Clear, upfront pricing designed to fit the needs of providers and practices.
A non-refundable fee of $50.00 per insurance panel submission will be charged. This fee covers the administrative time and effort to submit and follow up on the credentialing application, regardless of the panel’s availability. This fee includes the group and one provider. Each additional provider under the same practice and insurance panel will incur an additional $25 submission fee.
This fee is due once the insurance plan issues a contract offer to the Provider. The fee becomes payable upon receipt of the contract from the plan, regardless of whether the Provider chooses to execute the agreement.
If multiple providers are included under the same practice for a single insurance panel, an additional fee of $175 per additional provider application will apply. This ensures that each provider’s credentialing process is handled thoroughly and individually.
Required by payers every few years to maintain active participation. Covers submission and processing of re-credentialing applications for each insurance panel.
Covers required updates such as address changes, Tax ID modifications, provider additions or terminations. Fee applies per insurance panel that requires the update.
Fee applies when linking a new provider to an already established group contract. Charged per panel updated.
Covers setup and submission of a new organizational NPI (Type 2) for practices or facilities.
Creation and completion of a new CAQH profile to ensure payers can verify credentials for each provider.
Verification with insurance payers to confirm panel availability and provider participation status.
For Traditional Medicare and State Medicaid programs, panel availability does not apply. A flat credentialing fee of $275 per program is charged upfront at signing. This fee covers the complete application, submission, follow-up, and approval process.
Credentialing, contracting, revalidations, provider updates, and compliance made simple.
Fees vary by service; see the pricing section above for details.
Yes. Each provider must complete the credentialing process individually, but they can be linked to the group’s tax ID and contracts.
Processing times vary by payer, but applications typically take 60–120 days from submission to approval.
Yes, once your application is submitted, updates will be provided throughout the process.
Yes. Providers may choose to see patients out-of-network. In these cases, reimbursement depends on the patient’s insurance plan and benefits. Some plans cover out-of-network services at a reduced rate, while others may require patients to pay out-of-pocket.
Insurance companies often require a request to join the network before confirming whether a panel is open or closed. In some cases, an application may be denied due to limited panel availability. Denial does not reflect on provider qualifications. Most payers allow reapplication every 6–12 months, offering another opportunity to join once space becomes available.
No. Credentialing verifies qualifications, while contracting establishes the agreement with the insurance payer so billing can begin.
CAQH is a centralized database used by most insurance companies. Keeping this profile updated ensures faster approvals and fewer delays.
Yes. Credentialing support is available for providers across all specialties.
When changing practices, insurance payers must be notified within 30 days. A demographic update is required to add the new location and ensure provider information remains accurate. This step is necessary to keep contracts active and prevent delays in billing and reimbursement.
If you have further questions, feel free to contact me directly. I’m happy to help and provide any additional information you need to feel confident in your credentialing journey.
To begin, simply reach out through our contact form or live chat. Guidance will be provided through the initial steps along with the information needed to start the credentialing process.