New Provider Credentialing for Your Clinic

Read This First

Is This You?

This is a narrow package on purpose. It is built for one situation, and it is priced for that situation. If you are not in it, one of the packages below fits better — and we would rather point you there than sell you the wrong thing.

This Is You

A First-Time Provider Joining an Existing Clinic

The provider has never been credentialed with commercial payers — new graduate, newly licensed, or coming straight out of a training program
The clinic already exists: legal entity formed, EIN issued, Type 2 organization NPI in NPPES
The clinic already holds signed commercial contracts with the payers in question
The work is adding this provider to those contracts — credentialing, affiliation, rostering, loading, and a confirmed effective date

This Is Not You

Where You Should Go Instead

Already credentialed, moving to a new entity or Tax ID? That is a cutover, not new credentialing — see Entity & Credentialing Transitions
Newly licensed and starting your OWN practice? You need the entity, EHR, and systems stood up too — that is a flat $6,000 in First Practice Launch
Leaving an established group or platform? More moving parts, quoted to your situation — see Go Independent
Solo therapist or counselor on your own? There is a self-serve path built for you — see Credentialing for Solo Therapists
Clinic has no contract with the payer yet? The group has to be contracted before a provider can be added to it. Tell us and we will scope that separately.

What We Actually Do

Nine Steps to a Confirmed Effective Date

Every step happens in your own accounts, under your clinic’s own tax ID and NPIs. Nothing is filed under an AdvanceAPractice account, and nothing is locked to us when the project closes.

Prerequisite verification. Before anything is submitted, we confirm the pieces this package depends on: entity in good standing, the exact IRS legal name on the W-9, the Type 2 NPI in NPPES, and — payer by payer — whether the clinic’s existing contract actually permits adding a provider and by what method. If a payer requires a separate contract instead of a roster add, we tell you before you spend anything.
Provider identity. We obtain or verify the individual Type 1 NPI, confirm the taxonomy matches how the provider will actually bill, and correct NPPES so it agrees with the license, the W-9, and what the payer will see.
Credentialing source file. We build the document set payers verify against — license, DEA and state controlled-substance registration where applicable, education and training, work history with gaps explained, malpractice face sheet, board status, references — and put every expiring item on a dated calendar.
CAQH build and audit. We are added to the provider’s CAQH Provider Data Portal profile as a practice manager and enter the practice, location, and business-identifier data. The provider completes and attests their own profile — see the responsibility split below. We then audit it against every payer’s requirements before a single application goes out, and we authorize each payer to access it.
Payer applications and roster adds. For each payer we submit the provider through that payer’s actual required path — roster or affiliation add to your existing group contract, supplemental application, or the payer’s own forms. We track every submission and answer missing-information requests as they come.
Credentialing review and follow-up. We follow each file through verification and committee on a scheduled cadence, escalate stalls through the payer’s published channels, and document every contact. Payers decide; we make sure nothing sits.
Effective date, loading, and directory. Approval is not the finish line. We obtain the written effective date and the payer’s provider ID, confirm the provider is actually loaded under the group’s tax ID, and verify the listing in the payer’s provider directory.
Connectivity for the new provider. We add the provider to your payer portals, configure them as a rendering provider in your EHR and clearinghouse, and confirm the TIN and NPI mapping is right so claims go out under the correct billing and rendering identifiers. Your group’s existing EFT and ERA are verified, not rebuilt.
Go-live and handoff. A payer is not marked ready until credentialing, effective date, loading, directory, portal access, and billing configuration are all documented. You get a closeout binder with every effective date, provider ID, portal, and the recredentialing calendar — and you run it from there.

Where the Work Splits

What We Do, and What Only the Provider Can Do

Some parts of credentialing legally cannot be done by anyone but the provider. We are direct about that up front, because a provider who does not know it is the single most common reason a file sits for months.

AdvanceAPractice

What We Handle

Enter and maintain practice, location, and business-identifier data in the CAQH Provider Data Portal as an authorized practice manager
Audit the CAQH profile against each payer’s requirements before submission, and tell the provider exactly what is missing or expired
Authorize each selected payer to access the profile
Prepare, assemble, and submit the payer applications and roster adds
Answer payer missing-information requests and escalate stalled files
Obtain the written effective date, provider ID, loading confirmation, and directory verification
Track every expiring credential and every re-attestation due date, and tell the provider before it lapses

The Provider

What Only You Can Do

Complete your own CAQH profile. The clinical and personal history in the profile is yours to complete.
Attest to it yourself. Attestation is your legal act. We cannot and will not attest on your behalf — and we will not ask for your password to try. You also re-attest when it comes due, including any re-attestation that falls during the project.
Complete and sign any paper application the payer requires. Some payers still require a wet or personally-signed application from the provider. Where that applies, we prepare it, tell you exactly what to sign, and submit it — but you complete and sign it.
Supply your source documents — license, DEA, malpractice certificate, CV with dates, diplomas, and explanations for any gaps.
Respond when a payer asks you directly. Some payers contact the provider, not the practice manager.

This split is written into the authorization you sign at onboarding, so nobody is surprised by it later. Returning your own items promptly is the single biggest factor you control on timeline.

Pricing, Published on Purpose

Flat Fee. No Monthly Minimum. No Interest If You Split It.

from $3,000 / provider, up to five commercial payers

Credentialing and contracting for up to five commercial payers — including the roster add to the contracts your clinic already holds. Additional commercial payers are a flat $350 each. Medicare or Medicaid enrollment in any state is $500 per payer, available only as an add-on to a commercial package. No setup fees, no software fees, no hidden fees — the published price is the whole price.

Buy Now — from $3,000 Secure checkout. No call required.

Split It If You Want — No Interest, Ever

Pay in full before kickoff, or break it into equal monthly payments at no extra cost. Same total either way.

Pay Faster

Fewer, larger payments

Done in a couple of months.

Spread It Out

Smaller, monthly

Up to four smaller payments. No interest.

We start within 5 business days. Once we have your completed onboarding information and documents, we begin payer work within 5 business days — and we tell you the day we start. The clock starts when your completed information is received. Final scope, price, and payment schedule are confirmed in a signed Order Form before any work begins.

Timeline

How Long It Takes

Commercial payers control their own processing — typically 60–120 days per payer for a first-time provider, and a payer’s clock generally does not start until it accepts a complete application. We cannot promise a payer’s timeline or a retroactive effective date, and no vendor can. What we control is that applications go in complete, nothing sits on our desk, and you always know the real status of each payer.

A provider should not be scheduled as in-network, and claims should not go out as in-network, until that payer confirms an effective date in writing.

What’s Not Included

Where the Line Is

Entity formation, EIN, S-corp election, or tax advice (your CPA or attorney; we coordinate around it)
Obtaining the clinic’s Type 2 organization NPI, or negotiating the group’s contracts and fee schedules
Government payer enrollment — Medicare, Medicaid, OHP/CCO, TRICARE (available as a $500-per-payer add-on)
Professional licensure, DEA, or state controlled-substance applications
Malpractice insurance placement
Hospital privileges, facility credentialing, or accreditation
EHR selection or implementation, and ongoing billing or revenue-cycle management (both separate engagements)

Works With Your Stack

We Build Around the Systems You Already Use

We work with any system or tech stack, we build everything custom around the tools you already run, and you own it when it’s done. On a new-provider credentialing project, that usually means:

CAQH Provider Data PortalNPPESAvailityOffice AllyClaim.MDTriZettoSimplePracticeTherapyNotesTebraAdvancedMDathenahealthIntakeQPracticeQValantICANotes

Get Them Credentialed

No call required. Tell us about the provider and the clinic; Ryan reviews it and replies by email with your Order Form and next steps — usually within one business day. Want to talk it through first? Book a Practice Fit Call instead.

Full Name * Email *

Phone Clinic Name & State

Does the Clinic Already Have Signed Contracts With These Payers? * Preferred Payment *

Tell Us About the Provider

Still Have a Question?

Most answers are on this page. If something’s specific to your provider or your payer mix, ask our AI concierge — it answers instantly, any time.

Ask Our AI a Question

New Provider Credentialing FAQ

Do you complete the CAQH profile for the provider?

We do part of it. We are added to the provider’s CAQH Provider Data Portal profile as a practice manager and we enter and maintain the practice, location, and business-identifier data. The provider completes their own profile and attests to it themselves — attestation is the provider’s legal act and no third party can do it for them. We audit the profile before submission, tell the provider exactly what is missing or expired, authorize each payer to access it, and track every re-attestation due date so it doesn’t lapse mid-project.

Do you fill out paper credentialing applications?

Where a payer still requires a paper or personally-signed application, we prepare it and tell the provider exactly what to sign, and we submit it. The provider is responsible for completing and signing their own paper credentialing applications where a payer requires it. Most commercial payers now work from CAQH and their own portals, so this comes up less than it used to — but it still comes up.

Our clinic isn’t contracted with the payer yet. Does this package cover that?

No. This package adds a provider to contracts the clinic already holds. If the group itself isn’t contracted with a payer, that group contracting has to happen first and is scoped separately. Tell us in the form which payers you already hold and which you don’t, and we’ll tell you what each one actually needs before you commit to anything.

The provider is already credentialed somewhere else. Is this still the right package?

Probably not. If a provider is already credentialed and the work is moving or re-issuing that participation under a different entity or Tax ID, that’s a transition — see Entity & Credentialing Transitions. Those are different processes with different timelines, and quoting them as if they were the same is how projects go sideways. Tell us the situation and we’ll route you to the right one.

How long until the provider can see patients in-network?

Commercial payers typically take 60–120 days per payer for a first-time provider, and the clock generally doesn’t start until the payer accepts a complete application. We can’t promise a payer’s timeline or a retroactive effective date. We do tell you the real status of each payer, and we hold the go-live call until the effective date is confirmed in writing — scheduling a provider as in-network before that is how clinics end up writing off a month of visits.

Does credentialing approval mean we can bill?

Not on its own. Approval, the roster add to your contract, system loading, a written effective date, directory listing, and claims configuration are separate events that happen at different times. We track all of them per payer and only mark a payer ready when every one is documented.

How much is it, and can we split the payments?

It starts at $3,000 per provider for up to five commercial payers. Additional commercial payers are a flat $350 each; Medicare or Medicaid in any state is $500 per payer as an add-on to a commercial package. You can pay in full or split it into equal monthly payments — we never charge interest. Final scope and price are confirmed in a signed Order Form before any work begins.

Adding a Provider to Your Clinic? First-Time Credentialing Starts Here.