Your Practice. Your Contracts.

Direct Payer Contracting & Credentialing — $4,000 flat

You have the entity, EIN, and Type 2 NPI. This package manages direct-contract applications to up to five commercial payers, documents each response, and manages execution and activation when a payer offers an agreement.

Buy Now — $4,000 Ask the AI Concierge — Instant

Clear Before You Commit

Direct Payer Contracting & Credentialing — price and scope

The published price includes the experienced communication, practical decisions, and normal follow-through needed to complete the stated work within the package limits. If you ask us to solve a genuinely different problem, we explain and price that new scope before it begins.

Total shown$4,000

Stated resultBuild up to five new commercial payer relationships for one formed practice and one provider.

Tracking is included: every package comes with Command Suite access, so you can see where each payer application stands, what we are working on, what is waiting on a payer, and what we still need from you. You are not left guessing between the purchase and the finish.

What we stand behind: If something we set up does not work the way we said it would, we fix it at no charge for 30 days, including one stabilization review. That covers our own work. A new request, another payer or provider, a change of scope, or a new build is quoted separately. You will not get an invoice for correcting our mistake.

Built to keep working after we are done: Adding a provider, a location, or another payer should be a configuration step rather than a rebuild, so what we set up is sized with that headroom from the start. When the engagement ends you own the accounts, the documentation, and the systems, and they keep running without us.

Included work and package limits

Included

Direct contracting approach for up to five commercial payers where your practice holds no agreement yet, including panel-availability research before you spend time applying.
Group-level application and contracting packet preparation for the practice, not just the individual provider.
Contract and rate advisory: we explain how the rate structure works, flag unfavourable or unusual terms before you sign, and tell you what is realistic to ask for. We prepare you for that conversation; we do not negotiate on your behalf.
CAQH build and audit, with attestation remaining yours.
Payer portal registration, EFT and ERA enrollment, and clearinghouse connectivity.
Provider directory verification as a go-live gate.
Command Suite access for status by payer through the whole sequence.

Limits

One provider and up to five selected commercial payers unless the package page states a narrower limit.

What your practice provides

The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.

Add-ons, third-party costs, and exclusions

Optional additions

Additional commercial contracts and Medicare or Medicaid work are not automatic add-ons to this package. AdvanceAPractice confirms the practice structure, payer program, service area, and contracting sequence, then provides a written scope and price before you pay.

Third-party costs

Any fee charged directly by a payer, government program, software company, or other third party is separate from the AdvanceAPractice service price. If a third-party cost is necessary, it must be identified before purchase or the fixed package is not presented as a complete fit.

Not included

Rate negotiation on your behalf. We explain the terms, flag what is unfavourable, and prepare you for the payer conversation, but we do not negotiate for you or promise a rate.
Medicare and Medicaid enrollment unless you add it at checkout. Those are separate government programs with their own timelines.
Licensure, DEA registration, hospital privileging, and facility or site accreditation.
Billing, claims submission, denial work, and accounts receivable. Credentialing gets you able to bill; it is not the billing itself.
Entity formation and legal or tax advice. We make sure the identifiers that come out of those decisions are correct and consistent.
Providers or payers beyond the stated limit, which are quoted separately.

Payment, refund, cancellation, renewal, and outcome terms

Payment

Payment reserves the fixed-scope engagement and opens agreements and onboarding.

Refunds

This fixed-scope engagement is non-refundable. A documented medical, licensing, or AdvanceAPractice service-delivery issue that makes performance impossible can be submitted for review by a person.

Cancellation

Stopping a one-time fixed package after purchase does not create a refund. The package does not expand automatically; materially different work requires a separate written price or scope.

Renewal

This one-time package does not renew automatically.

When work starts

Payment reserves your slot and opens onboarding. In-scope work begins within three business days after complete onboarding information, required documents, and required access are received; payment alone does not start the work clock. That three days is when we START, not when you are in network: commercial payers run 60 to 120 days each on their own clocks, and we file them in parallel rather than one after another.

Outcomes outside AdvanceAPractice’s control

Payer participation, decisions, effective dates, response times, reimbursement, and vendor actions remain outside AdvanceAPractice’s control.

Read the service terms

If the work is larger: The published price includes the ordinary execution choices and follow-up needed for the stated result within these limits. A materially different result, provider, payer, location, system, workflow, or volume receives a separate fixed price or written scope before that work begins.

Who This Is For

The most common version of this: a prescriber who has been seeing patients through a network platform — Headway, Alma, Grow Therapy, Rula, SonderMind — and now wants the contracts in their own name, so the revenue and the payer relationship belong to the practice.

You do not have to leave those platforms to do this. Going direct and staying on a platform are not mutually exclusive, and most practices run both while the payer applications are in progress. When your own agreements load, you decide what to do next.

It also fits any practice that formed a practice and now needs its own commercial panels for the first time.

What’s Included

The organizational/group application to each in-scope payer — the piece that doesn’t exist in a transition or a provider-add
Contract review and execution coordination when a payer offers an agreement, followed by written effective-date verification
Credentialing the rendering provider and linking the Type 1 NPI under your practice’s Type 2 NPI
CAQH build and audit — we maintain the profile data as an authorized practice manager and track re-attestation dates. You complete and attest your own profile; attestation is the provider’s own act and we never ask for your password.
Payer portals, EFT and ERA enrollment, and system loading under your Tax ID
Directory verification so patients can actually find you in-network

Which Package Is Actually Yours

These four look similar and are not interchangeable. The difference is what already exists:

Move Existing Payer Relationships — $2,500. You already hold the contracts; they need to move to a new practice billing organization or Tax ID.
New Provider Credentialing & Contracting — $3,000. Your clinic already holds the contracts; a provider needs to be added to them.
Direct Payer Contracting — $4,000. Your practice is formed, but it does not have its own contracts. This page.
First Practice Launch — $6,000. Neither exists yet, and you also need the EHR, scheduling, and billing built.

Checkout asks two questions and enforces this. If your answers point somewhere else, it will say so instead of taking your money.

More Than One State?

Common, and worth planning for up front. A practice serving two states usually needs seven to ten panels rather than five — New York and New Jersey, for example, have almost entirely different dominant carriers, and the Blue Cross licensee changes at the state line. Additional panels are $350 each, or $1,500 for a block of five, so a realistic two-state build is $4,000 plus $1,500.

If you tell the AI Concierge your state, it will tell you which carriers actually matter in your market.

Fixed-price package

Choose the package that matches your situation.
Pay through secure checkout.
Complete intake and upload the required documents.
Once intake is complete, in-scope work begins within three business days.
Track progress through completion; payer decisions and timing remain outside our control.

What We Don’t Promise

Commercial payers run 60 to 120 days each, on their own clocks. We submit to all of them in parallel, so the project is paced by the slowest payer rather than the sum of them, and the lever we actually control is getting a complete application accepted the first time — a payer’s clock doesn’t start until then.

Approval is also not the finish line. Roster loading, the written effective date, and directory listing are separate events, and you should not schedule as in-network until a payer confirms an effective date in writing.

And the honest part: panels can be closed to new groups in saturated markets. We work every application and document exactly what comes back — an executed contract, a documented denial, or a closeout handoff with the full history and the next action. No one can compel a payer to contract, and we don’t pretend otherwise.