How We Work
One Operator Across Billing, Credentialing, Contracts, And Operations
One team runs your billing, credentialing, contracts and operations, so whoever works your denials also fixes the enrollment or contract behind them. Packages have published prices, and anything else gets a written scope and price first, inside your systems and under your own Tax ID.
Why That Matters
Where Practices Lose Money Without Knowing It
A denial that’s really a credentialing problem. A slow provider start that’s really a records problem. A rate that’s 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 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 gets set during contracting and they’re 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. The cut lands on you. With contracts under your own Tax ID, it’s your conversation 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 one of them takes a week off, that part of your practice doesn’t get done.
We also build the software when what you need doesn’t exist, like an authorization tracker that flags an expiring authorization before the next visit, a notice to staff when an intake form comes in, or an owner’s report you’ll actually read.
We build it in your Microsoft 365 or Google Workspace and hand it 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’ll know who’s doing each step and what you’ll 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 or a slow provider start usually begins somewhere else. We trace it to the step that’s 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.
- Make the agreed changes. Corrected claims, enrollment applications, EHR settings, a tracker or a custom build. Whatever the job is, we do it inside your own accounts.
- Test it. Your staff run real examples through the corrected process, and we fix whatever doesn’t hold.
- Train the people who’ll run it. Whoever owns each step learns from us how to run it and what to do when something goes wrong, like a claim that comes back rejected.
- 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 say so up front, so nothing starts late.
Approval isn’t the finish line. A payer effective date doesn’t make you billing ready. We still verify loading, IDs, the directory listing, insurance portal access, EDI, EFT and ERA, the clearinghouse and eligibility checks, and we don’t call credentialing done until a claim can actually be paid.
The Two Paths
Choose The Type Of Help You Need
Credentialing packages, Ongoing Billing and the Command Suite have published prices you can start online. An Operations Partnership, a build bigger than one workflow, or work across several systems starts with a short call and a written scope.
Buying A Package
- Choose the package that matches your situation.
- Pay through secure checkout.
- Complete onboarding and upload the required documents.
- Work begins within three business days after your selected month starts, once onboarding is complete.
- Track progress through completion; payer decisions and timing remain outside our control.
Planning Custom Work
- Book a 20 minute call or ask for a written quote by email.
- 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 write down every decision, who owns each task and what’s next, so you can see where things stand without having to ask.
- Providers complete and attest their own DataSpring Provider Data Portal profiles (formerly CAQH). If you want us to maintain your profile, you share access securely and change the password when we’re done.
- Payers decide how fast they respond, whether to approve you and let you into the network, and what your effective date is. None of that’s up to us, and we never promise it.
“They reorganized our workflows, improved how our team communicates, and brought in smart automation that saved us measurable time and money. The operational visibility alone has been a game-changer.”
“AdvanceAPractice has provided a great benefit to my growing practice. They clearly explained the confusing insurance billing process and helped me create a plan to expand my business.”