How We Work
One Operator Across Billing, Credentialing, Contracts, And Operations
Most practices end up with a billing company, a credentialing service, and whoever built the spreadsheet, and nobody owns the problem when it crosses from one to the other. Here the same person works your denials, files your enrollments, negotiates your contracts, and builds the tracker that keeps it from happening again. The work is directed from Portland, Oregon. Set packages are bought online at a published price. Anything that depends on your volume, contracts, systems, or transition plan gets a written scope and price first. Either way, it is done inside the systems you already use, under your own Tax ID.
Why That Matters
Where Practices Lose Money Without Knowing It
A denial that is really a credentialing problem. A slow provider start that is really a records problem. A rate that has been wrong for years because nobody who touches your claims is allowed to open the contract. None of these get solved by a company that only owns half of the problem.
- Credentialing gets you approved. Contracting decides what you get paid. A service that only files applications can leave you in network and underpaid for years, because the rate is set during contracting and they are never in that conversation.
- Billing companies split your practice across teams. A posting team, a denials team, an A/R team, and an account manager who relays between them. Here the person who writes your denial report is the person who worked it.
- On a managed network, the platform holds the contract and you hold the caseload. When a plan cuts the rate, the platform keeps its margin and the cut lands on you. Contracts built under your own Tax ID leave that conversation yours to have.
- An in-house hire covers one of these jobs. A biller, a credentialing coordinator, and someone who can actually build the system are three different people, and when any of them takes a week off, so does that part of your operation.
We also build the software when the thing you need does not exist. Trackers, authorization and intake workflows, staff notifications, and owner reporting, built in your Microsoft 365 or Google Workspace and handed over documented, so it keeps running whether or not you keep working with us.
The Delivery Sequence
How The Work Gets Done
Fixed package or written scope, the work runs in the same order. You know who is doing each step and what you will have at the end of it.
- Understand the current process. We sit with the people who do the work and follow it through your EHR, insurance portals, spreadsheets, and inboxes as it runs today.
- Find the cause. A denial, a slow provider start, or a missed authorization usually begins somewhere else. We trace it to the step that is actually failing.
- Define the work and the price. You get the scope, the limits, the price, and the kickoff date in writing. Nothing starts until you approve it.
- Complete the agreed changes. Corrections, submissions, configuration, trackers, or a custom build, done inside your own accounts.
- Test it. Your staff run real examples through the corrected process, and we fix whatever does not hold.
- Train the responsible people. Whoever owns each step knows how to run it and what to do when something goes wrong.
- Document what happens next. You get written instructions, the status of anything still open, and the name of the person who owns it.
The person leading your work coordinates the kickoff and the meetings included in your package, and you can follow updates and ask questions in the secure AdvanceAPractice Command Suite. To protect that working time, we limit how many new projects begin each month. Checkout shows the next available start month, and if the month you need is full we will tell you rather than take the work and start it late.
What finished actually means. A payer effective date is not billing ready until loading, IDs, directory listing, insurance portal access, EDI, EFT and ERA, clearinghouse, and eligibility checks are all verified. Approval is not the finish line, and we do not call credentialing done until a claim can actually be paid.
The Two Paths
Choose The Type Of Help You Need
Defined problems have a published price and a checkout. Ongoing billing, provider growth, and work across several systems start with a short call and a written scope.
Buying A Package
- Choose the package that matches your situation.
- Pay through secure checkout.
- Complete intake and upload the required documents.
- Once intake is complete, in-scope work begins within three business days.
- Track progress through completion; payer decisions and timing remain outside our control.
Planning Custom Work
- Request a 20 minute call.
- Receive a written scope, price, and kickoff date.
- Review and approve the Order Form.
- We build the agreed workflows, systems, or transition plan.
- We follow the agreed schedule and report progress.
What Never Changes
You Keep Control Of Your Practice
- You approve the package or written scope before work begins.
- You keep ownership of your practice, payer relationships, accounts, data, documents, and systems. Everything we set up lives in your accounts under your Tax ID, so nothing is stranded with us if we part ways.
- We document decisions, ownership, next actions, and status so progress is visible.
- Providers complete and attest their own DataSpring Provider Data Portal profiles (formerly CAQH). We never request a DataSpring password.
- Payer responses, processing time, participation, effective dates, and approval are outside our control and never guaranteed.