> ## Documentation Index
> Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.
# Core Developer pricing and add-ons
> What Core Developer costs, how provider seats are counted, why there are no usage-based charges, and the capabilities you can add on request.
**CORE DEVELOPER · PRICING**
Core Developer is priced per provider, with one implementation fee and no usage-based charges. This page covers what it costs, how seats are counted, and the capabilities you can add on request.
***
**01 — SUBSCRIPTION**
## What it costs
Added to your existing Elation subscription and billed on the same cadence and terms as your current contract.
Paid in advance, covering initial setup, configuration, and technical onboarding.
Core Developer is an add-on to a Standard or Premium EHR subscription.
Raise a request at app.elationemr.com/support, or contact your Customer Success Manager, with your provider count. Most practices are live in a single billing cycle.
***
**02 — ADD-ONS**
## Capabilities you can request
These are not included in the base subscription. Each is requested through Support, and additional pricing may apply.
| Add-on | What it is | How to get it |
| ---------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| **Document Signing API** | Sign clinical notes and orders programmatically, setting `signed_by` and `signed_date` through the API. | Paid add-on. Requires an executed BAA, and an Admin User at your practice must review and accept the [API document signing agreement](/files/api-document-signing-agreement.pdf), which covers clinical oversight and regulatory responsibility for documents signed this way. |
| **Premium Patient Insurance API** | Run real-time eligibility checks against patient insurance policies and retrieve full eligibility reports. | Requires Elation's **Real-time Eligibility** product, a separate add-on at additional cost for Standard and Premium EHR subscriptions. Already included with Elation Billing subscriptions. Enablement for the API happens separately once Real-time Eligibility is live on your practice. |
| **Care Gaps API** | Programmatic access to care gap and quality measure data. | Requires a custom statement of work, because implementation takes real effort on both sides. Additional pricing may apply. Customers are scoped and vetted before enablement. |
| **Additional daily Hosted Database refreshes** | Your subscription includes one refresh per day, seven days a week. Additional daily refreshes shorten how stale your reporting data can be. | Priced per practice. Raise a request at app.elationemr.com/support or contact your Customer Success Manager for a quote. |
| **Professional Services** | Ongoing technical advisory and consulting beyond standard onboarding, with a named engagement manager and a recurring call cadence. | Custom statement of work. Raise a request at app.elationemr.com/support or contact your Customer Success Manager for a quote. |
***
**03 — NO USAGE-BASED CHARGES**
## Your bill doesn't move when your traffic does
On the standard per-provider subscription described above, provider count is the whole variable.
A metered API makes the cost of a backfill, a nightly sync, or a retry storm impossible to predict, which pushes practices toward under-building. Here you can run a full historical backfill, poll more often than strictly necessary, or rebuild an index without checking a budget first.
| | Core Developer |
| ------------------------------------------- | -------------- |
| Per API call | No charge |
| Per record, resource, or object returned | No charge |
| Hosted Database queries on a Reader Account | No charge |
| Hosted Database data egress | No charge |
| Overage invoices | None |
| What drives your cost | Provider count |
***
**04 — GET STARTED**
## Ready to build?
Whether you know exactly what you need or you're still scoping your project, we'll get you set up.
Raise a request at app.elationemr.com/support, or contact your Customer Success Manager, with your provider count. We'll confirm pricing, attach the add-on to your subscription, and kick off onboarding.
Document Signing, Care Gaps, additional refreshes, or Professional Services — raise a request at app.elationemr.com/support or contact your Customer Success Manager and we'll scope it with you.
## Related articles
* [Core Developer overview](/core-developer) — what it is and who it's for
* [Get started](/core-developer-access) — sandbox, credentials, and production access