Insurance Panel Setup
Behavioral Health Credentialing & Payer Enrollment
CAQH/DataSpring, payer panel applications, recredentialing, and enrollment tracking for psychiatrists, PMHNPs, psychologists, and group practices — run as one workflow so nothing stalls.
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Recommended package
First Practice Launch
Build the business, payer, EHR, portal, scheduling, and billing foundation together.
Full price$6,000 total, paid once or as six $1,000 monthly payments
Included work and fit boundary
We handle: A 90-day guided implementation project for providers starting from zero or with the practice formed but the operating foundation unfinished.
This must be true: For a licensed provider who is not already operating. Awaiting licensure, already operating, or uncertain-fit buyers should ask the AI Concierge first.
Recommended package
New Provider Credentialing & Contracting
Prepare and manage credentialing for up to five commercial payers under the clinic’s existing contracts.
Full price$3,000
Included work and fit boundary
We handle: Application preparation, roster or affiliation work, payer follow-up, and status tracking for one provider.
This must be true: The clinic must already hold executed group contracts with every selected payer. The provider completes and attests their own CAQH/DataSpring Provider Data Portal profile; we never request a CAQH password.
Recommended package
Move Existing Payer Contracts to a New Practice or Tax ID
Move up to five existing commercial payer relationships to your new practice billing organization.
Full price$2,500
Included work and fit boundary
We handle: Payer transition work, group NPI and Tax ID updates, portal coordination, and EFT/ERA re-enrollment for one provider.
This must be true: The provider must already participate with each selected payer. Payer timing, effective dates, and approval are not guaranteed.
Recommended package
Direct Payer Contracting & Credentialing
Build up to five new commercial payer relationships for one formed practice and one provider.
Full price$4,000
Included work and fit boundary
We handle: Group contracting, individual credentialing, payer follow-up, and status tracking for one provider and up to five selected commercial payers.
This must be true: The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.
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Therapist Credentialing
Manage up to five selected commercial payer applications and enrollment setup.
Full price$2,500
Included work and fit boundary
We handle: Application preparation, CAQH alignment, payer portals, EFT/ERA setup, follow-up, and status tracking.
This must be true: For a licensed solo therapist or counselor. Payer participation, timing, effective dates, and approval are not guaranteed.
Ongoing or Complex Work
Need software or a broader transition?
Use Command Suite month to month
Command Suite
$99/monthLeave a group or platform
Go Independent
Scoped after a Fit CallStill uncertain? Ask the AI Concierge
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 — your choice of panels. CAQH build and alignment are included in every credentialing package — we maintain your profile data as an authorized practice manager; you complete and attest your own CAQH profile and sign any paper application a payer requires. Additional commercial payers are a flat $350 each, or $1,500 for a block of five; Medicare or Medicaid enrollment in any state is $500 per payer, available as an add-on to any commercial package. No AdvanceAPractice setup or software fee for the stated package scope. Approved add-ons above, third-party charges, and out-of-scope work are excluded unless listed.
Medicaid changes at the state line. Commercial carriers mostly follow your license, so one contract can reach every state you are licensed in. Medicaid does not — each state runs its own program, its own enrollment system, and its own rules about who you contract with after you enroll. See credentialing and payer enrollment by state for all 50 states and DC.
What We Manage
Credentialing, Managed End to End.
From CAQH to approved panels, we run enrollment as one tracked workflow so nothing stalls waiting on a step no one owns.
CAQH Build & Maintenance
We build and maintain your CAQH Provider Data Portal profile as an authorized practice manager and track every attestation due date. Attestation itself is yours — CAQH requires the provider to do it.
Payer Panel Applications
Commercial, Medicare, Medicaid, and managed behavioral health applications sent complete and followed through the queue.
Recredentialing
We track two-to-three-year cycles and expirable dates so panels don’t lapse between renewals.
Provider Readiness
License, DEA, malpractice, NPI, and group affiliation verified and current before a provider bills.
Status Visibility
Know Where Every Enrollment Stands.
Instead of chasing payers or living in a spreadsheet, you get one tracked view of every provider’s credentialing — which panels are approved, which are pending, and what happens next. Billing sees provider readiness before scheduling begins.
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How It Works
Three Steps to a Documented Payer Status.
Prep CAQH
We build or update your CAQH profile data, gather documents, and confirm NPI, license, DEA, and malpractice are current before applications go out. You complete and attest the profile; we audit it first and tell you exactly what is missing.
Prepare and Apply in Parallel
Complete applications go to every relevant payer at once, not one at a time, so panels open on the shortest realistic timeline.
Document and Follow Up
We track each application through the payer queue, answer requests, and escalate stalls until an in-network effective date is confirmed.
FAQ
Credentialing FAQs
How Long Does Provider Credentialing Take?
Most payers take 60 to 120 days from a complete application, and some take longer. Because the clock effectively starts when the application is complete, gathering documents up front and following up regularly are the biggest levers on speed.
What Is CAQH and Do We Need It?
The CAQH Provider Data Portal (formerly CAQH Provider Data Portal) is the universal credentialing database most commercial payers pull from. Providers must keep the profile current and re-attest every 120 days — an un-attested or outdated profile is one of the most common causes of stalled credentialing.
Can a Provider Bill Before Credentialing Is Complete?
Generally no. Billing a payer before the provider has an effective in-network date typically results in denials. Some payers backdate to the application date, but many do not, so claims should be held until enrollment is confirmed.
Do You Handle Recredentialing and CAQH Maintenance?
We manage recredentialing (about every three years), keep your CAQH profile data current, and track license, DEA, malpractice, and attestation dates so nothing lapses and payments are not interrupted. One part is yours: attestation is the provider’s own act, so we alert you when your 120-day re-attestation is due and you attest it. We also do not complete or sign paper credentialing applications on your behalf where a payer requires the provider to sign them — we prepare those and tell you exactly what to sign.
For PMHNPs
Run a Psychiatric Nurse Practitioner Practice?
We keep a dedicated hub for PMHNPs — billing and coding, credentialing and payer enrollment, and scope of practice by state. Explore the PMHNP hub or PMHNP credentialing.
Know Where Your Providers Stand.
Launching, hiring, or clearing a credentialing backlog — start with a clear look at what’s in place and what needs to move.
Want the numbers first? See physician credentialing cost or PMHNP credentialing cost.