Mobile MediClaim
Mobile MediClaim is a SaaS platform for independent U.S. pharmacists offering payor credentialing, an ONC-certified EHR, and direct medical billing, sold via monthly subscriptions and field sales with CPESN network referrals.
- Company typePrivate
- Founded2016
- HeadquartersChicago, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Mobile MediClaim does
Mobile MediClaim is a privately-held SaaS company founded in 2016 by Jean Jendusa and headquartered in Gurnee, Illinois. The company serves independent pharmacists and clinical pharmacy practices in the United States with an integrated platform built around three core products: (1) Contracting and Credentialing services that enroll pharmacists as in-network providers with medical insurance payors (handling PTANs, CAQH, payor applications, and contract negotiation); (2) an ONC-certified Electronic Health Record system with 2015 Edition Cures Update compliance, certified under certificate 15.07.05.3088.MOBL.01.02.1.260327 (v3.5, March 27, 2026); and (3) a direct Medical Billing platform enabling pharmacists to submit claims to medical carriers without third-party intermediaries. The underlying technology is built on Dynamic Health IT ConnectEHR with BulkFHIR, supporting HL7 and FHIR R4 interoperability, multi-factor authentication, and end-user device encryption. An optional add-on, Pharmacy Advisory Services, provides PharmD-led coaching on business planning, screenings, disease management, and population health.
The company monetizes through monthly SaaS subscriptions plus onboarding fees, supplemented by professional services revenue from credentialing engagements and advisory coaching. Pricing is quote-based and not publicly disclosed. Its go-to-market combines three coordinated motions: a direct field-sales team of three named sales executives (Casey Goff, Jeff Coulter, Shannon Hughes); inside sales driven by "Schedule a Demo" calls to action on the company website; and referral-based community-led growth through partnerships with CPESN (Community Pharmacy Enhanced Services Network, formalized August 2021) and the Washington State Pharmacy Association (February 2018). The company holds a BBB A+ accreditation and is certified to ONC Health IT Module standards, but maintains no public mobile app, no public developer API, and no disclosed pricing.
Operationally, Mobile MediClaim remains founder-owned with no disclosed institutional investors, parent company, subsidiaries, or acquisitions. Leadership comprises Founder/CEO Jean Jendusa (former independent pharmacy owner with prior PBM, pharma, and insurance-technology experience), CTO Ravi Kumar, and Director of Project Management Ruby Bhati. The team of roughly 40+ members is distributed across U.S. sales, credentialing, and account management functions plus a larger offshore engineering contingent (chiefly in India based on named engineers). After ten years in operation the company continues to reinvest in certification and partnership expansion but has not raised outside capital or executed material M&A.
Mobile MediClaim firmographics
Firmographics- Name
- Mobile MediClaim
- Legal name
- Mobile MediClaim Inc.
- Website
- https://mobilemediclaim.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Mobile MediClaim is a SaaS platform for independent U.S. pharmacists offering payor credentialing, an ONC-certified EHR, and direct medical billing, sold via monthly subscriptions and field sales with CPESN network referrals.
- Ownership category
- akta.pro rank
Mobile MediClaim industry classification
Industry- Product category
- Pharmacy Practice Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Prepackaged Software (7372), Services-Health Services (8000)
- akta.pro primary industry
- Medication Therapy Management (MTM) & Clinical Pharmacy Services Tools (HLACAKAH)
- akta.pro secondary industry
- Medication Adherence & Therapy Management Platforms (refills, reminders, MTM) (HLALAIAG)
Keywords
Where Mobile MediClaim is headquartered
LocationHeadquarters
- HQ city
- Chicago
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Mobile MediClaim business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- Monthly Subscription (SaaS Platform): Recurring monthly subscription for access to the Mobile MediClaim EHR platform, medical billing tools, and credentialing services. Includes onboarding fee and ongoing monthly fees.
- Credentialing and Contracting Services: Professional services for medical credentialing and contracting with insurance payors. Includes form organization, application completion, payor presentations, follow-ups, and contract negotiations.
- Pharmacy Advisory Services: Coaching and consulting services provided by PharmD coaches for business planning, marketing, implementation of screenings, disease management, and clinical service offerings.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Standard SaaS Platform Subscription |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
Mobile MediClaim product offering
Product offeringCore offering
Mobile MediClaim provides a unified cloud-based SaaS platform for independent pharmacists, combining three core services: (1) Contracting and Credentialing to get pharmacists in-network with medical insurance payors, (2) an ONC-certified Electronic Health Record (EHR) system for clinical documentation and care planning, and (3) direct Medical Billing enabling pharmacists to submit unlimited claims to medical carriers without third-party intermediaries. The platform also offers optional Pharmacy Advisory coaching services delivered by PharmD professionals to support business planning and clinical service implementation.
Product overview
Mobile MediClaim is a unified SaaS platform for independent pharmacists consisting of four integrated services: Contracting and Credentialing (to get in-network with medical payors), a Certified EHR System (for clinical documentation and care planning), Medical Billing (for direct claim submissions), and Pharmacy Advisory Services (for business coaching). The platform enables pharmacists to practice at the height of their scope, document patient encounters, and bill medical carriers directly without third-party intermediaries.
Differentiator
Problem solved
Functional benefit
Products and services
- Contracting and Credentialing Credentialing and contracting service that connects pharmacists with medical insurance payors. Team handles form organization, application completion, payor presentations, follow-ups, and rate negotiations to get pharmacists in-network and ready to bill medical carriers. Designed for independent pharmacists and pharmacy practices needing support to become contracted providers.
- Certified EHR System ONC-certified Electronic Health Record software designed specifically for clinical pharmacists. Features include collaborative care communication, encounter documentation with standardized and customized templates, built-in billing capabilities, mobile/online access for point-of-care use, SOAP notes, patient charts, appointment setting, patient portals, e-prescribing, and clinical care coordination. Supports preventative care, consultations, immunizations, and other specialty billing workflows.
- Medical Billing Direct medical billing platform enabling pharmacists to bill medical carriers for professional services without third-party intermediaries. Supports unlimited claim submissions, eligibility authorization, appointment scheduling, and prompt payment processing for preventative care, consultations, immunizations, and other specialty services.
- Pharmacy Advisory Services PharmD-led coaching services to help pharmacists create business plans, implement screenings, manage diseases, develop clinical service offerings, and optimize workflows using the Mobile MediClaim platform. Includes business planning, marketing, screenings and assessments, disease management, population health management, and workflow management coaching.
Quantifiable outcome
- Gets pharmacists in-network with medical carriers at first pass
- +2 more outcomes
Companies that use Mobile MediClaim
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles2 records
Mobile MediClaim technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
Feature7 records
Mobile MediClaim partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- CPESN (Community Pharmacy Enhanced Services Network)coreMobile MediClaim has been recognized by CPESN to provide connectivity to CPESN Pharmacies. Company provides software solutions utilizing the Pharmacist Electronic Care Plan and has successfully tested and released care planning utilities meeting the electronic care plan standard as outlined in the ONC High Impact Project. The partnership enables ECARE Plan delivery to pharmacies nationwide.
- WSPA (Washington State Pharmacy Association)coreMobile MediClaim joined WSPA as a business partner in February 2018. Partnership supports the company's commitment to helping independent pharmacists succeed as an intricate part of the healthcare model. WSPA membership provides industry credibility and networking opportunities within the pharmacy community.
Scale indicators3 records
Recent moves6 records
Expansion highlights4 records
Mobile MediClaim competitors and assessment
Company assessmentDirect peers
- BestRx: BestRx is a pharmacy software vendor focused on independent pharmacies, offering prescription processing and clinical documentation. Comparable target customer and product scope to Mobile MediClaim's platform.
- Liberty Software: Liberty Software is a pharmacy management system serving independent and small-chain pharmacies with dispensing and clinical documentation features. It competes for the same independent pharmacy customer base as Mobile MediClaim.
- PioneerRx: PioneerRx is a pharmacy management system widely used by independent pharmacies, offering dispensing, clinical documentation, and patient engagement tools. It directly competes with Mobile MediClaim's EHR and clinical-services layer in the same independent pharmacy segment.
- Transaction Data Systems (Computer-Rx): Transaction Data Systems operates the Computer-Rx pharmacy platform with clinical services, MTM, and billing capabilities for independent pharmacies. It overlaps with Mobile MediClaim's pharmacist-facing EHR and clinical services workflows.
- RxNT: RxNT provides ONC-certified EHR, e-prescribing, and medical billing software used by ambulatory providers including pharmacists. Comparable to Mobile MediClaim in offering certified EHR plus integrated medical billing on a SaaS subscription.
- OutcomesMTM: OutcomesMTM (now part of CVS/Caremark) connects pharmacists with MTM opportunities and links them to payor reimbursement networks. It overlaps with Mobile MediClaim's pharmacist clinical services and medical billing positioning.
- Ateb: Ateb provides pharmacy patient engagement, appointment scheduling, and clinical services software for independent pharmacies. It is a comparable SaaS play focused on enabling pharmacists to deliver and be paid for clinical services.
Emerging players
- Parata Systems: Parata provides pharmacy automation and adherence packaging with adjacent clinical workflow software. It serves a similar independent pharmacy customer base and intersects with Mobile MediClaim on clinical pharmacy enablement, though its core focus is hardware automation.
- DocStation: DocStation is a pharmacist-facing platform for clinical documentation, MTM delivery, and payor billing. It competes directly with Mobile MediClaim's clinical services and billing capabilities in the community pharmacist market.
Broad incumbents
- CoverMyMeds (McKesson): CoverMyMeds, a McKesson company, offers electronic prior authorization, e-prescribing, and benefit verification across the pharmacy ecosystem. It is a broad incumbent operating in adjacent pharmacist-facing workflows that could expand into Mobile MediClaim's clinical billing territory.
Market position
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Mobile MediClaim social profiles
Digital presenceMobile MediClaim compliance and trust
Trust signalCompliance4 records
Mobile MediClaim financial estimates
Financial estimateRevenue estimate
Valuation estimate
Mobile MediClaim leadership team
Management profileNumber of profiles
Profiles3 records
Mobile MediClaim funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Mobile MediClaim M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Mobile MediClaim
What does Mobile MediClaim do?
Mobile MediClaim provides a unified cloud-based SaaS platform for independent pharmacists, combining three core services: (1) Contracting and Credentialing to get pharmacists in-network with medical insurance payors, (2) an ONC-certified Electronic Health Record (EHR) system for clinical documentation and care planning, and (3) direct Medical Billing enabling pharmacists to submit unlimited claims to medical carriers without third-party intermediaries. The platform also offers optional Pharmacy Advisory coaching services delivered by PharmD professionals to support business planning and clinical service implementation.
Is Mobile MediClaim a public or private company?
Mobile MediClaim is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Mobile MediClaim founded?
Mobile MediClaim was founded in 2016. It employs 1 to 10 people.
Where is Mobile MediClaim based?
Mobile MediClaim is headquartered in Chicago, United States, in the North America region.
How does Mobile MediClaim make money?
Three revenue lines are on record. Monthly Subscription (SaaS Platform) is the primary driver. The others are credentialing and Contracting Services and pharmacy Advisory Services.
Who are Mobile MediClaim's main competitors?
Direct peers on record are BestRx, Liberty Software, PioneerRx, Transaction Data Systems (Computer-Rx), RxNT, OutcomesMTM and Ateb. Emerging players are Parata Systems and DocStation. CoverMyMeds (McKesson) is listed as a broad incumbent.
Does Mobile MediClaim have an API?
No public API is recorded for Mobile MediClaim.
What industry is Mobile MediClaim in?
Mobile MediClaim's product category is Pharmacy Practice Management Software. Its primary akta.pro industry code is HLACAKAH, Medication Therapy Management (MTM) & Clinical Pharmacy Services Tools, with a secondary code of HLALAIAG, Medication Adherence & Therapy Management Platforms (refills, reminders, MTM). Its NAICS code is 524292 and its SIC code is 7372.