Existing Payer Transition · $2,500 Per Provider
Change the Practice or Tax ID Without Losing Control of the Revenue Transition
We map the current payer and payment setup, manage the applicable practice and Tax ID changes, track payer responses, and document the cutover. The result is a controlled transition with known dependencies, not a blind resubmission.
Is This for Me?
Use this package when the payer relationships already exist
This fits when
- The provider already participates with every selected payer.
- The provider is moving those payer relationships to a new practice billing organization, group NPI, or Tax ID.
- You need up to five existing commercial payer relationships updated and tracked.
- You can supply complete practice, provider, contract, and enrollment records.
Choose another path when
- The provider has never been credentialed with the selected payers.
- The clinic still needs new group contracts — that is Direct Payer Contracting, $4,000.
- You are opening a first practice from zero.
- The transition includes ownership changes, facilities, multiple entities, or other custom work.
Included Scope
What the $2,500 package includes
Transition readiness
We map the cutover before anything moves — provider, entity, NPI, Tax ID, W-9, payer, and enrollment records — so nothing bills to the wrong organization and no panel goes dark mid-transition.
Payer work and submission
We prepare and submit the entity, roster, affiliation, or Tax-ID change each selected payer requires, and drive it through their process — handled each payer’s real way, not a stack of forms.
Payer portal and payment setup
We update the payer portals, EFT, ERA, and clearinghouse so payments and remittances follow the provider to the new Tax ID and land correctly from day one.
Managed follow-up that holds payers accountable
Payers stall and reset the clock on transitions. We work each change with specialized, payer-specific follow-up and a relentless, documented cadence — until the payer confirms the move — with status you can see the whole way.
Optional at checkout: up to five additional eligible commercial payers at $350 each per provider, plus Medicare or Medicaid enrollment at $500 each per provider.
Important Boundaries
What is not included
- New payer contracting or a first-time credentialing application.
- Facility credentialing, ownership changes, mergers, or complex multi-practice restructuring.
- Legal, tax, or clinical advice; payer or third-party fees.
- A promise of uninterrupted claims, payer participation, processing time, effective date, or approval.
The provider completes and legally attests their own CAQH/DataSpring Provider Data Portal profile and signs payer-required documents. AdvanceAPractice never requests the provider’s CAQH password.
After Payment
A five-step transition path
Fixed-price package
- Choose the package that matches your situation.
- Pay through secure checkout.
- Complete intake and upload the required documents.
- Work begins within three business days after your selected month starts, once intake is complete.
- Track progress through completion; payer decisions and timing remain outside our control.
Your decision
Buy now if every selected payer relationship already exists. If any payer, practice-ownership, or Tax ID fact is uncertain, ask the AI Concierge before paying so you do not choose the wrong package.
Preview the secure onboarding you receive after payment
Upload supported documents, review proposed fields, and approve each section before anything is used.
FAQ
Existing payer transition questions
Who is this package for?
A provider who already participates with the selected payers and is moving the billing relationship to a new practice or Tax ID.
Does it include new payer contracts?
No. It covers transition work for existing payer relationships only.
Can I add more payers?
Yes. Eligible add-ons are selected and paid during checkout before the total is confirmed.
Are payer dates guaranteed?
No. We control preparation, documented follow-up, and timely in-scope work; payers control their own decisions and timelines.