Group Credentialing And Contracting
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See Your Total Before You Pay.
Choose your situation and counts, then select Show My Total for an itemized price. Pay here, sign your agreements in the Command Suite, and we start within three business days after we receive your completed onboarding information, documents and access. Provider, payer and state details come after payment, in secure onboarding.
Build Your Credentialing Price
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.
Your Credentialing Price
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What Is Included
Track progress and next steps in your Command Suite. Each payer decides approval and effective dates.
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Discount For Multiple Providers
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What’s Included
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 signing when a payer offers an agreement
- Credentialing the rendering provider and linking the Type 1 NPI under your practice’s Type 2 NPI
- CAQH/DataSpring audit. We track re-attestation dates while we work your applications. You complete and attest your own profile, since attestation is the provider’s own act. 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 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.
- 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.
- Claims and payments set up: claims go out under your Tax ID and group NPI, insurance payments deposit into your business bank account (EFT), and payment reports (ERAs) flow into your EHR. Once a payer approves you, we confirm the enrollment and payment connections included in your Order Form.
- Directory verification so patients can find you in-network
Start with two payers. Each payer is $500 after the $1,000 setup fee, added one at a time up to 10 per provider. Medicare or Medicaid enrollment is $450 each with no setup fee. Adding more than one provider? Group discounts apply automatically at checkout.
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.
How It Works
From Payment To A Written Payer Decision
You’ll get an onboarding packet from us, everything uploads once into a secure workspace, and we start within three business days of getting it back. We review your CAQH and your documents and let you know if anything’s missing. Then we finalize and submit the applications in coordination with you. We stay on each one until the payer gives us its decision in writing. You’ll see where each payer stands, not one average.
- Pay online. Right after, we email you a link to sign your agreements in the Command Suite.
- Your onboarding packet follows once you sign, and you upload your license and documents one time.
- We start within three business days of getting your completed packet.
What Practice Owners Say
“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!”
FAQ
Questions Before You Pay
How Many Payers Do I Need?
Two is the minimum. You pick only the payers you want, up to 10 per provider, and the price builder adds up your setup fee and exactly those payers before you pay.
How Long Do Commercial Payers Take?
Usually 60 to 120 days each, on the payer’s own clock. We submit to every payer at once, so the slowest one sets the pace, and we don’t treat anyone as in network until the payer confirms an effective date in writing.
What Happens If A Panel Is Closed?
In saturated markets a payer can close its panel to new groups. We still work the application and write down exactly what comes back: an executed contract, a documented denial, or a closeout with the full history and the next step.
Can A Solo Owner With A PLLC Buy This?
Usually not. If you’re the only clinician, Individual Provider Credentialing is the right fit. Some payers require your PLLC to hold the contract, and when one does, we tell you before we apply.
Who Owns The Contracts?
Your practice does. The contracts, accounts and payer portals stay in your name.
Can I Pay Monthly?
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.