion services
Service
What it adds
Pricing
Additional line of business
Adds another LOB to the platform
From $15K one-time
External intake /
FNOL portal
Customer- or partner-facing intake workflows and submission experiences
Custom scoped
Advanced automation build services
Premium post-go-live success leadership, success planning, optimization reviews, executive QBRs, adoption analysis
Custom scoped
Additional integrations
Third-party integrations beyond policy administration and payment solution integrations
Custom scoped
Custom reporting /
dashboard builds
Customer-specific reporting beyond standard included reporting
Custom scoped or included in Analytics & BI package
FAQ
Why not per-seat pricing?
Because the value proposition is operational efficiency. Customers should be able to handle more claims with less manual work, so seat-based pricing cuts against the product story.
When do fees start?
Launch-package fees begin at signing and/or milestones. Platform access can begin at signing or UAT. Usage begins at go-live.
What is included in the launch package?
Implementation, configuration, integrations, migration, onboarding, training, and activation. Exact scope depends on lines of business, workflows, data, and integration complexity.
Are APIs and webhooks included?
Yes. APIs and webhooks are included across all platform tiers.
Are policy and payment integrations included?
Yes. Policy administration and payment solution integrations are included across platform tiers. Additional third-party integrations are custom scoped.
Are additional lines of business included in the base tiers?
No. Additional LOBs are scoped separately as a one-time expansion item.
Are custom reports included in the base tiers?
Standard data export is included in Starter. Embedded real-time self-service reporting and BI are included in Professional and Enterprise. Customer-specific custom reports and dashboards are positioned as add-ons or negotiation levers.
How are usage fees estimated?
Usage fees are based on annual claim volume, line of business, geography, customer type, claim severity, and Clive workflows used. We prepare a tailored usage estimate during the sales process.
What’s the difference between Standard Customer Success and Managed CS?
Standard Customer Success is the baseline post-go-live relationship. Managed CS is a premium, higher-touch service with success planning, optimization reviews, executive QBRs, and adoption analysis.
Can we buy Clive without Five Sigma CMS?
Modernize claims operations with a platform built for carriers, MGAs, TPAs, and claims teams — then expand with Clive AI, automation, integrations, and advanced workflows as volume and complexity grow.
