Rush service available — $75 per application — 5-day turnaround

Service Type	New Fee per Application	Description
Commercial Payer Credentialing	$200	Submit all required documentation, complete follow-up until approval, and set up EFT/ERA.
Medicare Credentialing	$350	Complete PECOS enrollment, link group and individual NPIs, handle MAC-specific requirements.
Medicaid Credentialing	$800	Manage complex state-specific enrollment, portal setup, documentation, and compliance. Includes applications for 5 MCOs. (Subtract $100 for any MCO opted out of)
Recredentialing/Information Updates per payer	$100 (no extra charge if opted in to ongoing maintenance support)	Handle payer revalidations, EFT changes, demographic updates, W9 updates, etc. (address, phone, name changes, etc.).
Group Contract Setup	$350 (includes up to 3 providers)	Set up group contracts with payers, including credentialing for up to 3 individual providers. Additional providers: $100 each.

Ongoing Credentialing Maintenance

Service	Description
CAQH Re-attestations and Updates	We maintain and update your CAQH profile to ensure it remains active and compliant. Providers are expected to review their CAQH profiles periodically and inform us of any changes.
EFT/ERA Enrollments	We enroll you with electronic funds transfer and electronic remittance advice or update information as needed.
Group Roster Changes	We add or remove providers from group contracts and notify payers accordingly.
License and Insurance Renewals	We update your payer files with renewed licenses and malpractice insurance automatically.
Recredentialing Support	We handle payer recredentialing notices, forms, and updates to maintain active status.
Required Portal Updates	We complete the required portal updates as applicable for your contracted payers. (e.g. CareFirst, Optum, Availity, etc.)
Rate Increase Follow Up	Once you submit a rate increase request, we will follow up with the payer until it is processed. We help with getting started with the process if needed.

Credentialing Fees