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Direct Payer Contracting & Credentialing — $4,000 flat

Have your own entity, EIN, and Type 2 NPI, and want direct commercial contracts? We manage applications to up to five payers, follow each response, and coordinate execution when a payer offers an agreement. Buy it online in about three minutes.

What You Get

  • The published price covers the work listed here. Ordinary communication, corrections, resubmissions, and follow-up within these limits are included. A materially different provider, payer, entity, location, system, workflow, or volume receives a separate written scope and price before it begins.
  • Net-new group contracting applications across up to 5 commercial payers — organizational applications, documented follow-up, contract execution coordination when offered, and rendering-provider credentialing under the entity
  • We work with all major commercial insurances, nationwide — UnitedHealthcare/Optum, Aetna, Cigna/Evernorth, Anthem/Elevance, your state’s Blue Cross Blue Shield plan, Humana, and regional plans
  • CAQH build and alignment included — we maintain your profile data as an authorized practice manager and track your re-attestation dates. The provider completes and attests their own CAQH profile (attestation is the provider’s own act) and signs any paper application a payer requires.
  • When a payer approves the practice, we verify the written effective date, group Tax ID loading, provider-directory status, and payer portal access
  • Additional commercial payers $350 each, or $1,500 for a block of five; Medicare or Medicaid in any state $500 per payer (selected and paid during checkout, scoped on your Order Form). Serving two states usually needs 7–10 panels, so the block is the common shape.

Work Begins Within Three Business Days

After we receive your complete onboarding information and required documents, your status moves to Ready to begin and in-scope work begins within three business days. Business days are Monday through Friday, excluding U.S. federal holidays. Work begins when the completed intake is reviewed and the first substantive in-scope task is recorded. Payment alone does not start the clock, and payer timing, participation, effective dates, and approval are not guaranteed.

How It Works After You Pay

  1. Your engagement packet (agreement, order form, BAA, onboarding intake) arrives by email within minutes — sign everything online.
  2. The intake collects exactly what payer work needs, with plain-English help at every step.
  3. After payment, you receive the onboarding intake and required-document checklist.

Get Your Own Payer Contracts

Confirm the fit before you buy. This package is for a formed practice with an EIN and Type 2 NPI that needs its own commercial payer contracts.

Expert-led: an experienced credentialing specialist prepares and follows the work. Command Suite keeps the milestones and next actions visible; software does not make payer decisions.

Has your practice received its EIN and Type 2 (organizational) NPI? *
Do you already hold signed contracts with the payers you want? *
Which payers? (up to 5 — confirm or change them in your intake)

Optional Add-Ons

Add More Payers Before Checkout

Selections apply to every provider in this order. Your total updates before you pay.

Base package: up to five commercial payers. Five additional panels are $1,500 as a block instead of $350 each. Government payers are always selected and paid separately. Panels can be closed to new groups in saturated markets — we work every application and document what comes back; payer approval and timing are never guaranteed.

Order total

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.

Non-refundable fixed-scope engagement. Payment reserves your slot and opens your agreements and onboarding intake; payment alone does not start the work clock. Once completed onboarding information, required documents, and required access are received, in-scope work begins within three business days. Payer participation, decisions, effective dates, and processing time remain outside our control. Review the service terms before purchase. If a documented medical, licensing, or AdvanceAPractice service-delivery issue makes performance impossible, email hello@advanceapractice.com for review by a person.

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