Packages & Pricing

Packages And Prices For Credentialing, Medical Billing And Automation

Credentialing and billing prices are published here, with what’s included and what happens after you pay. Anything bigger than a published package gets a written scope and a number before you commit to anything. Psychiatry, PMHNP, therapy, physiatry, outpatient rehab or dental, we’ve worked in each, and the business side runs the same way.

Build My Credentialing Price

Secure checkout by Pay by card or US bank account.HIPAA compliant, with a signed BAA.

See Medical Billing Prices

Compare Packages And Services

Every package runs the same way. You pay, then sign your agreements and complete onboarding in the Command Suite. Work starts within three business days after onboarding is complete. You always know where every step stands, in writing.

Automated Where It Should Be, A Person Where It Matters

The moment you pay, your receipt goes out automatically, and on a monthly plan your payment schedule and autopay are set too.
Within two business days, we review your order and invite you to the AdvanceAPractice Command Suite to sign your Order Form and agreement.
People handle the judgment calls: your scope, payer strategy, the applications, countersigning and denials.

Ongoing Billing

Behavioral health billing, priced by practice size.

7% of collections

$300 monthly minimum for a solo provider, down to 4.5% as you add providers.

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Claims, denials and payment posting
A/R follow-up and a monthly report
No setup fee
Claims older than 90 days worked for 20% of what we collect

Credentialing

Payer Transition, New Provider, Direct Contracting, Individual Provider.

From $2,250 for five payers, per provider

Monthly plans available, no interest or fees.

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Itemized total before you pay
Every application followed to a written decision
Group discounts from 10% for 2 to 4 providers

First Practice Launch

For a newly licensed provider opening a first practice.

$6,000 total, or $1,500 a month for four months

No interest or fees. Autopay ends after payment four.

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Payer enrollment, EHR, scheduling and billing set up
Staged over six months on the monthly plan, or a 90-day build paid in full
Business setup guidance before you open

Automation Programs

One workflow automated in your own systems.

From $5,000 for one workflow

Or $1,250 a month for four months, no interest or fees. Bigger builds are priced in writing first.

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The tracker or app your team works from
One dashboard and a staff walkthrough
30 days of fixes after it goes live

Operations Partnership

The whole business side, run with your team.

From $3,500 a month

Scope and price in writing before anything starts.

See Operations Partnership

Billing, credentialing and day-to-day operations
Inside your systems, under your Tax ID

Command Suite

Software only. Not an EHR.

$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.

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Billing and credentialing status
Staff tasks and client updates

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 Situation	Package	Typical Timing	Next Step
Moving contracts you already have to a new practice or Tax ID	Payer Transition	60 to 120 days per commercial payer. The payer sets that clock.	See Payer Transition
Adding a provider to contracts your clinic already holds	New Provider Credentialing	60 to 120 days per commercial payer. The payer sets that clock.	See New Provider Credentialing
Getting contracts of your own, often after Headway, Alma or another platform	Direct Payer Contracting	60 to 120 days per commercial payer. The payer sets that clock.	See Direct Payer Contracting
A therapist, counselor or psych NP joining panels	Individual Provider Credentialing	60 to 120 days per commercial payer. The payer sets that clock.	See Individual Provider Credentialing
Medicare or Medicaid	Government Enrollment	Set by each program.	See Government Enrollment
Opening your first practice, including while you’re on a platform	First Practice Launch	Staged over six months on the monthly plan, or a 90-day build paid in full.	See First Practice Launch
Ongoing billing	Ongoing Billing	Sign up online.	See Medical Billing Prices
Unpaid claims older than 90 days	Billing Cleanup And A/R Recovery	Nothing owed on claims we don’t collect.	Get A Written A/R Estimate
One workflow you want automated	Automation Programs	30 days of fixes after go-live.	See Automation Programs
The whole business side, run with you	Operations Partnership	Scoped on a 20-minute call.	Book A 20-Minute Fit Call

Credentialing totals depend on your providers and payers, so the builder shows yours before checkout.

Build My Price

Build Your Credentialing Price

Choose the work and how many insurance companies each provider needs. See your total before you pay. Provider and payer details come next, in secure onboarding.

Which Situation Fits Your Practice? * How Many Providers? * Insurance Companies For Each Provider *

Add Medicare Or Medicaid Enrollment (Optional)

Medicare And Medicaid Enrollments

Count each program in each state separately, for every provider selected above. Leave this at 0 if you do not need government enrollment. Program and state names come after payment.

Government Enrollments For Each Provider

Review your price, then continue to checkout.

How Credentialing Pricing Works

You pay per payer, per provider. The rate depends on what already exists.

$450 per payer: the provider already participates, and you’re moving those contracts to a new practice or Tax ID.
$550 per payer: your clinic already has the contracts, and you’re adding a provider.
$700 per payer: your practice needs contracts of its own.
Solo therapist: $450 per payer for your first five.
More than five payers: payers six through nine are $350 each, or $1,500 for six through ten.
Medicare or Medicaid: $450 per enrollment, per provider, for each program in each state.

Five commercial payers come to $2,250, $2,750 or $3,500 per provider. You see every line before checkout.

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.

Say two providers are joining five contracts your clinic already holds. Ten payer applications at $550 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, and nobody can promise those. You complete and attest your own CAQH or DataSpring profile and sign the payer applications. We prepare everything around them. If you want us to maintain your profile, you share access securely and change the password when we’re done.

Why Every Price Is On The Page. You should know the cost before you commit. You see the price, what’s included and what isn’t before you pay.

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.

Paying Monthly And Refunds. Monthly plans are available, at the same total as paying in full, with no interest or fees. 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

Your rate drops as you grow: 7% of collections for a solo provider with a $300 monthly minimum, down to 4.5% at 26 to 50 providers. There's no setup fee.

Rate By Practice Size

Practice Size	Rate	Minimum Per Provider
1 provider	7%	$300
2 to 5 providers	6.5%	$275
6 to 10 providers	6%	$250
11 to 25 providers	5%	$200
26 to 50 providers	4.5%	$175

Each month you get a written report on what was billed, collected and denied, and what we did about it.
Practices with more than 50 providers can ask us for a written quote.

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Custom Software And Automation Your Practice Owns

We build the system your team works from, inside the tools you already pay for. Think of a scheduler that sends its own reminders, a referral and onboarding pipeline nobody has to retype, an authorization tracker that flags what's about to expire, or a billing dashboard pulled straight 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.

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Bigger Builds And Specialty Programs

Priced in writing before we start

Several connected workflows, or a specialty program such as Spravato, TMS or ketamine: scheduling by room and observation time, authorization and REMS tracking, reminders and reporting. You see the scope and the price first, and monthly payments are available.

Book A 20-Minute Fit Call

After go-live, Automation Care keeps it running for you: monitoring, fixes and small changes as your practice changes. That covers the automations listed on your Order Form: we watch them, fix anything that breaks and make up to two small changes a month, each under an hour, with no rollover. 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.

Scoped Work

Need A Transition Or A Bigger Build?

Leaving a group or a platform? Direct Payer Contracting puts payer contracts in your own name. Outpatient facility enrollment and automation builds bigger than one workflow get a written scope and a price after a short call. You see the number before anything starts.

See Direct Payer Contracting Book A 20-Minute Fit Call

FAQ

Questions About Prices And Payment

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, with the same total as paying in full. 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 One Payer?

Start with one. Credentialing is priced per payer, per provider. A payer is $450 under Payer Transition or Individual Provider Credentialing, $550 under New Provider Credentialing and $700 under Direct Payer Contracting, and Medicare or Medicaid enrollment is $450 each. 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.

Ask Practice Concierge