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Pricing

Payer Credentialing

A one-time onboarding fee per provider, a flat fee for each payer you join, then a small monthly fee to keep you in network.

One-time

Provider Onboarding

$499

per provider · one-time

Gets your file ready: documents, CAQH and primary source verification, done once.

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Per payer

Payer Enrollment

$349/payer

per payer · one-time

Gets you in-network: the same price for every payer, commercial, Medicare or Medicaid. No package minimum.

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Ongoing

Maintenance

$50/mo

per provider · 1-year minimum

Keeps you there — starts at go-live, not at signing.

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What's included

Exactly what each fee covers — nothing open-ended.

In the $499 onboarding fee

Provider onboarding and document collection
CAQH profile setup and initial attestation
Primary source verification

In each $349 payer enrollment

Commercial plans, Medicare (PECOS) and state Medicaid, at the same price
The payer's application prepared and submitted
CAQH authorization set for that payer
Follow-up by phone and portal until the payer decides
Effective date confirmed in writing

In your $50/mo subscription

CAQH attestations and demographic updates
Payer roster and demographic changes
Payer expirables tracking
Credentialing document storage
Dedicated credentialing agent
24/7 support

Payer credentialing and privileging are separate subscriptions. Providers who carry both are billed for each.

Add-ons

Priced per unit, so nothing in the monthly fee is open-ended.

Want a full plan first?

Your first call is free. This optional session is for groups and complicated files, and it is credited when you enroll.

Definitions

One term worth knowing.

Go-Live

The date your first payer enrollment becomes effective. Monthly maintenance starts then — not when you sign.

Pricing questions

Are Medicare and Medicaid priced differently?
No. Medicare and each state's Medicaid program are $349 per payer, exactly like a commercial plan, from the first. Onboarding and the monthly fee are the same too.
Is there a minimum number of payers?
No. Each payer is $349, from the first one. Enroll with one plan or twenty; you pay for the ones you choose, plus $499 onboarding per provider.
When does the monthly fee start?
At go-live, the date your first payer enrollment becomes effective, not when you sign. It is $50 per provider per month with a 1-year minimum, and it keeps CAQH, rosters and payer expirables current.
Do I need the Strategy Session?
No. Your first call is a free consultation, and that is all most providers need. The $249 Strategy Session with a senior credentialing specialist is optional, for groups and complicated files that want expert answers before hiring us. It is free for clients: the full $249 is credited toward onboarding when you enroll, and the credit never expires.

Group & facility pricing

Group practices and facilities with multiple providers get custom pricing built around your provider count.

Contact us for a custom quote

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