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First Practice Launch

Open Your First Practice With The Business Setup Ready

For a PMHNP or therapist opening a first practice, we set up the identifiers, five commercial payers, EHR, scheduling and billing in the right order before your first claim. Every account is yours.

Is This For Me?

Know What The Package Includes

This Package Fits When

  • You are fully licensed.
  • You are opening your first practice and are not already operating.
  • You’ve already made the legal, tax and ownership decisions, and what’s left is payer enrollment, systems and billing setup.
  • You want one team to set up the business records, payers, EHR, scheduling and billing in the right order.

Use Another Path When

  • You are still awaiting licensure.
  • Your practice is already operating.
  • You are joining an existing clinic with executed payer contracts.
  • You are leaving a group or platform with existing panels and a complex transition.

Ask Practice Concierge

What You Get

Five Parts Of Practice Setup, Managed Together

Business And Identifiers

Your attorney or formation service establishes the legal business. We reconcile the legal name, IRS record, IRS tax form, Type 1 and Type 2 NPIs, practice locations, licenses, and payer records before applications begin.

Commercial Payer Foundation

For up to five selected commercial payers, we prepare and manage the applicable application and contract path. Each payer keeps its own submission receipt, follow up, decision, effective date, directory, EFT, ERA, EDI, and first claim status.

EHR And Daily Workflows

We set up the EHR around how you actually practice. We’re independent of every EHR company, we don’t take referral fees, and nobody pushes you into a migration later.

Insurance Portals And Payments

We set up insurance portal and clearinghouse access, electronic deposits (EFT), and payment reports (ERA). Your practice owns the accounts and access records.

Scheduling And Billing Readiness

We build and document intake, scheduling, fee, claim, payment, and closeout workflows. Readiness is shown by testing the workflow without a patient. The first real claim and remittance can be verified only after a billable visit.

Price And Ownership

$1,000 A Month For Six Months, Or $6,000 Total

First Practice Launch

Payers, billing, the EHR, scheduling and business setup, ready before you open.

$1,000 a month for six months

Six automatic card or ACH payments, $6,000 total, no interest, ends after payment six. Or $6,000 total in one card or US bank account (ACH debit) payment.

Buy First Practice Launch

Buy online

    On the monthly option, work is staged across a six-month engagement, with six automatic monthly payments of $1,000 ($6,000 total). We agree the work sequence at kickoff. Final completion and handoff follow the sixth cleared payment and completion of the included work. Payer applications proceed as soon as the required records are ready; payer decisions and timelines remain outside our control and may extend beyond six months.

    The paid-in-full option retains a 90-day implementation window. Third-party decisions and buyer delays can affect completion.

    State filing fees, insurance, EHR subscriptions, domains and other third-party charges aren’t part of the $6,000. You pay those companies directly. You own every account, document, payer relationship and system we help set up.

    Payments aren’t refundable unless the problem is our mistake. If something we delivered doesn’t work the way we said it would, we fix it at no cost within 30 days of delivery; if we can’t fix it, or can’t deliver what you bought, we refund the part it affected.

    Important Boundaries

    What The Package Does Not Promise

    Your status updates show completed work, payer decisions, effective dates and the next steps for your practice.

    • 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 want us to maintain your profile, you share access securely 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.

    Secure Checkout

    Choose Your Payment Option

    Pick your start month and continue to secure payment. Once it goes through, we’ll send onboarding instructions and a checklist of the information and documents we need.

    The installment option is exactly six automatic monthly card or ACH debit payments of $1,000 ($6,000 total), with no interest. It is not cancel-anytime and ends after payment six.

    Before You Pay

    • Checkout charges $1,000 today on the monthly plan, or $6,000 if you pay in full, by card or US bank account (ACH debit) through Stripe.
    • You get a receipt with your payment schedule by email right away.
    • A person emails you within one business day of paying with your onboarding packet and the list of what we need.
    • After payment you sign the Client Services Agreement and Order Form online, plus a Business Associate Agreement before we access any patient information.
    • Work starts within three business days after your start month begins and onboarding is complete. For the monthly option, work is staged across six months; final completion and handoff follow the sixth cleared payment and completion of the included work.
    • Payments aren’t refundable unless the problem is our mistake.
    • Questions first? Email hello@advanceapractice.com.

    $1,000 a month for six months, or $6,000 total

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

    The Order A Launch Has To Follow

    A practice launch is mostly sequence. Work done out of order usually has to be redone.

    Practice Identifiers Come First

    The legal business name, EIN, and organizational NPI have to exist and agree with each other before any payer will look at an application. You obtain the NPI through NPPES; we tell you exactly what it needs to say.

    Payer Work Starts Once Identifiers Exist

    Applications go out only after the identifiers, address, and malpractice coverage line up. Filing early to look fast produces rejections, not a head start.

    Systems Get Configured Around Billing

    The EHR, clearinghouse, and payment setup are built to match how claims will actually go out, including EFT and ERA enrollment as separate steps.

    Readiness Is Tested Before Go Live

    We validate eligibility, clearinghouse, claim, and remittance configuration without using a real patient claim. A payer response and remittance can be confirmed only after a billable visit.

    Common Questions

    First Practice Launch FAQ

    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 Have To Use A Specific EHR?

    No. We’re EHR-agnostic and don’t take referral fees from any EHR company. You buy the subscription directly in your own name.

    What If A Payer Takes Months Or Says No?

    The payer decides. We prepare the file, write down every contact, and follow up and escalate inside that payer’s process. No one can promise participation, timing, an effective date or approval.

    What Happens After The Project?

    You keep the accounts, documents, systems and status records. If you want ongoing billing or operations help after that, it’s a separate engagement, and only if you choose it.

    See What It Would Cost Your Practice

    Every service has a published price and a written scope. Not sure which one fits? Ask, and we’ll point you to the right one.