Packages & Pricing

Packages And Prices For Credentialing, Medical Billing And Automation

Every price is published here, with what’s included and what happens after you pay. Built for telehealth, in person and hybrid practices. All of our work is done virtually, so we never come on site.

Start Here

Question 1 of 3

Is your own practice open and seeing patients today?

Still employed and opening your own practice, or leaving Headway, Alma, Grow or Rula? Start here.

Question 2 of 3

Do you already have insurance contracts?

Group practice with its own Tax ID? Start with contracts in your practice’s name.

Question 3 of 3

Do you need billing too?

Compare Packages And Services

Every package runs the same way. You pay, then sign your agreements and complete onboarding in the Command Suite. You always know where every step stands, in writing.

Credentialing And Launch

Credentialing

Insurance Credentialing

$2,000 for two payers for a group practice

One clinician in their own name: $1,200 for two payers.

We prepare, submit and follow up on your application with each insurance company you choose until it sends its decision in writing.

Everything Included

For one clinician in your own name, your group under its own Tax ID, or a provider joining contracts your clinic already holds.

Not open yet, or still employed and starting your own practice? First Practice Launch sets up your payers, EHR, scheduling and medical billing together.

  • Applications prepared for your situation: your own individual contracts, new practice contracts, or a provider joining contracts your clinic already holds.
  • DataSpring/CAQH reviewed with you, with missing or conflicting information flagged before submission.
  • Payer requests answered and follow up at least every 10 business days until a written decision.
  • For approved payers, effective dates and provider loading confirmed, with directory listings and portal access completed.
  • Electronic funds transfer (EFT) and electronic remittance advice (ERA) set up, or step by step guidance if you prefer.
  • Copies of submitted applications and a closeout package with a recredentialing calendar.
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Launch

First Practice Launch

$6,000

Five payers included. Add more at checkout. Pay in full, or $1,500 a month for four months.

Everything Included

For a licensed provider opening a first practice, including while employed or working through a platform.

  • Five commercial payers, each followed through to a written decision. Approved payers are checked for system loading and directory accuracy.
  • Help choosing an EHR around your goals and budget, then setup or tailored guidance in the system you own.
  • Visit types and scheduling built around your preferences, with CPT codes, modifiers and place of service tested from appointment through claim.
  • Insurance billed charges and self pay fees set up with you. Contracted payer rates loaded where supported, or supplied for you to load.
  • Guidance on business records, payer portals, electronic payment and remittance enrollment, plus tools to verify patient benefits.
  • Patient payment and portal setup, or guidance if you prefer, with accurate financial reporting and help running it yourself.
Buy First Practice Launch

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Medical Billing

Medical Billing

Ongoing Billing

7% of collections

$300 monthly minimum per provider for a solo practice. For 26 to 50 providers: 4.5% with a $175 monthly minimum per provider. No setup fee.

Everything Included

Medical and behavioral health billing, with your rate based on practice size.

  • Every claim reviewed for coding and modifiers before submission, with rejections corrected and resubmitted.
  • Denials investigated, corrected or appealed. When a contract loading issue affects several claims, we work the cause with the payer.
  • Payer and patient payments and adjustments posted, with balances reconciled.
  • Payments checked against your contracted fee schedules so underpayments can be caught and corrected.
  • Unpaid claims followed up with each payer, plus a written report each month.
Start Medical Billing Online

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Operations And Automation

Operations

Operations Partnership

From $3,500 a month

Scope and price in writing before anything starts.

Everything Included

For an owner holding medical billing, credentialing, scheduling and the EHR together alone. We keep it all moving inside your systems, so it stops depending on you.

  • A review of your systems, workflows and priorities through onboarding, with responsibilities agreed in writing.
  • Billing, credentialing and day to day follow through coordinated within your scope, so unresolved work has an owner.
  • Advice on EHR choices and changes, shaped around your billing, reports, integrations and team.
  • Gaps in workflows and staff training identified, with practical improvements planned around the way your practice works.
  • Growth planned with you: new providers and specialties, moving from solo to group, and group contracts with your payers.
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Automation

Automation Program

$5,000 per workflow

You own what we build. Pay in full, or $1,250 a month for four months.

Everything Included

One workflow automated in your own systems.

  • One workflow mapped with your team, with three to five acceptance tests agreed before the build.
  • The tracker or app your team works from, plus reminders, alerts, handoffs, reports and one dashboard.
  • Connections through APIs, approved connectors or secure exports, using the labels and steps your team already knows.
  • A Help And Requests feature so staff can flag issues and suggest improvements from their work screen.
  • A test copy reviewed with your staff, a walkthrough before release, and 30 days of fixes after it goes live.
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Command Suite

Software

Command Suite

$99 a month per practice

Included with every package while you’re a client. On its own, it covers one practice and up to 10 users, month to month.

Everything Included

Software only. Not an EHR.

  • Billing and credentialing status
  • Staff tasks and client updates
See The Command Suite
In Every Package
Your own Command Suite workspace, most questions answered within one business day, up to two meetings a month if you need them, and everything we set up stays yours.
Written Scope
Not sure which one fits? Request a written scope before any work starts.

Find Your Situation

Anything you buy online shows the full total before checkout.

Your SituationPackageTypical Timing
Changing your practice's Tax ID with payers you already participate with Tax ID Change 60 to 120 days per commercial payer. The payer sets that clock.
Adding a provider to a contract your clinic already holds with that payer Insurance Credentialing (New Provider)
A group practice getting contracts under its own Tax ID Insurance Credentialing (Direct Payer Contracting)
One therapist, counselor or psych NP with the business and EHR already set up, getting contracts in their own name Insurance Credentialing (Individual Provider)
Medicare or Medicaid Government Enrollment Add-On Set by each program.
Opening your first practice, including while you’re on a platform First Practice Launch Both payment options use the same 90 day work and handoff schedule. Every stage opens right away.
Ongoing medical billing Ongoing Billing Sign up online.
Unpaid claims older than 90 days Billing Cleanup And A/R Recovery Ongoing Billing excludes unpaid claims older than 90 days. Your Order Form identifies the separate recovery claims. Nothing owed on claims we do not collect.
One workflow you want automated Automation Program 30 days of fixes after go-live.
The whole business side, run with you Operations Partnership Scope and price agreed in writing before work starts.

How Credentialing Pricing Works

Your complete price includes provider setup and every payer application you select. Start with two commercial payers, then add more at the same per payer price.

Credentialing prices by package
PackageTotal For Two PayersTotal For Five PayersSetup IncludedEach Payer
Individual Provider$1,200$2,250$500$350
New Provider (per provider)$1,550$2,750$750$400
Direct Payer (per provider)$2,000$3,500$1,000$500
  • $1,550 total for one provider and two commercial payers. Includes $750 mandatory setup and $800 for two payer applications. Additional payers are $400 each. Two payer minimum. Your clinic already has the contracts, and you are adding a provider.
  • $2,000 total for one provider and two commercial payers. Includes $1,000 mandatory setup and $1,000 for two payer applications. Additional payers are $500 each. Two payer minimum. For an established practice that needs contracts under its own business identity.
  • $1,200 total for one provider and two commercial payers. Includes $500 mandatory setup and $700 for two payer applications. Additional payers are $350 each. Two payer minimum. Includes provider onboarding, application preparation and follow up with both insurance companies.
  • Payers: two payer minimum, added one at a time up to 10 per provider. Every payer costs the same price.
  • Medicare or Medicaid: $450 per enrollment, per provider, for each program in each state, with no setup fee. Two enrollment minimum when ordered alone.

You see every line before checkout.

The setup fee covers your onboarding packet, a DataSpring/CAQH review with guidance on what to update, document review, your provider file build and the Command Suite tracker.

The more providers, the lower the price: 2 to 4 providers save 10%, 5 to 9 save 15% and 10 to 50 save 20%. The discount comes off the whole subtotal automatically.

Say two providers are joining five contracts your clinic already holds. Two setup fees at $750 and ten payer applications at $400 each come to $5,500, and the 10% group discount takes it to $4,950.

Payers decide approval, panel availability, processing time and effective dates. You complete and attest your own CAQH or DataSpring profile and sign the payer applications, and we prepare everything around them.

Ongoing Credentialing

After your applications are done, we keep every provider current with the plans they’re in. Both plans cover CAQH re‑attestations, license, DEA and malpractice tracking, monthly exclusion checks, and roster and location updates, and both start with a baseline review in your first 30 days. It’s month to month, with monthly autopay.

Complete

$100 per provider a month for up to 3 plans, plus $15 a month for each added plan, with 20% off at 10 or more providers.

For practices that want recredentialing and revalidations included. Up to three plans are included for each provider; each additional plan adds $15 per provider a month.

Essentials

$80 per provider a month, flat.

For practices that want routine upkeep and prefer to pay for recredentialing when it comes due. Recredentialing costs $200 per provider per plan, in addition to the monthly fee.

Get A Written Quote

Built Around Your Practice.
The package sets the work and the price. Inside that, we fit the review, the setup, the instructions and the hands-on work to your systems, your staff and how your day runs.
Refunds.
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.

Medical Billing Priced By The Size Of Your Practice

Rate By Practice Size

Practice SizeRateMinimum Per Provider
1 provider7%$300
2 to 5 providers6.5%$275
6 to 10 providers6%$250
11 to 25 providers5%$200
26 to 50 providers4.5%$175
  • Practices with more than 50 providers can ask us for a written quote.
  • Prices checked October 2026.

Start Medical Billing Online

Custom Software And Automation Your Practice Owns

We build the system your team works from, inside the tools you already pay for: a scheduler that sends its own reminders, an onboarding pipeline nobody retypes, an authorization tracker or a billing dashboard from your EHR. When we're done, it's yours.

One Workflow, From Start To Finish

The tracker or app your team works from, the automations behind it (reminders, alerts, handoffs and reports), one dashboard, a walkthrough for your staff, and 30 days of fixes after it goes live.

Start An Automation Program

Bigger Builds And Specialty Programs

Priced in writing before we start

Several connected workflows, or a specialty program such as Spravato, TMS or ketamine, from room scheduling to REMS tracking and reporting. You see the scope and price first, with monthly payments available.

Request A Written Scope

After the 30 days of fixes, optional Automation Care is the after go-live part of the Automation Program. It watches the automations on your Order Form, fixes anything that breaks and makes up to two small changes a month, each under an hour, with no rollover. It’s priced in writing by the automations it covers, and anything bigger is quoted as a new build.

We connect through documented APIs, approved connectors, webhooks, secure file exchange or scheduled report exports, and we agree on the method with you in writing before we build. Clinical decisions and signatures stay with your people.

Need A Transition Or A Bigger Build?

Leaving a platform, a group or an employer to open your own practice? That’s First Practice Launch, with payer contracts in your own name. Changing the Tax ID on a practice you already run gets a written quote. Facility enrollment and bigger automation builds get a written scope and price first.

Every Deliverable Has Its Own Line

What You See

The deliverables checklist in the Command Suite listing each deliverable under its stage with a status and counts such as 2 of 5 submitted.
Every deliverable in your agreement gets its own line, so you can see what is in progress and what has not started yet.

Questions About Prices And Payment

FAQ

Do You Come To Our Office?

Our packages are built for telehealth, in person and hybrid practices. All of our work is done virtually, inside your EHR, your payer portals and the Command Suite, so we never come on site.

Are These The Real Prices?

Yes. Every price on this page is the full price for the work described, and anything you buy online shows the itemized total before checkout. Bigger jobs get a written scope and a price before anything starts.

Can I Pay Monthly?

Yes. Monthly plans are available, at the same total as paying in full, with no interest or fees. You see the exact schedule before you pay. An Automation Program is $1,250 a month for four months, and First Practice Launch is $1,500 a month for four months. Ongoing Billing is already monthly, a share of what we collect.

Is There A Setup Fee For Medical Billing?

No. Ongoing Billing has no setup fee. You pay a share of what we collect, from 7% of collections for a solo provider down to 4.5% at 26 to 50 providers, with a $300 monthly minimum for a solo provider.

What If I Only Need Two Payers?

Start with two, which is the minimum. Credentialing is a one time setup fee per provider plus one price per payer. Setup is $500 plus $350 per payer for one clinician in your own name, $750 plus $400 for a provider joining contracts your clinic already holds and $1,000 plus $500 for a practice that needs contracts under its own Tax ID, and Medicare or Medicaid enrollment is $450 each with no setup fee. The credentialing price builder adds up exactly the payers you pick and shows the total before checkout.

Know What Is Included And Who Will Do The Work

Check what is included, how we work with you, and what happens after payment.

How We Work With You

You work directly with the person running your file, through written updates and messages in the Command Suite. Credentialing needs no kickoff meeting. We reply within one business day, usually the same day.

Credentialing Pricing

Commercial rates apply per selected commercial payer, per provider. Group discounts apply automatically at checkout, and the builder shows every line before you pay.

What Happens After Payment

Payment reserves the engagement and opens agreements and guided onboarding. We begin work within three business days after we receive your completed onboarding information, documents and access. Payment alone does not start the work clock.

See the complete working process

Ongoing Billing And Your Existing EHR

Ongoing Billing covers claim scrubbing and submission, rejection and denial follow-up, payment posting and adjustments, A/R follow-up, reconciliation and reporting. Eligibility, benefits verification and prior authorization need their own written scope. You don’t have to replace your EHR.

Fit, Boundaries, And Correction Policy

Payers decide participation, effective dates, processing time and reimbursement, and nobody outside the payer controls those. The selected package page and checkout explain the included work, buyer responsibilities, limits, and the process if AdvanceAPractice does not deliver its documented scope.

Not Sure Which Package Fits?

Practice Concierge can explain the options and point you to the right checkout.