Individual Provider Credentialing

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See Your Total Before You Pay.

Choose your provider and payer counts, then select Show My Total. Review the itemized total before continuing to payment.

Build Your Credentialing Price

Which Situation Fits Your Practice? * How Many Providers? * Insurance Companies For Each Provider *

Which Application Covers My State?

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Add Government Enrollment (Optional)

Government Enrollments

Medicare is one enrollment per provider. Medicaid starts with one enrollment with your state. In most states you then join each Medicaid health plan you want to see patients through, and each plan is its own application. A few states pay providers directly and have no plans to join.

Count each Medicare or Medicaid program in each state separately. Choose the practice state below for TRICARE or VA Community Care.

Medicare, Medicaid Or Medicaid Managed Care Enrollments Per Provider TRICARE Practice State VA Community Care Practice State

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Where Should We Send Your Receipt?

Your receipt goes here. Provider and insurance details come after payment, in secure onboarding.

Email for Receipt and Onboarding *

Confirm The Fit And Continue To Payment

See a sample Order Form

Before You Confirm

You’ll need a current license, an individual NPI, liability coverage and an EHR. If one is missing or a license has a restriction, email us before you pay and we’ll find the right path.

I'm an independently licensed therapist, counselor or psychiatric NP enrolling individually. I'm buying for my business. I've read what this package includes and what it doesn't, and I'm responsible for confirming it fits my license and my state's rules, including any required supervising or collaborating physician. I agree to the selected scope, total and start timing shown here, the service terms including the refund policy, and the privacy notice. *

Payment is handled by Stripe. Pay by card, Apple Pay or US bank account (ACH debit) in Stripe Checkout. We never see your full card number.

What Happens After Payment

Today. Pay by card, Apple Pay or US bank account, processed securely by Stripe . We email your receipt after the payment succeeds, including your schedule if you pay monthly. Bank payments may take several business days to confirm.
Right after you pay. You get an email invitation to the AdvanceAPractice Command Suite, where you review and sign your Order Form, service agreement and BAA. Your onboarding packet follows right after you sign: one online form where we fill in what we already know from your order and public records, so you check your details instead of typing them again.
Within three business days of complete onboarding and access. Work starts, and you can see every step in the Command Suite. We reply to messages within one business day. Each provider attests their own CAQH profile and signs any payer form that needs their signature.
Through the finish. We file your applications first. Then we follow each one to a written decision. For approved payers, we confirm loading, direct deposit and payment report setup. Your closeout package comes after your last payment.
On a monthly plan, autopay is required. Stripe’s button says Subscribe, but the plan is fixed and ends on its own after your last payment. If a payment is more than 7 days late, work pauses after written notice until the plan is current. No late fees or interest, and you can pay off the remaining balance early.

Payment, Ownership And Service Details

No added fees or interest. Monthly plans cost the same total as paying in full.
The AdvanceAPractice Command Suite is included at no extra cost while we work together. When our work together ends, it stays open read only for 30 days, then keeping it is optional at $99 a month.
State rules are part of the plan. Requirements depend on your license and state. Your state guide explains the relevant steps; we confirm what applies during onboarding.
Anything outside your package gets a written price before we start. Nothing is billed without your OK.
HIPAA compliant, with a signed BAA. Patient records stay in your own EHR and accounts, and you control our access.
US based team, never outsourced.
You own it. Your accounts, contracts, data and everything we set up stay in your practice’s name.

Who You Are Working With

Ryan Berg has run the business side of practices for more than 16 years. He worked claims at OHSU, managed finance for a dental group as it grew from two clinics to six, and ran operations at ValueCore Mental Health, where he hired and led more than 30 clinicians and staff while revenue grew from $2 million to $6 million. Owners work with him directly on everything behind the visit: billing, payer contracts, hiring, systems and the next location. Built for telehealth, in person and hybrid practices. All of our work is done virtually, so we never come on site.

Questions first? Ask Practice Concierge, or book a 20 minute call.

Full Scope And Payer Review Time

What This Purchase Covers

Complete the selected commercial applications, CAQH or DataSpring alignment, portal work, EFT and ERA setup, and follow-up for an independently licensed therapist, counselor or psychiatric NP enrolling individually.

Scope Boundary

This path is for an independently licensed therapist, counselor or psychiatric NP enrolling individually. It does not include commercial group contracting.

Payer Review Time

60 to 120 days per commercial payer is payer review time, and nobody outside the payer controls it. We follow up on every file, and you can see where each payer stands. We follow up with each payer at least every 10 business days. If a payer says no or its network is closed, you get that answer in writing and that payer is complete.

What’s Included

What Individual Provider Credentialing Covers

Application Build And Submission

We prepare an application built for each payer and the business records behind it for each commercial payer you choose, submit them, and confirm each payer received and logged it.

CAQH/DataSpring Alignment

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.

Insurance Portal Registration And Payment Setup

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.

Follow Up For A Written Payer Decision

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.

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!”
Kate B., LMFTPrivate Practice Owner

FAQ

Questions Before You Pay

Can I Keep Seeing Clients Through Headway, Alma, Grow Or Rula?

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.

Can You Promise Payer Dates?

No. We do the work and the follow-up, and you can see where each application stands the whole way. The payer decides whether and when. Commercial payers often take 60 to 120 days, and a payer network can close to new therapists while an application is pending.

Do I Keep My Accounts?

Yes. The payer relationships, your CAQH profile, the portal logins, the documents and the accounts all belong to your practice.

How Do You Get What You Need To Start?

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.

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.

What If Something Goes Wrong?

If something we delivered doesn’t work the way we said it would, tell us within 30 days of delivery and we fix it at no cost. If we can’t fix it, or can’t deliver what you bought, we refund the part it affected.