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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.

Your Fixed-Scope Package

Direct Payer Contracting And Credentialing

$4,000

Included: One formed practice, one provider, and up to five selected commercial payer contracting and credentialing paths.

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/DataSpring 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.
Preview The Secure Onboarding You Receive After Payment

Upload supported documents, review proposed fields, and approve each section before anything is used.

1. Choose the easiest setup for you
2. Upload each document once
3. Review what Command Suite found

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 Expert 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)

We credential in all 50 states and DC. Choose your state above and this list adds the plans that actually sell there — the regional Blue, the local and provider-sponsored carriers, and the Marketplace plans — alongside the national carriers below. Not sure yet? Choose what you recognize and confirm the exact products during 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.

Included Work And Package Limits

Package Includes

  • Group contracting, individual credentialing, payer follow-up, and status tracking for one provider and up to five selected commercial payers.

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.

Outside This Package

  • The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.
Payment, Refund, Cancellation, Renewal, And Outcome Terms

Payment

Payment reserves your selected month and opens your agreements and secure intake.

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 selected month and opens the next-step forms. Work begins within three business days after your selected month starts, once we have the required information, documents, and access; payment alone does not start the work clock.

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 selected month and opens your agreements and secure intake; payment alone does not start the work clock. Work begins within three business days after your selected month starts, once we have the required information, documents, and access. 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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Command Suite onboarding preview