For therapists, counselors and psych NPs getting on insurance in their own name, we prepare your applications for the commercial payers you choose and follow every one until the payer decides in writing. Buy online, sign your agreements in the Command Suite, and we start within three business days after we receive your completed onboarding information, documents and access.
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Pay by card, Apple Pay or US bank account. HIPAA compliant, with a signed BAA. US based team, never outsourced.
Choose the work and how many insurance companies each provider needs. See your total before you pay. Provider and payer details come next, in secure onboarding.
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Track progress and next steps in your Command Suite. Each payer decides approval and effective dates.
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Discount For Multiple Providers
Checkout keeps this exact selection and total.
“I’ve been credentialed with a couple of group practices, and your process has been the most straightforward with the lowest-friction thus far.”
Starting your own practice and need your payers, EHR, scheduling, medical billing and training set up together? First Practice Launch does all of it. A new group that only needs its own insurance contracts uses Group Credentialing And Contracting, open yet or not.
We prepare each payer specific application and the business records behind it for each commercial payer you choose, submit them, and confirm each payer received and logged it.
We audit your CAQH/DataSpring profile with you so it matches what we send each payer, and keep it current as your authorized practice manager while we work your applications. After that, Ongoing Credentialing keeps it current. You keep control of your own DataSpring provider profile (formerly CAQH) and legally attest it. If you’d rather we update your profile for you, you can choose to share your sign-in through secure onboarding and change the password when we’re done. Some payers don’t use CAQH. For those, we complete their own application with you.
We register you on the insurance portals the enrollments require and set up EFT and ERA, so insurance payments deposit into your bank account and payment reports flow into your EHR, ready to post automatically if you want. Once a payer approves you, we confirm the enrollment and payment connections included in your Order Form.
A solo application is the easiest one for a payer to misplace. We follow up with every payer at least every 10 business days until it gives its decision in writing. If it approves the provider, we confirm the provider is loaded under your contract. We escalate when yours goes quiet and resubmit anything that gets lost.
You can see where it stands at any point. When a payer approves you, we tell you exactly how to bill it: which NPI and Tax ID, which billing provider, and when to switch. Or we set it up in your system for you.
Start with two payers. Each payer is $500 after the $1,000 setup fee. Add more one at a time, up to 10, at the same price. Medicare or Medicaid enrollment is $450 each with no setup fee. To compare, see what therapist credentialing costs at other services and where each price stops.
We can do the DataSpring/CAQH and payer portal work for you, or walk you through each step on a screen share if you’d rather keep the logins. It’s part of your package either way.
“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!”
Before a single application went out, we checked the documents against each other and found 14 conflicts, from an EIN with an extra digit to a malpractice policy close to expiring. That’s the check every solo file gets.
Here is what happens after you choose a package.
Which payers will credential you, and how, depends on your state, your license level, the payer and your supervision status. An LSW and an LISW, for example, can be handled differently. We confirm every payer in each state before we apply, and we’ll tell you in writing if yours doesn’t fit.
Government enrollment covers new Medicare and Medicaid enrollments, including a group’s Medicare enrollment in PECOS, and it doesn’t include billing. We also enroll practices with TRICARE and the VA’s Community Care Network, at $500 each per provider. Medicare Advantage plans run through insurers like Humana, Aetna and UnitedHealthcare, so we request them when we apply to that insurer. We don’t take on fixing an application that has already been denied. We don’t work with ABA agencies.
You can price up to 50 providers online. For multiple locations, several states or a long list of health plans, send us your provider count, locations, states and plans and we’ll reply with a written quote within one business day.
One person owns your credentialing file from the first decision to the last follow up. They review your CAQH and documents with you and follow up with each payer at least every 10 business days. Your Command Suite shows each payer’s status, with a short monthly summary. Meetings are on request, up to two a month.
Checkout confirms eligibility, lets you select payer add-ons, shows the complete total, and you get your Command Suite invitation right after you pay.
Our packages are built for telehealth, in person and hybrid practices. All of our work is done virtually, inside your EHR, your payer portals and the Command Suite, so we never come on site.
A $1,000 setup fee plus $500 for each commercial payer you choose, with a two payer minimum. Two payers is $2,000 and five is $3,500. You can start with two and add more at checkout, one at a time, and the builder shows your whole total before you pay.
Yes. Your clients choose where they continue care. You can build your own insurance contracts while you’re still on a platform, and we time your launch so your existing clients can follow you if they want to.
If the clinic already holds the contracts, that’s New Provider Credentialing.
Yes. The payer relationships, your CAQH profile, the portal logins, the documents and the accounts all belong to your practice.
Through your onboarding packet in the Command Suite. Everything uploads once into your secure workspace, and you add us as a user in DataSpring/CAQH, Availity and your EHR so we can work in them.
Yes. Monthly plans are available, at the same total as paying in full, with no interest or fees. You see the exact schedule before you pay.
What you agree to at checkout, in plain words.
We start in-scope work within three business days after we have your complete onboarding packet, documents and the access it asks for. Starting means our first recorded task, not a health plan submission or decision. We tell you the day work starts.
Tell us within 30 days of delivery and we fix it at no cost. You won’t get an invoice for fixing our mistake.
Payments aren’t refundable unless the problem is our mistake. If we can’t fix a mistake, or can’t deliver what you bought, we refund the part it affected.
Payers make the approval and timing decisions, so we don’t promise them. What we control is a complete application and follow up with each payer at least every 10 business days. Commercial credentialing usually takes 60 to 120 days, and a network can close while an application is pending.
Questions about any of this before you buy? Ask Practice Concierge
Credentialing By State
Payer rules and Medicaid enrollment change at the state line. Every state has its own guide, and credentialing by state puts them side by side.
Alabama · Alaska · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · District of Columbia · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maine · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Vermont · Virginia · Washington · West Virginia · Wisconsin · Wyoming
We’ll email you the Order Form for Individual Provider Credentialing with the exact scope, price and terms.
Opening a practice, adding a provider, moving existing payer relationships, and seeking new contracts require different work. See the price and scope that match your situation.
