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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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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.

Opening Your First Practice

Payers, billing, an EHR and a schedule, set up in the right order before your first claim. Common when you’re leaving Headway, Alma, Grow or Rula for a practice of your own.

$6,000 total, or $1,500 a month for four months.

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  • Five commercial payers, applied for and followed through to an effective date
  • Help choosing and setting up the EHR you want (you own the subscription)
  • Guidance on your EIN, NPI, NPPES and W‑9 setup
  • Payer portals, EFT and ERA set up, and your listing added to each payer’s online directory
  • Most questions answered within one business day, and up to two meetings a month if you need them

Getting Credentialed With Insurance Panels

For therapists, counselors and psych NPs credentialing in their own name. You pick the insurance panels you want, starting with as few as one, and we prepare and submit each application with you so you can see those clients in network.

Five payers for $2,250, paid in full or monthly at the same total.

See Individual Credentialing

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  • Five commercial payers, applied for and followed through to an effective date
  • Your DataSpring/CAQH profile reviewed with you, with exactly what to update
  • EFT and ERA set up in your EHR, or guidance if you’d rather do it
  • Your listing added to each payer’s online directory so patients can find you
  • Most questions answered within one business day, and up to two meetings a month if you need them

Getting Contracts Of Your Own

For clinicians whose practice, EHR and billing are already running and who need their own payer agreements under their own Tax ID. Common when you’ve been billing through Headway, Alma or another platform.

Five payers for $3,500, paid in full or monthly at the same total.

See Direct Payer Contracting

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  • New contracts with five commercial payers, through to an effective date
  • EFT, ERA, portals and directory listings set up under your own Tax ID
  • You keep seeing Headway or Alma clients while we build
  • Most questions answered within one business day, and up to two meetings a month if you need them
  • Looking for more support with your EHR and practice setup? That’s First Practice Launch.

Getting Claims Paid

We find out why your behavioral health and psychiatric claims aren’t getting paid, fix the errors, follow up with insurers and show you what got paid.

7% of collections with a $300 monthly minimum for a solo provider, down to 4.5% as you grow. No setup fee.

See Medical Billing Prices

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  • Every claim checked before it goes out, then submitted
  • Rejections and denials corrected, resubmitted or appealed
  • Payments posted and reconciled against your bank deposits
  • Unpaid claims followed up in the order that moves cash fastest and protects filing deadlines
  • A written report each month on what was billed, collected and denied, and what we did about it
  • Most questions answered within one business day, and up to two meetings a month if you need them

Adding A Provider Or Changing Your Tax ID

New providers join the contracts your clinic already holds. Changing practices or Tax ID? We move your existing contracts over.

Five payers from $2,250, paid in full or monthly at the same total.

Build My Credentialing Price

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  • The new provider added at each payer, through to an effective date
  • DataSpring/CAQH review and payer portal updates
  • Directory listings updated with the new provider or practice details
  • Tax ID changes get a written quote
  • Most questions answered within one business day, and up to two meetings a month if you need them

Fixing Work That Keeps Stalling

When referrals get retyped or nobody owns the next step, we build the fix inside the tools you already use.

From $5,000 for one workflow, or $1,250 a month for four months.

See Automation Programs

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  • One workflow automated start to finish inside software you already pay for, so you own what we build
  • The tracker your team works from, with reminders, alerts, handoffs and one dashboard
  • For example, a Spravato program scheduler that shows open treatment rooms and lists authorizations by end date
  • Connected through APIs, approved connectors or secure exports, never shared logins
  • A staff walkthrough, plus 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

Need the whole business side run with your team? The Operations Partnership starts at $3,500 a month. The Command Suite comes with every package while you’re a client, or it’s $99 a month on its own.

From Your Price To Work 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. Within two business days you’ll get your Command Suite invitation, where you review and sign your agreements.

  3. Send Your Onboarding Packet

    Everything uploads once into a secure workspace.

  4. Know Where Every Step Stands

    Track each payer one at a time in the Command Suite. Medical billing clients also get a written report each month.

Published Prices You Can Pay Monthly

Every price is published, because you shouldn’t need a month of sales calls to find out what something costs.

  • Monthly plans cost the same total as paying in full, with no interest or fees.
  • Autopay ends on its own after the last payment.
  • The more providers, the lower the credentialing price: 2 to 4 providers save 10%, 5 to 9 save 15% and 10 save 20%.
  • Ongoing medical billing has no setup fee.
  • Payments aren’t refundable unless the problem is our mistake. If something we delivered doesn’t work the way we said it would, tell us within 30 days of delivery and we fix it at no cost.

Why Practices Pick Us

Plenty of companies list the same services. These three things are how we’re different, and you can check each one before you buy.

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
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.