For Clinics Adding A Provider
New Provider Credentialing Under The Contracts Your Clinic Already Holds
We add your new provider to the commercial payer contracts your clinic already holds and follow every application until the payer confirms the provider is loaded.
Is This For Me?
The Clinic Contracts Must Already Be In Place
This Fits When
- The provider is being credentialed for the first time with the selected payers.
- The provider is joining an existing clinic.
- The clinic already holds signed group contracts with every selected payer.
- You need one or more providers added under the clinic's selected signed commercial payer contracts.
Choose Another Path When
- The clinic isn’t contracted with the selected payers yet. That’s Direct Payer Contracting, $3,500 for five payers.
- The provider is opening a new practice rather than joining an existing clinic.
- The provider already participates and is moving payer relationships to a new practice or Tax ID.
- The work includes outpatient facilities, ownership changes or more than one business.
Included Scope
What The $2,750 Covers
Application Build And Submission
We prepare each selected payer's application and enrollment packet, submit it, and confirm the payer received and logged it. Your only step is to review and sign the final applications. We handle the rest.
Insurance Portal Registration And Setup
We register the provider on the payer and clearinghouse portals the enrollments require: Availity, payer-specific rosters, and EFT/ERA setup so payments and remittances route correctly the day the panel goes active.
Roster And Affiliation Under Your Contract
We run the group-roster add, the provider link, and the affiliation steps under the clinic’s existing contracts. Every payer handles this differently, so we work each one the way that payer requires.
We Run The Credentialing. You Sign Only What The Law Requires.
We run the whole process, start to finish. The only things that stay with the provider are what the law says they must sign or attest themselves, which means their own CAQH/DataSpring profile and the final payer applications. We prepare everything around those. If you want us to maintain your profile, you share access securely and change the password when we’re done.
Managed Follow-Up That Holds Payers Accountable
Payers stall, lose files, and restart the clock. We follow up on every application on a set schedule, escalate when a payer goes quiet, and resubmit anything that gets lost, until we have a decision and an effective date in writing. You can see where each payer stands at any point.
Fewer or more payers. Starting with fewer than five? Each payer is $550. Payers six through nine are $350 each in the same engagement, or $1,500 for the block of payers six through ten, and Medicare or Medicaid enrollment is $450 each. Every commercial payer you add still needs an executed clinic contract. Adding more than one provider? Group discounts apply automatically at checkout.
A Real Example
The Payer Confirmed The New Office. Then It Never Loaded The Contract.
A PMHNP practice was adding its second provider and a second office on its existing contracts, so five payer applications went in together for an October start. One payer confirmed the new office but never loaded the group contract, and the new provider’s claims sat unpaid. That’s the failure that eats months of a new provider’s revenue.
We took it to the payer’s behavioral health network contact, pulled the owner into the thread, held claims when the payer asked us to, and resubmitted once a participating effective date was set. By the following April, most of the backlog back to the provider’s start date had been reprocessed and paid.
See Your Exact Credentialing Price.
Pick the work and the counts, and the itemized total shows before checkout. Each rate depends on what already exists, and how credentialing pricing works lays out every one. Provider and payer details come later, in secure onboarding.
Five payers for $2,750, or five monthly payments of $550.
Every package includes a review of your CAQH profile with you, and we follow every application to a written effective date.
The more providers, the lower the price: 2 to 4 providers save 10%, 5 to 9 save 15% and 10 save 20%. The discount comes off the whole subtotal automatically. For example, a clinic adding 10 providers to contracts it already holds pays $440 per payer instead of $550.
Your Itemized Total
Subtotal
Discount For Multiple Providers
Total
Checkout keeps this exact selection and total.
Important Boundaries
What Is Not Included
- New group contracting for a clinic that does not already participate.
- A promise of payer panel availability, participation, processing time, effective date or approval.
- Credentialing an outpatient facility, adding a second business, changing who owns the practice, or anything else outside this package.
- Provider CAQH attestation. Only the provider can attest.
The provider completes and legally attests their own DataSpring provider profile (formerly CAQH) and signs payer-required applications. Payers control their own review and outcome.
After Payment
Choose, Pay, Finish Onboarding And Track The Work
Before You Buy
Check that your clinic already has an executed contract with every commercial payer you plan to pick. If you can’t confirm that, checkout stops before it takes a payment.
FAQ
New Provider Credentialing Questions
Is The Price Really Flat?
Yes. New Provider Credentialing is $2,750 for one provider and five eligible commercial payers, which works out to $550 per payer. You can start with fewer payers at that rate. Add-ons and any group discount show in the checkout total before you pay.
Do You Complete CAQH Attestation?
No. CAQH requires the provider to complete and attest their own profile. We get the supporting information ready, make sure it matches what we send each payer, and manage every submission and follow-up from there.
What If Our Clinic Needs Payer Contracts?
Then this isn’t your package. A clinic that needs its own payer contracts starts with Direct Payer Contracting, $3,500 for five payers or $700 per payer if you need fewer. Once those contracts are signed, adding providers under them is what this package does.
When Does Work Begin?
Within three business days after we have your complete onboarding information and required documents. Payment alone doesn’t start the clock.
Can I Pay Monthly?
Yes. Orders of $1,000 or more can be paid monthly at the same total, with no interest or fees. Credentialing splits into one payment per payer, up to five.
What If Something Goes Wrong?
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. If we can’t fix it, or can’t deliver what you bought, we refund the part it affected.
What Happens After You Pay
- Right after payment. You get a receipt, your start month is reserved, and we send your agreements and secure onboarding.
- Onboarding. After payment you sign the Client Services Agreement and Order Form in the AdvanceAPractice Command Suite, plus a Business Associate Agreement, then upload your documents there. Work starts within three business days after your start month begins and onboarding is complete.
- While we work. We review your CAQH and your documents with you, submit the applications in coordination with you and stay on each one until the payer gives an effective date in writing.
- On approval. You get the written effective date, confirmed portals and payment routing, so you know the day you can bill.
Want to read the Order Form first? We’ll email you the Order Form for New Provider Credentialing with the exact scope, price and terms.
Not Sure Which Credentialing Package Fits?
Every credentialing package has a published price and a written scope. Tell us what’s changing in your practice and which payers you need, and we’ll point you to the right one.