First Practice Launch

Want To Open Your Own Practice While At Headway, Alma, Rula Or Grow?

For PMHNPs, therapists and counselors, one team coordinates the whole launch: business records, five commercial payer applications, EHR, scheduling and billing setup. We test the workflow from appointment through claim. Payers decide approval and effective dates. Every account is yours.

Still employed and planning a practice of your own? You start here too.

Your experience and license are yours. We help you build an independent practice while you keep seeing clients where you are now.

Already seeing patients in your own practice but don’t have insurance contracts yet? That’s Group Credentialing And Contracting.

See What Your $6,000 Covers

How It Works

Plan Your Move Before Your Income Depends On It

Credentialing approvals typically take 60 to 120 days, and sometimes longer. Each payer sets its own effective date, and nothing bills before it. We prepare your records, submit your applications and set up your billing inside that window, so starting early gives you more options.

Being in network through a platform and holding contracts in your own practice’s name are two different things. Your practice applies to each payer on its own.

  1. Prepare Your Records

    We show you where to apply for your business registration, EIN and NPIs, check the details before you submit and explain what comes next. We coordinate your Type 1 and Type 2 NPI, your NPPES records, your taxonomy and your W‑9, and review your DataSpring/CAQH profile with you before anything is submitted. You complete and attest it.

  2. Submit Your Applications

    We credential and contract you with five commercial payers you choose, each one carried through to the payer’s written decision. Before you sign a payer contract, we explain how its rates and terms work and point out anything unusual.

  3. Set Up Your EHR And Billing

    We help you choose your EHR, then build your CPT codes, modifiers and place of service, every visit type you offer, your fee schedules and your payers in it. We register your payer portals and set up EFT and ERA, and configure card on file, copay collection at check in and your patient portal, or guide you through each step if you prefer to handle it yourself.

  4. Track Each Payer’s Decision

    Each payer moves on its own clock, and your Command Suite shows where each one stands. Once a payer approves, we confirm you’re loaded in its system, check your directory listing, and load its rates into your EHR and review them with you.

  5. Get Ready To Bill Insurance

    We run a test patient from the first appointment through the claim, so your first claim goes out the way each payer expects. You get the tools to verify patients’ insurance benefits yourself, and we train you to run your own reports on charges, payments and balances. You bill each payer from its written effective date.

Not Ready To Buy Yet?

Get these five steps by email, with how to start. It’s the general plan we follow for clinicians in your situation, and you can reply with any question.

All five fields are required.

Who It’s For

Is This For Me?

This Package Fits When

  • You are fully licensed.
  • You are opening your first practice and are not already operating.
  • You want one team to set up the business records, payers, EHR, scheduling and medical billing in the right order.
  • You see clients through Alma, Headway or another platform and want a practice of your own.

What Your $6,000 Covers

What You Get

First Practice Launch roadmap. Business And Identifiers, Commercial Payer Foundation, EHR And Daily Workflows, Insurance Portals And Payments, then Medical Billing And Coding Setup, ending with Readiness Is Tested Before Go Live.

Business Records And Registration

We guide your state registration, EIN, NPIs, NPPES and W‑9, so your legal name, IRS record and payer records all agree. Your attorney or CPA makes the legal and tax choices, like LLC or PLLC.

Five Commercial Payers

Five selected commercial payers, each tracked from submission to decision and effective date, with directory listings, EFT and ERA set up. We confirm every payer in each state before we apply.

EHR And Daily Workflows

We help you choose and set up the EHR around how you practice, and we don’t take referral fees from any EHR company.

Insurance Portals And Payments

Claims go out under your new Tax ID and group NPI, payments deposit by EFT and ERAs flow into your EHR. We follow up with each payer through your Launch period and record its decision in your Command Suite.

Medical Billing And Coding Setup

We build your codes, fee schedules, payers and claims in your EHR, then run a test patient through to the claim before your first real one goes out. No other package includes it.

We can do the DataSpring/CAQH and payer portal work for you, or walk you through each step on a screen share if you’d rather keep the logins. It’s part of your package either way.

What Stays With You

  • Payers decide approval, participation, effective dates, processing time and whether a panel is open at all.
  • You complete and attest your own DataSpring provider profile (formerly CAQH). 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.
  • You sign the payer documents, and the clinical, legal, tax and software decisions stay yours.
  • Medicare or Medicaid enrollment, outpatient facilities, more than one business, ownership changes and anything outside the written scope need their own package, add-on or Order Form.

What Costs Extra

  • Your EHR SubscriptionYou buy it in your own name and pay the EHR company directly.
  • State Filing FeesPaid to your state, along with any attorney or CPA you choose to use.
  • More Commercial PayersFive are included. Each added payer is $350, or $1,500 for five more (ten in all). You add them in checkout before you pay.
  • Medicare And MedicaidGovernment Enrollment is $450 per plan.
  • Outside ChargesMalpractice and other insurance, domains and similar charges, paid to those companies.

$6,000 total, or $1,500 a month for four months.

Buy First Practice Launch

Secure Checkout

Choose Your Payment Option

Enter your contact details, review what you are buying and choose how to pay. Practice details come next in secure onboarding.

Choose How To Pay

The installment option is exactly four automatic monthly card or ACH debit payments of $1,500 ($6,000 total), with no interest. It can’t be canceled partway and ends after payment four.

  • Checkout charges $1,500 today on the monthly plan, or $6,000 if you pay in full, by card, Apple Pay or US bank account (ACH debit) through Stripe .
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.
  • Through the finish. Work is staged across your plan, and payer applications go in as soon as each one is ready, never held for a later 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.
  • You own it. Your accounts, contracts, data and everything we set up stay in your practice’s name.

Questions first? Email hello@advanceapractice.com or book a 20 minute call.

$6,000 total, or $1,500 a month for four months

Awaiting licensure, already operating, partway through, or unsure which path fits? Ask Practice Concierge before purchasing.

First Practice Launch FAQ

Common Questions

Do You Come To Our Office?

Our packages are built for telehealth, in person and hybrid practices. All of our work is done virtually, inside your EHR, your payer portals and the Command Suite, so we never come on site.

What Happens After I Pay?

We email your receipt after payment is confirmed. Bank payments may take several business days to confirm. Every step after that is listed under the Pay button above.

Can I Do This Myself?

Yes. The value is sequencing, documented follow-up, and avoiding the common mismatch between business records, identifiers, payer applications, portals, and billing setup. The package is for a provider who would rather spend those months building the clinical practice.

Do I Need My Business, Tax ID Or NPI Before I Buy?

No. Setting them up is part of the launch. We walk you through registering the practice with your state, show you where to apply for your EIN and NPIs, check your details before you submit, and tell you what to do with each one next, in the order payers need them. The EIN and NPIs are free. We don’t receive your EIN, draft or file formation papers, or choose your business type. AdvanceAPractice is not a law or accounting firm and does not give legal or tax advice.

Can I Keep My Current Job While I Start?

Yes. You can keep your current job while we set up your practice. Tell us your timing during onboarding and we’ll plan the order of the work around it.

Do I Have To Use A Specific EHR?

No. We don’t favor any EHR company or take referral fees from any EHR company.

What If A Payer Takes Months Or Says No?

We keep after it. We prepare the file, write down every contact, and follow up and escalate inside that payer’s process. The payer still makes the decision. No one can promise participation, timing, an effective date or approval. We follow up with each payer at least every 10 business days through the end of your Launch period. If a payer says no or its panel is closed, you get that answer in writing and that payer is complete. After that, ongoing follow-up is Ongoing Credentialing.

Can I Ask Questions Along The Way?

Yes. How questions, meetings and updates work is listed under Ongoing Support in What’s Included.

What Happens After The Project?

You keep the accounts, documents, systems and status records. If you want ongoing medical billing or operations help after that, it’s a separate engagement, and only if you choose it. Ongoing Billing can take over your claims as each payer goes live, at 7% of collections with a $300 monthly minimum for a solo provider. After your Launch period, Ongoing Credentialing can keep your payer follow up going. It’s also a separate service.

I See Clients Through Alma Or Headway Now. Is This For Me?

Yes, if you don’t have a practice of your own yet. Platforms usually credential you under their own Tax ID, so your practice needs its own identifiers and payer contracts, and this package sets them up in order. You can keep seeing clients on the platform while we build. Our guide From Headway or Rula to Your Own Practice explains how your own payer contracts, Tax ID and payment setup come together.

See Everything Included

Every Step

  1. We guide your business registration, EIN and NPI applications. We show you where to apply, check the details before you submit and explain what comes next.
  2. We coordinate your Type 1 and Type 2 NPI, your NPPES records, your taxonomy and your W‑9.
  3. We review your DataSpring/CAQH profile with you before anything is submitted. You complete and attest it.
  4. We credential and contract you with five commercial payers you choose, each one carried through to the payer’s written decision and, once approved, system loading and a directory check.
  5. Before you sign a payer contract, we explain how its rates and terms work and point out anything unusual.
  6. We register your payer portals and set up EFT and ERA.
  7. We track your DataSpring/CAQH re‑attestation dates during your Launch period, and we tell you about any payer decision or request within one business day of getting it.
  8. If you don’t have an EHR yet, we go over your goals and budget and help you choose one. We work out what you need, shortlist and compare the options, and review your setup once it’s in. If you’re keeping the EHR you already use, we set up your new practice in it.
  9. We build your CPT codes, modifiers and place of service, your fee schedules (insurance charges at current market rates for your specialty and area, plus a self pay schedule we set with you), and your payers and claims in your EHR. Then we run a test patient from the first appointment through the claim, so your first claim goes out the way each payer expects.
  10. We build every visit type you offer, from telehealth to in-office appointments, with the correct CPT codes, modifiers and place of service, and configure your schedule around your preferences so each appointment produces a clean claim.
  11. As your contracts come back with their fee schedules, we load each payer’s rates into your EHR where it allows, or hand you a finished schedule to load, and review them with you, so you know what each payer reimburses for the services you provide.
  12. If your first claim to a payer goes out during your Launch period, we follow it to that payer’s response.
  13. We give you the tools to verify patients’ insurance benefits on your own, with guidance specific to your payers, your state and the way you practice: where to check, what to confirm before a first visit, and what to do when coverage comes back different than expected.
  14. We configure your patient payment setup, including card on file, automatic payments, copay collection at check-in and your patient portal, or guide you through each step if you prefer to handle it yourself. We also draft your financial policy and billing consent for your attorney’s review.
  15. We put the systems and standards in place so your financial reporting is accurate from your first claim, covering charges, payments, and balances owed by insurance and by patients, and we train you to run each report yourself.
  16. We give you direction on your new patient and consent forms.

What You Provide

  • Your onboarding packet and the documents it asks for.
  • Your own business decisions, like your business type, made with your attorney or CPA.
  • Access where we need it, or a screen share where we walk you through each step.
  • You complete and attest your CAQH profile and sign anything only you can sign.

Timelines

  • 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 your agreements. If anything takes longer on your side, let us know and we’ll keep things moving as quickly as we can.
  • We start within three business days of getting your completed packet back.
  • Both payment options have the same 90 day Launch period and handoff schedule. Every stage opens right away. On the monthly plan, payments continue as agreed after handoff; a payment that is not yet due does not delay work or handoff. Payer decisions and effective dates stay outside our control. We follow up with each payer at least every 10 business days during your Launch period and tell you as each payer goes live.

What’s Not Included

  • Forming your business, S corporation elections, and legal or tax advice. We never apply for your EIN for you or pick your business type.
  • Medicare, Medicaid and Medicaid managed care plans, which you can add at $450 each. TRICARE and VA Community Care are quoted in writing.
  • Appeals after a payer denies an application.
  • Professional licensure, DEA and state controlled substance applications, and malpractice coverage.
  • More providers, states or locations.
  • Software subscriptions and filing fees, which you pay directly.
  • Ongoing medical billing.
  • An EHR subscription. You keep the one you use, or buy the one you choose in your own name.

Ongoing Support

  • Questions are part of working with us, during setup and for as long as you’re a client. Send them in the Command Suite or by email, and we reply within one business day, usually the same day. If a question turns into new work, like a new build or a change to something we built, we send a written quote before we start.
  • Up to two meetings a month if you need them.
  • Your Command Suite workspace shows what we’re working on and anything we need from you. It stays fully open during the work, read only for 30 days after, and then it’s $99 a month if you want to keep it.
  • 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.
  • Everything we set up is yours. The accounts, the documents and what we build stay with your practice.
  • After your Launch period, Ongoing Credentialing keeps your payer work going. It’s a separate service. Complete is $100 per provider a month for up to three plans, plus $15 a month for each added plan, with re‑credentialing included. Essentials is $80 per provider a month and covers the same upkeep (CAQH re‑attestations, license, DEA and malpractice tracking, monthly exclusion checks, roster and location updates), with re‑credentialing billed when it comes due at $200 per provider per plan. Both start with a review of every provider with every plan in the first 30 days, and we quote it in writing.

Download This As A PDF

One Expert Owns The Work.

Your Expert
One person coordinates the work with you, from the first decision to the last follow-up.
Working cadence
Updates in the Command Suite as the work moves, and up to two meetings a month during your Launch period when you ask for them.

See Services And Prices

Most of our services have published prices. Larger or more complex setups and ongoing partnerships get a written scope and price before they start.