The fees below may apply when your clinic uses certain Atlas.md services or when specific payment events occur.
For subscription and payment processing fees, visit the pricing page.
Refunds
Refund Processing Fee
Equal to the processing fee on the original payment
When a payment is refunded, the original processing fee is not returned.
Payment Disputes and Chargebacks
Credit Card Chargeback Fee
$15, plus a refund processing fee equal to the processing fee on the disputed payment
If the dispute is resolved in your clinic’s favor, the $15 chargeback fee is returned. The original payment-processing fee is not returned.
Credit Card Dispute Response Fee
$15 per response
This fee only applies if your clinic submits evidence to challenge a card dispute. If the dispute is resolved in your clinic’s favor, the response fee is returned.
ACH Chargeback Fee
$20, plus a refund processing fee equal to the processing fee on the disputed payment
This fee applies when a patient disputes an ACH payment.
Clinics cannot challenge ACH chargebacks through the dispute process, so there is no ACH dispute response fee.
ACH Failed Transaction Fee
$5 per failed transaction
This fee applies when an attempt to collect a payment from a patient’s bank account is unsuccessful.
ACH Over-Refund Fee
20% of the total amount, with a minimum fee of $20
This fee applies on the rare occasions when an over-refund occurs, usually when your patient requests a chargeback, and you apply a refund in quick succession.
Payouts
Payouts to your clinic’s connected bank account are free.
Read more about payment disputes and chargebacks
Faxing
Outbound Fax
$0.07 per page
This fee applies to each page faxed from a patient’s chart.
Shipping
Shipping Label
Set by the carrier.
This fee applies whenever your clinic purchases a shipping label through Atlas.md.
Shipment Insurance
$0.80 for items valued up to $40.
For items valued over $40, shipment insurance costs 2% of the item’s value, with a maximum coverage limit of $5,000.
Carrier fee adjustment
Set by the carrier.
USPS may adjust the cost of a label after it is purchased if it corrects the shipment’s weight, dimensions, package type, zone, delivery area, or address.
Atlas.md will notify your clinic by email when a carrier fee adjustment occurs.
Read more about USPS adjustment fees
Specialist Consults
Consult Fee
Set by the specialist.
This fee applies when a specialist consult case is resolved. It appears on your clinic’s next Atlas.md invoice and is paid to the specialist.
ePrescribing and PDMP
New eRx Subscription
$475.
This fee applies when a prescriber is set up for ePrescribing.
eRx Subscription Renewal
$400 annually per prescriber.
This fee applies when a prescriber’s eRx subscription renews.
PDMP Setup
$525 per clinic.
This is a one-time fee applied when PDMP is enabled for your clinic.
PDMP Subscription
Usually $60 per doctor.
The exact subscription requirements and cost vary by state.
EPCS Replacement Token
$25 per replacement token.
This fee applies when a hard token needs to be replaced.
For help with a particular fee, payment, payout, or dispute, contact Atlas.md support.