Credentialing Service Pricing

Flat Per-Provider Pricing — No Hourly Billing, No Surprise Invoices

Credentialing pricing in this industry is deliberately confusing: hourly rates that balloon with every deficiency, per-application fees that punish multi-payer enrollment, and "setup fees" that appear at signature. ProEnrollment charges one flat fee per provider that covers everything: CAQH setup and maintenance, every payer application, every follow-up call, every deficiency response, and re-credentialing tracking. The price we quote is the price you pay — the most transparent pricing model in credentialing.

What the Flat Fee Includes

Complete CAQH ProView build or audit with ongoing 90-day attestation management. Simultaneous applications to your full payer list — commercial plans, Medicare PECOS (855I/855B/855R), state Medicaid and MCOs, and behavioral health MBHOs where applicable. Weekly documented payer follow-up. Deficiency responses within 24 hours at no additional charge — this matters, because per-deficiency billing elsewhere creates a perverse incentive to submit weak applications. Written effective-date confirmation and payer ID delivery to your billing team.

Three Pricing Tiers

• Per-Payer Enrollment ($150–$400/application) — best for new providers joining specific networks
• Monthly Retainer ($300–$700/provider/month, most popular) — unlimited applications, re-credentialing, dedicated specialist
• New Practice Setup (flat fee) — entity NPI, CAQH, Medicare PECOS, Medicaid, and 5 commercial payers in one package

Services Included at No Extra Charge

Unlike many competitors that bill separately for add-ons, our Monthly Retainer plan includes: CAQH ProView setup and attestation, Medicare PECOS enrollment, Medicaid enrollment, EFT/ERA banking setup, NPPES/NPI registration, Availity portal enrollment, re-credentialing management, license and expirable monitoring, demographic update processing, and application follow-up.

Volume Pricing for MSOs and RCM Companies

Management Services Organizations and RCM companies credentialing providers across multiple downstream clients don't pay per-payer fees that multiply across every client roster. Volume pricing on the Monthly Retainer plan, a dedicated account specialist, and centralized status reporting are built for organizations managing credentialing at scale. Discuss volume pricing.

Our Turnaround Commitment

Once we receive complete documentation, initial applications are submitted within 2–3 business days. We follow up with every payer weekly and respond to deficiency requests within 24 hours. We do not guarantee payer approval timelines — those are set by the payer — but no application sits idle on our end.

How the Math Works Out

For a solo practice, managed credentialing runs $3,600–$8,400 per year depending on payer count and state complexity — against $90,000–$145,000 for an in-house specialist, or $8,000–$24,000 in freelancer fees for comparable scope without continuity guarantees. Faster timelines compound the savings: our 40% speed advantage typically recovers $15,000–$45,000 in revenue that slower credentialing would have delayed. Run your own numbers: free cost calculator | in-house comparison | freelancer comparison | get an exact quote.

Getting an Exact Quote

Quotes are scoped in one free consultation: provider count, license types, states, and payer targets produce a fixed annual figure with no variables left open. Multi-provider groups receive volume pricing; multi-state telehealth builds are quoted per state-provider combination. Every quote is written, itemized, and valid for 30 days. Request your quote — most are delivered within one business day.