New Payer
Credentialing
TRANSIENT
$250***
Per Provider/Per Application
- Medicare
- Medicaid
- Medicaid CMO
- Blue Cross Blue Shield
- Humana
- United Healthcare
- Aetna
- Cigna
***Minimum of two payer applications required
***All credentialing fees need to be paid upfront
New Payer
Credentialing & Yearly
Credentialing Maintenance
VIP
$250***
Per Provider/Per Application
$45***
Monthly Credentialing Maintenance
- Provider demographic data attestation with insurances
- Provider termination
- Billing and mailing address update
- Contact information update
- Change of service location address
- Additional service location address update
- Commercial payers re-credentialing
- CAQH re-attestation
- Monitoring CAQH for expirable documents
- CAQH update and re-attestation
- Medicaid CMO re-credentialing
- Medicaid re-credentialing
- Medicare re-credentialing
- Hospital reappointment appication
- Calling and re-followup
***All credentialing fees need to be paid upfront
New Payer
Credentialing & Yearly
Credentialing Maintenance & Medical Billing
PREMIER
4.5% or $1000***
Which ever is greater for Medical Billing
$125***
new payer credentialing application
- Charges posting
- Payment posting
- Claim submission
- Denial management
- AR follow-up
- Patient statement
- Answering patient incoming call regarding billing questions
- The services mentioned for new payer credentialing and yearly credential maintenance are included
*** 50% discount ($125/payer/provider) one-year medical billing agreement required.
*** Medical billing service starts at 4.5% of the collection or $1,000 per month, whichever is greater.