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Get Paid. Add Providers. Grow With Confidence.

We run behavioral health billing, credentialing, automation and practice operations for psychiatry, PMHNP and outpatient groups, inside the systems you already use and under your own Tax ID. Every package price is published, and you’ll have the scope in writing before we start.

Portland Based. Serving Practices Nationwide.

Work starts within three business days of a complete onboarding packet.

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Secure checkout by Stripe Pay by card, Apple Pay or US bank account. HIPAA compliant, with a signed BAA.

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What Practice Owners Say

  • Running a growing psychiatry clinic as the sole owner means you wear every hat, and at some point, I realized I had become the bottleneck holding us back. Ryan and his team at AdvanceAPractice helped me open that up.

    They reorganized our workflows, improved how our team communicates, and brought in smart automation and AI-driven solutions that have saved us measurable time and money. The operational visibility alone has been a game-changer.

    April Dvorak, PMHNP-BCOwner and Medical Director
  • AdvanceAPractice has provided a great benefit to my growing practice. They clearly explained the confusing insurance billing process and helped me create a plan to expand my business.

    John Benson, PMHNP-BCOwner, BBH Psychiatric Services
  • I struggled with the task for several months and only got more confused in the process. Between the various insurance companies I am credentialed with and not even knowing what I didn’t know, it was a scary maze.

    AdvanceAPractice came in, handled it with confidence and good communication, and helpfully led me through my transition questions with patience. The fee was well worth the assistance I received. Highly recommend!

    Kate B., LMFTPrivate Practice Owner
  • Ryan’s unique ability to have executive and business-like vision as well as possess the details of daily operations has been and continues to be crucial in delivering, serving, and supporting our patients, employees, and contractors.

    Tim Perez, PMHNP-BCCo-founder, ValueCore Mental Health
  • $30M+Healthcare Practice Revenue Managed
  • 16+ YearsAcross Medical, Dental And Behavioral Health Operations
  • 50+ WorkflowsAutomated In Systems Our Clients Own
  • Top 10, TwicePortland Medical Billing CompaniesNexus io 2026 · MediBillMD 2025 (links open in a new tab)

What Does Your Practice Need?

Pick the one that sounds like you. The page behind each one shows exactly what’s included.

LaunchOpening Your First Practice

This is the only package that builds your practice with you: your insurance contracts, your EHR and schedule, and your medical billing and coding, all set up and tested before you see your first insured patient. For a licensed provider opening a first practice, including while employed or working through Headway, Alma, Grow or Rula.

$6,000 Five payers included. Add more at checkout. Pay in full, or $1,500 a month for four months.

See First Practice Launch

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  • Five commercial payers, each followed through to a written decision. Approved payers are checked for system loading and directory accuracy.
  • Help choosing an EHR around your goals and budget, then setup or tailored guidance in the system you own.
  • Visit types and scheduling built around your preferences, with CPT codes, modifiers and place of service tested from appointment through claim.
  • Insurance billed charges and self pay fees set up with you. Contracted payer rates loaded where supported, or supplied for you to load.
  • Guidance on business records, payer portals, electronic payment and remittance enrollment, plus tools to verify patient benefits.
  • Patient payment and portal setup, or guidance if you prefer, with accurate financial reporting and help running it yourself.
  • Most questions answered within one business day, and up to two meetings a month if you need them

CredentialingInsurance Credentialing

We prepare, submit and follow up on your application with each insurance company you choose until it sends its decision in writing. For one clinician in your own name, your group under its own Tax ID, or a provider joining contracts your clinic already holds. Not open yet, or still employed and starting your own practice? First Practice Launch sets up your payers, EHR, scheduling and medical billing together. Leaving Rula, Headway, Grow or Alma? See what happens to your contracts and clients.

$2,000 for two payers for a group practice One clinician in their own name: $1,200 for two payers.

Build My Credentialing Price

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  • Applications prepared for your situation: your own individual contracts, new practice contracts, or a provider joining contracts your clinic already holds.
  • DataSpring/CAQH reviewed with you, with missing or conflicting information flagged before submission.
  • Payer requests answered and follow up at least every 10 business days until a written decision.
  • For approved payers, effective dates and provider loading confirmed, with directory listings and portal access completed.
  • Electronic funds transfer (EFT) and electronic remittance advice (ERA) set up, or step by step guidance if you prefer.
  • Copies of submitted applications and a closeout package with a recredentialing calendar.
  • Most questions answered within one business day, and up to two meetings a month if you need them

Medical BillingGetting Claims Paid

We manage the work between sending a claim and getting it paid, inside the EHR you already use. We check coding and modifiers, correct rejections, work denials and appeals, and follow unpaid claims through to the payer’s response. Commercial, Medicare and Medicaid claims are included within your scope.

7% of collections $300 monthly minimum per provider for a solo practice. For 26 to 50 providers: 4.5% with a $175 monthly minimum per provider. No setup fee.

See Medical Billing Prices

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  • Every claim reviewed for coding and modifiers before submission, with rejections corrected and resubmitted.
  • Denials investigated, corrected or appealed. When a contract loading issue affects several claims, we work the cause with the payer.
  • Payer and patient payments and adjustments posted, with balances reconciled.
  • Payments checked against your contracted fee schedules so underpayments can be caught and corrected.
  • Unpaid claims followed up with each payer, plus a written report each month.
  • Most questions answered within one business day, and up to two meetings a month if you need them

OperationsRunning The Business Side With You

For an owner holding medical billing, credentialing, scheduling and the EHR together alone. We keep it all moving inside your systems, so it stops depending on you.

From $3,500 a month Scope and price in writing before anything starts.

See Operations Partnership

  • A review of your systems, workflows and priorities through onboarding, with responsibilities agreed in writing.
  • Billing, credentialing and day to day follow through coordinated within your scope, so unresolved work has an owner.
  • Advice on EHR choices and changes, shaped around your billing, reports, integrations and team.
  • Gaps in workflows and staff training identified, with practical improvements planned around the way your practice works.
  • Growth planned with you: new providers and specialties, moving from solo to group, and group contracts with your payers.
  • Most questions answered within one business day, and up to two meetings a month if you need them

AutomationFixing Work That Keeps Stalling

We build it in the tools you already use, and you own it. For one workflow your team keeps dropping, like referrals or authorizations.

$5,000 per workflow You own what we build. Pay in full, or $1,250 a month for four months.

See Automation Program

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  • One workflow mapped with your team, with three to five acceptance tests agreed before the build.
  • The tracker or app your team works from, plus reminders, alerts, handoffs, reports and one dashboard.
  • Connections through APIs, approved connectors or secure exports, using the labels and steps your team already knows.
  • A Help And Requests feature so staff can flag issues and suggest improvements from their work screen.
  • A test copy reviewed with your staff, a walkthrough before release, and 30 days of fixes after it goes live.
  • Most questions answered within one business day, and up to two meetings a month if you need them

The Command Suite comes with every package while you’re a client, or it’s $99 a month on its own.

How Your Work Gets Started

  1. See Your Price

    Every package shows its total before checkout. Bigger work gets a written scope and price first.

  2. Pay And Sign

    Pay in full or monthly. Right after you pay, we email you a link to review and sign your agreements in the Command Suite. For Ongoing Billing, that email comes within two business days.

  3. Complete Your Onboarding Packet

    Upload your practice and provider records once in the secure Command Suite. We review what you send, identify anything missing and start within three business days of your completed packet.

  4. See What Is Done And What Comes Next

    See each payer’s status, requests and next follow up in the Command Suite. Billing clients also receive a written monthly report on claims and payments.

Know Your Price. Choose How You Pay.

See what is included, your total and your payment schedule before checkout. Monthly plans cost the same total as paying in full, with no interest or added fees.

  • A Clear Total, Split Monthly

    First Practice Launch is $6,000, paid in full or in four $1,500 payments. Automation is $5,000, paid in full or in four $1,250 payments.

    Compare Package Payments
  • Billing Fees Match Your Practice Size

    For a solo provider: 7% of collections with a $300 monthly minimum per provider. Larger practices have lower rates and minimums. No setup fee.

    See Every Billing Tier
  • Credentialing Discounts For Groups

    2 to 4 providers save 10%, 5 to 9 save 15% and 10 to 50 save 20%. Your builder shows the discount before you pay.

    Calculate Your Credentialing Price

When payments end. Installment autopay stops after the final payment. First Practice Launch has the same 90 day work and handoff schedule on either payment option. Each package page explains its work period and handoff.

If something we deliver does not work as agreed. Tell us within 30 days of delivery and we fix it at no cost. Payments are not refundable unless the problem is our mistake.

Why Practices Pick Us

We handle the business side of your practice, from payer applications and claims to staff workflows and custom automation.

Your practice connects to four services. Credentialing: We prepare applications and follow up with payers. Medical Billing: We submit claims, work denials and follow up on unpaid balances. Operations: We organize staff workflows, responsibilities and reporting. Automation: We connect forms, reminders and handoffs in your systems.
CredentialingWe prepare applications and follow up with payers.
Medical BillingWe submit claims, work denials and follow up on unpaid balances.
Your PracticeGrow With Confidence
OperationsWe organize staff workflows, responsibilities and reporting.
AutomationWe connect forms, reminders and handoffs in your systems.

One Team Works The Denial And Builds The Tracker

The person working your denials and enrollments also builds the tracker or report that fixes the cause. No second company to coordinate.

See What We Build

See The Price Before You Talk To Anyone

Every package has its price on this site. You can see the number before you tell us your name.

See Every Published Price

The Work Lands In Accounts You Own

Enrollments, EHR settings, trackers and reports sit in accounts your practice owns, under your own Tax ID. Nothing’s stranded with us if we part ways.

Meet The People Doing The Work
Ryan Berg, founder of AdvanceAPractice

Experience Behind The Work

I’m Ryan Berg, founder of AdvanceAPractice. I’ve run the business side of practices for more than 16 years. I worked claims at OHSU, managed finance for a dental group as it grew from two clinics to six, and ran operations at ValueCore Mental Health, where I hired and led more than 30 clinicians and staff while revenue grew from $2 million to $6 million. Today I work directly with owners on everything behind the visit: billing, payer contracts, hiring, systems and the next location.

From Solo Practice To A Growing PMHNP Group

A solo PMHNP owner set out to add his first provider and found two of his own payer contracts broken, one denying every claim as out of network. He ended as a two provider group with a third onboarding.

Read The Growth Story

Renegotiating Contracted Rates That Were Years Out Of Date

A payer’s fee schedule still reflected the state the owner had left years earlier. After four attempts over three months, the payer raised contracted rates on seven service codes at once.

See How Rates Get Fixed

Taking Over The Entire Revenue Cycle For A Therapy Group

A multi clinician therapy group moved its whole billing operation to us at once, from claims and appeals to payment posting and patient collections, while we handled provider transfers and credentialing across Medicaid and five commercial plans.

Explore Revenue Cycle Work

Moving A Therapist’s Billing Into Her Own Corporation

A therapist had handled her own billing for ten years. Her new corporation needed coordinated payer records, directory updates and payment enrollment, plus clear guidance on billing under the new business.

Read The Practice Transition Story
Redacted note from a PMHNP provider about a reimbursement correction

30% more reimbursement across four months of team claims, plus backpay, after a contracted rate correction.

See The Full Background

See All Case Studies

Choose A Package Or Ask A Question

If a package fits, you can buy it online today. For work that spans several systems, ask us for a written scope first.