Packages & Pricing

Packages And Prices For Credentialing, Medical Billing And Automation

Most services have published prices. Larger or more complex setups and ongoing partnerships get a written quote first. When a package fits, you buy it online and sign your agreements in the Command Suite. Built for telehealth, in person and hybrid practices. All of our work is done virtually, so we never come on site.

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Start Here

Question 1 of 3

Is your own practice open and seeing patients today?

YesQuestion 2NoFirst Practice Launch

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

Question 2 of 3

Are you adding a provider to insurance contracts your clinic already holds?

YesAdd A ProviderNoInsurance Credentialing

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

Question 3 of 3

Do you need billing too?

YesMedical BillingNoSee The Packages

Compare Packages And Services

Credentialing And Launch

Credentialing

Insurance Credentialing

From $1,200 for two payers

Your situation sets the final price. A provider joining your clinic is $1,550 for two payers, and a group practice under its own Tax ID is $2,000.

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

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

  • DataSpring/CAQH reviewed with you, with missing or conflicting information flagged before submission.
  • We answer payer requests 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.
  • We set up electronic funds transfer (EFT) and electronic remittance advice (ERA), or walk you through enrollment with each payer.
Typical Timing
60 to 120 days per commercial payer. The payer sets that clock. Medicare and Medicaid timing is set by each program.
Everything Included

Read more about Individual Provider, New Provider, Group Credentialing And Contracting and Government Enrollment, or Insurance Credentialing in full. Changing the Tax ID on a practice you already run gets a written quote, and facility enrollment gets a written scope and price first.

  • Copies of submitted applications and a closeout package with a recredentialing calendar.
Where It Stops
You attest your DataSpring/CAQH profile and sign the applications, and your practice already has its EHR or practice management system. Business and EHR setup are not part of it.
Build My Credentialing Price

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Launch

First Practice Launch

$1,500 a month for four months

Or $6,000 total, paid in full. Five payers included. Add more at checkout.

The only package that builds your practice with you, from your insurance contracts, EHR and schedule to your medical billing and coding, all set up and tested during your 90 day Launch period.

For a licensed provider opening a first practice, including while employed or working through Headway, Alma, Grow or Rula.

  • We check your business and NPI details, then submit five commercial payers and follow them through your 90 day Launch period, then optional Ongoing Credentialing. Approved payers are checked for system loading and directory accuracy.
  • We compare EHRs against your goals and budget, then set up the one you pick or walk you through each screen.
  • 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.
Typical Timing
Both payment options use the same 90 day work and handoff schedule. Every stage opens right away.
Everything Included
  • We check your NPPES and taxonomy details, then set up payer portals, EFT and ERA for you or with you.
  • We set up patient payments and your portal, or walk you through it, and teach benefits checks and reporting.
  • You also get every payer’s status in writing, and the reports you know how to run.
Where It Stops
It covers one provider. You make the legal and tax choices with your advisers, submit your own EIN and NPI applications, attest your DataSpring/CAQH profile and sign payer documents. Running your claims each month is Ongoing Billing, and payers decide approval and timing.
Buy First Practice Launch

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“I’ve been credentialed with a couple of group practices, and your process has been the most straightforward with the lowest-friction thus far.”

Trisha Parshall, PMHNPPrivate Practice Owner

Credentialing

Ongoing Credentialing

We keep each provider current with the plans they’re in.

For providers whose applications are done. It’s month to month, with monthly autopay.

From $80 per provider a month

Complete is $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. Essentials is $80 per provider a month, flat.

  • We review your CAQH/DataSpring profile and remind you before each attestation is due, and the provider attests.
  • We also track license, DEA and malpractice dates, run monthly exclusion checks, and update rosters and locations.
  • You get a baseline review of every provider with every plan in the first 30 days, then the upkeep each month.
  • Complete is for practices that want recredentialing and revalidations included.
Everything Included

More about Ongoing Credentialing.

  • Essentials is for practices that want routine upkeep and prefer to pay for recredentialing when it comes due, at $200 per provider per plan in addition to the monthly fee.
Where It Stops
You sign anything only you can sign. New payer applications are Insurance Credentialing.
Get A Written Quote

Medical Billing

Medical Billing

Ongoing Billing

We manage the work between sending a claim and getting it paid, inside the EHR you already use.

We check coding and modifiers, correct rejections, work denials and appeals, and follow unpaid claims through to the payer’s response. Commercial, Medicare and Medicaid claims are all included.

7% of collections with a $300 monthly minimum for a solo provider

No setup fee. The first month's minimum is charged at sign up and credited to your first monthly invoice.

  • 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.
Everything Included

More about Ongoing Billing.

  • Unpaid claims followed up with each payer, plus a written report each month.
Where It Stops
You keep an EHR or practice management system with billing enabled and give us access, and your practice prints and mails patient statements. Claims older than 90 days are Billing Cleanup And A/R Recovery, and credentialing, eligibility checks and prior authorizations are separate unless written in.
Start Medical Billing Online

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Medical Billing

Billing Cleanup And A/R Recovery

We work the unpaid claims older than 90 days that your Order Form identifies.

For claims that Ongoing Billing does not cover.

20% of what we collect

Nothing owed on claims we do not collect. Quoted in writing, with no online checkout.

  • You get a documented outcome and status for each identified claim.
Everything Included

More about Billing Cleanup And A/R Recovery.

Where It Stops
You agree in writing which claims are part of the recovery, and payers decide what pays.
Request A Written Quote

Operations And Automation

Operations

Operations Partnership

From $3,500 a month

Scope and price in writing before anything starts. Six month minimum, then 30 days’ written notice to end.

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.

  • We map how your practice runs today, from scheduling and the EHR to medical billing and credentialing, and agree in writing who owns each piece.
  • We rebuild the workflows that keep breaking and set up the forms, simple trackers and checklists your team uses every day.
  • We help you choose, set up or change your EHR and the tools around it to fit how you bill and report, doing the setup for you or walking your team through it.
  • Your staff trained on each new workflow, with one named owner for every medical billing, credentialing and payer follow up task.
Everything Included
  • We plan growth with you, from new providers and specialties to moving from solo to group and group contracts with your payers.
  • We report progress, and you also get the small requests included in your Order Form.
Where It Stops
You agree the scope in writing, grant the access the work needs and keep the decisions that belong to the owner. We review the scope with you at 60 days, and new requests are sized within two business days. Builds are priced separately unless your Order Form includes them, and a standing meeting is included only when your Order Form lists one.
See Operations Partnership

Automation

Automation Program

$1,250 a month for four months

Or $5,000 total for one workflow, paid in full. You own what we build.

We build it in the tools you already use, and you own it.

For one workflow your team keeps dropping, like referrals or authorizations.

  • 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.
Everything Included

Several connected workflows, or a specialty program such as Spravato, TMS or ketamine, from room scheduling to REMS tracking and reporting, are priced in writing before we start, with monthly payments available. Request a written scope.

More about Automation Program.

  • A test copy reviewed with your staff, a walkthrough before release, and 30 days of fixes after it goes live.
  • Builds such as a scheduler that sends its own reminders, an onboarding pipeline nobody retypes, an authorization tracker or a billing dashboard from your EHR, inside the tools you already pay for.
  • 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.
  • You get written instructions for daily use.
  • After the 30 days of fixes, optional Automation Care is the after go-live part of the Automation Program. It covers support and up to two small changes a month to the automations on your Order Form, each under an hour, with no rollover. Self-healing, included in every build, fixes anything that breaks. It’s priced in writing by the automations it covers, and anything bigger is quoted as a new build.
Where It Stops
You agree the acceptance tests before the build, provide access through a supported connection and have your staff review the test copy.
Buy Now

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Command Suite

Software

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.

  • Track claims, denials, aging A/R and payer enrollments.
  • Keep task owners, next steps and messages together.
  • It is your workspace for documents, messages, tasks and the status of the work we do with you.
  • It is read only for 30 days after your work with us ends, then yours to keep as a monthly subscription if you want it.
Everything Included

More about Command Suite.

Where It Stops
You use it alongside the EHR you already have. It isn’t a medical billing service or a clearinghouse.
See The Command Suite
Written Scope
Not sure which one fits? Request a written scope before any work starts.

Prices At A Glance

Every published price on one screen, checked on November 8, 2026 against our live price list. The totals update again at checkout before you pay.

Published prices for every package
PackagePriceWhat It Covers
Insurance Credentialing, Individual Provider$1,200 for two payers$500 setup plus $350 per payer, or $2,250 for five payers. One clinician in their own name, two payer minimum.
Insurance Credentialing, New Provider$1,550 for two payers$750 setup per provider plus $400 per payer, or $2,750 for five payers. A provider joining contracts your clinic already holds.
Group Credentialing And Contracting$2,000 for two payers$1,000 setup per provider plus $500 per payer, or $3,500 for five payers. New contracts under a group’s own Tax ID, for an established practice.
Government Enrollment$450 eachMedicare or Medicaid plans. Two plan minimum when ordered on its own.
Ongoing CredentialingFrom $80 per provider a monthComplete is $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. Essentials is $80 flat. Quoted in writing.
First Practice Launch$1,500 a month for four months, or $6,000 totalFive commercial payers included, with EHR, scheduling and medical billing setup. Same 90 day Launch period on both options.
Ongoing Billing7% of collections with a $300 monthly minimum for a solo provider, down to 4.5%The rate drops as provider count grows. No setup fee. Commercial, Medicare and Medicaid claims included.
Billing Cleanup And A/R Recovery20% of what we collectClaims older than 90 days. Nothing owed on what we don’t collect. Quoted in writing.
Automation Program$1,250 a month for four months, or $5,000 per workflowOne workflow built in your own systems, with 30 days of fixes after it goes live.
Operations PartnershipFrom $3,500 a monthScope and price agreed in writing before work starts.
Command Suite$99 per practice per monthUp to 10 users, month to month. Software only, not an EHR. Included with every package while you’re a client.

How Credentialing Pricing Works

More Providers, Lower 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.
For Example
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.
What Payers Decide
Payers decide approval, network openings, 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.

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

How We Work With You

Here is what happens after you choose a package.

  • You get the full price before you pay.
  • Right after you pay, we send a link to sign your agreements in the Command Suite, and your onboarding packet follows.
  • You upload your documents once, and we start within three business days after your onboarding information, documents and access are complete.
  • Track every piece in the Command Suite.
  • Meet with us when it helps, up to twice a month. Everything we set up stays in accounts you own.

Ongoing Billing is the exception. Agreements arrive within two business days of confirmed payment, and work starts on the date in your signed Order Form.

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

Payers decide participation, effective dates, processing time and reimbursement. Your package page and checkout explain what is included, what you provide and what we do if we don’t deliver the documented scope. Read how the complete working process runs.

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.
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.
FAQ

Questions About Prices And Payment

Do You Come To Our Office?

No. We work inside your EHR, your payer portals and the Command Suite, so there is nothing for us to do 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.

Can I Pay Monthly?

Yes. Monthly plans are available at the same total as paying in full, with no interest or fees, and you see the exact schedule before you pay. 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, and the rate table above shows the percentage and monthly minimum for every practice size.

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, and the credentialing price builder adds up exactly the payers you pick and shows the total before checkout.

Not Sure Which Package Fits?

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

Ask Practice ConciergeBook A 20 Minute Fit Call

Prefer to talk it through? Call (503) 837-6993. Nora, our AI assistant, answers.