Billing

This article contains information related to all elements of billing on Spruce, including signing up for a new subscription, updating your payment method and more. Please note, this information is for clinicians, doctors, or providers on Spruce. If you are patient, please reach out to your clinic directly to update your billing information with them.

Sign Up for a Spruce Subscription

You can sign up for a Spruce subscription from the web or Android version of Spruce. 

On the Web

Navigate to your settings, then select “Billing”. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and press submit to complete the signup process.

On Android

Navigate to your settings, then select “Billing”. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and press submit to complete the signup process.

You can view the Spruce plans and features included here.

Spruce Invoices

All Spruce invoices are emailed to the billing email listed in your Spruce settings under Billing. All invoices are emailed from support@sprucehealth.com. You will receive an invoice any time you make any changes to your subscription or have additional charges (e.g., VoIP purchase). When you add or remove teammates or upgrade or downgrade your subscription, you will get a new invoice with the prorated charge or credit.  

Update Billing Credit Card or Billing Email Address

Your billing information can be updated only via the web version of Spruce. Please log in from your computer by going to https://app.sprucehealth.com/.

Please note that only your organization's Spruce administrators can access your organization's billing information. The first teammate on your account is made an administrator by default and can promote others to be administrators, as well. For more information about administrators on Spruce and how to become one, please see our article on growing and managing your team on Spruce.

If you are an administrator for your organization, follow these steps to update your billing information:

1. Log into Spruce on your computer and navigate to your Settings (gear icon). 
2. Select Billing.
3. Under Billing Details, select Edit Payment Information.
4. Update your information, and select Submit.
5. Once you have updated your billing information, your new credit card and/or billing address will be reflected in your next billing cycle.

Per-User Pricing

Spruce is priced per user, per month. A user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients). Spruce is not priced by number of phone lines or amount of feature usage.

All users in a single organization must be on the same billing plan.

Example: A clinic with 3 physicians, 2 nurses, 1 front-desk assistant, and 1 virtual assistant will have 7 total users on Spruce, all on the same plan and with the same cost per user.

Whenever you add or remove a teammate on Spruce, your bill will automatically increase or decrease to reflect the change.

For full details, please see the complete Spruce Plans & Pricing.

Managing or Canceling Your Subscription

Information on how to upgrade, downgrade, or cancel your subscription can be found in the "Cancel or Update Your Subscription" article.