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Credits are what your AI agents run on. Your plan grants a batch every month; when those run out, agents stop until the next grant or until you top up.

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What you get each month

Clinic & Hospital workspaces are granted: The Agent credits card states the arrangement: “Granted monthly with your plan. Each agent run debits per model (Claude/GPT 3.5 · Gemini 3.0).”

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What spends them

Every step an agent takes that involves a model costs credits — the agent’s own reasoning, and the classification steps a workflow runs to decide what to do next. A longer workflow with more branches costs more than a single reply, and a larger model costs more than a smaller one. Everything else in ClinikEHR — notes, appointments, dispensing, results — costs no credits at all.

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The two rules that decide when you need to buy

  1. Your monthly plan credits are spent first. Refill packs are only touched once the monthly grant is exhausted.
  2. Refill packs never expire. A pack you buy today is still there in six months. There is no “use it or lose it” on a refill.
Together those mean a refill is a safety net rather than a subscription: buy one when your monthly allowance runs short, and it sits behind the allowance until it is needed.

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Top up

1

Open the Agent credits card

It sits on the AI Agents page and shows your balance over “credits available”. The same balance is on Dashboard → Subscription as Agent Studio Credits.
2

Select Top up

The Top up agent credits dialog explains: “Refill packs never expire and are used after your monthly plan credits. You’ll complete payment securely on the next screen.”
3

Choose a pack

Four sizes, priced in US dollars:
4

Pay

The tile shows Starting… and hands you to the payment page. On success the balance rises and a Refill line appears under Recent activity.
Buying a pack charges your card immediately. It is a one-off purchase, not a subscription, and it is not refundable once the credits are on the balance. Check the pack size before you confirm — the tiles sit next to each other and the largest is more than seven times the smallest.

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Reading the ledger

Recent activity on the card labels every movement, so you can see where a balance went:

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These are not your clinical credits

Two separate balances exist and they are not interchangeable. Agent Studio Credits pay for AI agent runs — this page. Clinical Credits, on the same Subscription screen, pay for per-use clinical services such as eLabs, insurance claims, eligibility checks and attachments. Topping up one does not help the other, and a claim that says it needs credits means the clinical balance.

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Check it worked

  • The Agent credits card shows the new, higher balance.
  • Recent activity has a Refill line for the pack you bought.
  • The charge appears under Billing → Payment History, typed Top-Up. See Your subscription invoices and receipts.
  • An agent that had stopped now runs.

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If something goes wrong

The payment page did not open. Try again, and if it still fails check whether your subscription is Past Due — a lapsed subscription blocks the purchase. See Change your plan.
Reload the page. Confirmation from the payment provider can take a minute. If the charge shows under Payment History but the balance has not risen after five, contact support with the time of the payment.
Check Recent activity. A workflow that classifies then acts spends on both steps, and a bigger model costs more per run. Reducing the number of steps, or choosing a smaller model for the routine ones, is the lever.
You ran out. The monthly grant returns on your renewal date; a refill pack is available immediately. Published agents stop serving the public when the balance is empty, so top up before you publish something customer-facing.
Only owners and managers can buy credits. Ask one of them.

AI agents

Build an agent, choose its model, and see what each run costs you.

Publishing an agent

Putting an agent in front of the public — and why the balance matters more then.