Who is the New Provider Credentialing and Contracting package for?

A first-time provider joining a clinic that already holds executed group contracts with every selected commercial payer.

What does each selected commercial payer path include?

Each selected commercial payer path includes application preparation, roster or affiliation work, payer follow-up, and documented status under the clinic's existing signed contract.

Does AdvanceAPractice attest CAQH for the provider?

No. The provider completes and legally attests their own CAQH Provider Data Portal profile. AdvanceAPractice never requests a CAQH password.

Can the clinic use this package to obtain new group contracts?

No. The clinic must already hold executed group contracts with every selected payer. New group contracting is scoped separately.

New Provider Credentialing And Contracting · $600 Per Selected Commercial Payer, Per Provider

Make Your New Provider Billable Through The Practice You Already Operate

We align one provider with the commercial payer contracts your clinic already holds, manage the applicable enrollment work, follow payer status, and document approvals and effective dates. You receive a clear record of what is complete, pending, and still requires action.

Build My Exact Price Ask Practice Concierge

Your Payers And Providers

See Your Exact Credentialing Price.

Choose the work and counts. Rates are applied to each provider and payer path, and the full itemized total appears before checkout. Provider, payer, and state details move to secure post-payment onboarding.

What Are You Hiring Us to Do? * Providers * Commercial Payers *

Medicare And Medicaid Enrollments

Each Medicare, Medicaid, or Medicaid MCO program-and-state path is a separate enrollment. Choose the number of paths now; name the programs and states after payment.

Government Program-and-State Paths *

Review every line before continuing.

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 is not contracted with the selected payers, that is Direct Payer Contracting, $800 per selected commercial payer, per provider.
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 facilities, ownership changes, or multiple entities.

Compare all package paths

Included Scope

What Each Selected Payer Path Includes

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.

Payer 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 actually requires.

We Manage The Credentialing, You Only Sign What The Law Requires

This is what you’re hiring us for: we own the process from start to finish. The only things that stay with the provider are what they must personally sign or attest by law, their own CAQH/DataSpring profile and the final payer applications, which we prepare and align everything around. We never ask for a CAQH password.

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.

Published pricing starts at $600 per selected commercial payer, per provider, for new-provider credentialing and contracting. Select every provider and payer path in the pricing builder to see the current itemized total before checkout. Build your exact price.

Important Boundaries

What Is Not Included

New group contracting for a clinic that does not already participate.
A guarantee of payer panel availability, participation, processing time, effective date, or approval.
Facility credentialing, ownership changes, multiple entities, or work outside the package scope.
Provider CAQH attestation or the use of the provider’s CAQH password.

The provider completes and legally attests their own CAQH DataSpring profile and signs payer-required applications. Payers control their own review and outcome.

After Payment

Choose, Pay, Complete Intake, And Track The Work

Fixed-Price Package

Choose the package that matches your situation.
Pay through secure checkout.
Complete intake and upload the required documents.
Work begins within three business days after your selected month starts, once intake is complete.
Track progress through completion; payer decisions and timing remain outside our control.

Before You Buy

Confirm the clinic already has an executed contract with every commercial payer you plan to select. Checkout fails closed when that eligibility requirement is not confirmed.

Build My Exact Price

Preview The Secure Onboarding You Receive After Payment

Upload supported documents, review proposed fields, and approve each section before anything is used.

Command Suite onboarding screen offering secure document assistance, manual setup, or a mix of both. — **1. Choose the easiest setup for you**

Command Suite named upload card showing an uploaded Oregon professional license PDF. — **2. Upload each document once**

Command Suite review screen showing completed provider fields and a legal name filled from an uploaded professional license with source and confidence. — **3. Review what Command Suite found**

FAQ

New Provider Credentialing Questions

How Is The Price Calculated?

Select the providers and payer paths you need. The builder shows every line item, the complete provider discount, and the total before contact information or checkout.

Do You Complete CAQH Attestation?

No. The provider completes and attests the profile; we handle the business-side work and manage every payer submission.

What If Our Clinic Needs Payer Contracts?

Do not buy this package. New group contracting requires a Fit Call and written scope.

When Does Work Begin?

The three-business-day commitment starts only after complete onboarding information and required documents are received.

Before You Decide

What Practice Owners Ask Us First

Answered here so you do not have to email us to find out.

Do You Work With My Payers?

We support commercial enrollment work nationwide when the selected payer, product, practice type, and service location are eligible. Choose one to ten commercial payer paths, or choose government enrollment without a commercial package. We confirm each named path instead of assuming that one contract applies in every state or product.

Select every provider, commercial payer path, and government enrollment in the pricing builder. It applies the current rules and shows the itemized total before checkout. Build your exact credentialing price.
Government Enrollment: $500 for each Medicare, Medicaid, or separately administered Medicaid managed-care enrollment path.

Whether a panel is open is the payer decision, not ours. If one you selected is closed, we tell you and redirect the work.

How Long Does This Actually Take?

First two weeks. Applications, rosters, portal registrations and EFT/ERA setup are built and submitted.
60 to 120 days per commercial payer. This is payer review time, and no vendor controls it. We chase every file on a documented cadence and you can see the status the whole way.
On approval. You get the written effective date, confirmed portals, and payment routing, so you know the day you can bill.

We provide dates for work we control and document payer-dependent milestones separately.

What Will You Need From Me?

Most practices already have all of this. You upload each item once, in your secure workspace, never by email.

Government photo ID
Current professional license for each state you practice in
DEA certificate and state controlled substance registration, for prescribers
Board certification and degree
Malpractice face sheet or certificate of insurance
IRS EIN letter, the CP 575 or 147C
Bank-issued ACH instructions or another payer-accepted proof of the business account
Your practice Type 2 NPI

For a launch or practice and Tax ID transition, we prepare the organization W-9 from the legal name and Tax ID and return it for signature as one task inside that engagement.

Has This Worked For Practices Like Mine?

They clearly explained the confusing insurance billing process and helped me create a plan to expand my business.

John Benson, PMHNP-BCOwner, BBH Psychiatric Services

$10M+recovered in aged and unpaid receivables
16+ yearsin revenue cycle and credentialing

At one PMHNP practice practice, a contracted rate review found a payer discrepancy. Correcting it raised reimbursement 30% across four months of claims. Results vary by contract, payer, and claims.

Still deciding between two packages? Ask Practice Concierge or email hello@advanceapractice.com. We will tell you if a package does not fit before you spend anything.

We Stand Behind The Work

What Happens If We Do Not Deliver

Three commitments you are agreeing to at checkout, said plainly here instead of in the terms.

We Start On A Clock You Can See

In-scope work begins within three business days after your selected start month begins and we have complete onboarding and required access. We record Ready to begin and Work started timestamps and notify you when work starts, so the start date is a record rather than a promise.

We Fix Our Own Mistakes Free

If something we delivered does not work the way we said it would, we correct it at no charge for 30 days after delivery. You will not get an invoice for correcting our mistake.

If We Cannot Perform, You Get Your Money Back

We refund in full or in part where verifiable circumstances prevent the work: including serious illness, a licensure action that makes enrollment impossible, or our own inability to perform. We do not keep money for work we could not do.

What We Will Never Promise

We do not promise payer approval or payer timing because nobody controls those decisions. Commercial credentialing often takes 60 to 120 days, and a network can close while an application is pending.

Questions about any of this before you buy? hello@advanceapractice.com