Get Paid. Add Providers. Grow With Confidence.

We run the business side of behavioral health and outpatient practices, including psychiatry and PMHNP groups. One team handles medical billing, credentialing, payer contracts, automation and operations in the systems you already use, under your own Tax ID.

Portland Based.
Serving Practices Nationwide.

Buy online, sign in the Command Suite, and we start within three business days of getting your onboarding packet back, or on your Order Form date for medical billing.

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

Launch

Opening Your First Practice

$1,500 a month for four months

Or $6,000 total, paid in full. Five payers included.

This is the only package that builds your practice with you: your insurance contracts, your EHR and schedule, and your medical billing and coding, set up and tested during your 90 day Launch period.

For a licensed provider opening a first practice, including while employed or working through Headway, Alma, Grow or Rula.

Everything Included
  • Five commercial payers, followed up through your 90 day Launch period, then optional Ongoing Credentialing. Approved payers are checked for system loading and directory accuracy.
  • We compare EHRs against your goals and budget, then set up the one you pick or walk you through each screen.
  • 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.
  • We check your NPI, NPPES and taxonomy details, then set up payer portals, EFT and ERA for you or with you.
  • We set up patient payments and your portal, or walk you through it, and teach benefits checks and reporting.

Most questions answered within one business day, and up to two meetings a month if you need them

See First Practice Launch

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Credentialing

Insurance Credentialing

From $1,200 for two payers

Your situation sets the final price. A provider joining your clinic is $1,550 for two payers, and a group practice under its own Tax ID is $2,000.

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.

Everything Included

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.

  • We prepare applications for your individual contracts, your practice’s new contracts or the contracts your clinic already holds.
  • DataSpring/CAQH reviewed with you, with missing or conflicting information flagged before submission.
  • We answer payer requests 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.
  • We set up electronic funds transfer (EFT) and electronic remittance advice (ERA), or walk you through enrollment with each payer.
  • 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

Build My Credentialing Price

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Medical Billing

Getting Claims Paid

7% of collections

$300 monthly minimum per provider for a solo practice. No setup fee.

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 all included.

Everything Included
  • 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

See Medical Billing Prices

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Operations

Running The Business Side With You

From $3,500 a month

Scope and price in writing before anything starts. Six month minimum, then 30 days’ written notice to end.

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.

Everything Included
  • We map how your practice runs today, from scheduling and the EHR to medical billing and credentialing, and agree in writing who owns each piece.
  • We rebuild the workflows that keep breaking and set up the forms, simple trackers and checklists your team uses every day.
  • We help you choose, set up or change your EHR and the tools around it to fit how you bill and report, doing the setup for you or walking your team through it.
  • Your staff trained on each new workflow, with one named owner for every medical billing, credentialing and payer follow up task.
  • We plan growth with you, from new providers and specialties to 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

See Operations Partnership

Automation

Fixing Work That Keeps Stalling

$1,250 a month for four months

Or $5,000 total for one workflow, paid in full.

We build it in the tools you already use, and you own it.

For one workflow your team keeps dropping, like referrals or authorizations.

Everything Included
  • 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

See Automation Program

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

Tilikum Crossing and downtown Portland, Oregon at sunrise
How It Works

Buy Online, Then We Get To Work

  1. See Your Price

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

  2. Pay And Sign

    Pay in full or monthly, by card, Apple Pay or US bank account. 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, tell you if anything is missing and start within three business days after we receive your completed onboarding information, documents and access. Medical billing starts on the date in your signed Order Form.

  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.

Credentialing

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.

Billing Fees Match Your Practice Size

For a solo practice: 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 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.
See Packages & Prices

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.

Read The Full Review

What I appreciate most is that they understood our world, behavioral health, psychiatric services, a small team doing meaningful work. They didn’t just bring tools; they brought a real operating perspective. Our team can focus on patient care now, which is exactly what we needed.

April Dvorak, PMHNP-BCOwner and Medical Director

AdvanceAPractice has provided a great benefit to my growing practice and I strongly recommend their services! They were able to clearly explain the confusing insurance billing process and helped me create a plan to expand my business!

John Benson, PMHNP-BCOwner, BBH Psychiatric Services

Thank goodness for AdvanceAPractice!! I am a private practice LMFT, and over this last year I had been trying to switch over to working under my S corp status. 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.

Read The Full Review

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

I’ve been credentialed with a couple of group practices, and your process has been the most straightforward with the lowest-friction thus far.

Trisha Parshall, PMHNPPrivate Practice Owner
Some Of Our Current Clients
How It Connects

Why Practices Pick Us

Most practices don’t have a billing problem. They have an operations problem showing up in billing. 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.
One Team Works The Denial And Builds The Tracker
The team 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
Most of our services have published prices, so 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
Proof

What The Work Looks Like

See All Case Studies

From A Provider

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

See The Full Background

Credentialing And Growth

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

Revenue Cycle

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

Practice Transition

Moving A Therapist’s Billing Into Her Own Corporation

A therapist had handled her own billing for ten years. Her new corporation needed payer records, directory listings and payment enrollment updated for the new Tax ID, with instructions to hold medical billing until each insurer confirmed loading.

Read The Practice Transition Story
Ryan Berg, founder of AdvanceAPractice
Our Founder

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.

About AdvanceAPracticeConnect On LinkedIn (opens in a new tab)

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.

See Packages & PricesAsk Practice Concierge