Free Credentialing Tool

What Will Credentialing Cost In Your State, And How Long Will It Take?

Pick your state and your situation. You’ll see the insurance companies that matter there, how long their applications usually run and your price from our published rates, with nothing to sign up for.

We have handled about 30 payer applications for 8 practices so far.

Free Tool

Check Your State

Answer four quick questions. Your price, timeline and insurance companies fill in as you go.

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.

Starting your own practice and need your payers, EHR, scheduling, medical billing and training set up together? First Practice Launch does all of it. A new group that only needs its own insurance contracts uses Group Credentialing And Contracting, open yet or not.

Which Application Covers My State?
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.

Review your price, then continue to checkout.

FAQ

State Credentialing Questions

Does Credentialing Cost More In Some States?

No, our credentialing price is the same in every state. Contracts in your own name or for a new group are $2,000 for two payers, which is $1,000 setup plus $500 per payer, and a provider joining contracts your clinic already holds is $1,550 for two payers, which is $750 setup plus $400 per payer.

Do I Need A Separate Application For Each State?

For commercial insurance, usually not, because contracting follows the insurance company’s network rather than where your patient lives. National carriers like Aetna, Cigna and UnitedHealthcare cover every state you’re licensed in on one contract, and Blue plans reach out of state Blue members through BlueCard. You still need a license in each state where you see patients, and Medicaid is enrolled state by state.

Is Medicaid Included In The Price?

No, Medicaid, Medicare and other government plans are separate enrollments at $450 per plan, and TRICARE and VA Community Care are $500 each. You can add any of them to your order in the builder above.

Which Insurance Companies Should I Apply To?

Start with the plans your patients carry most. Each state credentialing page lists that state’s main Medicaid plans and commercial insurance companies, along with its Medicaid enrollment forms.

Choose The Right Credentialing Path

Opening a practice, adding a provider, moving existing payer relationships, and seeking new contracts require different work. See the price and scope that match your situation.