What it costs
What Billing and Credentialing Cost
Billing is 4-8% of what we collect for you. Where you land depends on how much work you hand us: basic billing is 4%, and prior authorizations, more providers or more work move it up. Credentialing is $150 per application, per provider, with volume pricing on larger orders. You can leave with 60 days' notice.
Rate card
Billing Services
Billing4-8%of monthly collectionsAdvance Benefits Verification
Medical Coding Services
Charge Creation/Submission
AR & Denial Management
Appeal Submissions
Rejected claims reviewed and resubmitted
Payment follow-up on unpaid claims
Payment Posting
Patient Statements Verification
Medical Record Management
Dedicated Account Managers
Transparent Reporting
Credentialing & Enrollment Services
Credentialing$150per application, per providerVolume pricing on larger ordersMedicare, Medicaid and commercial payer enrollment (typically 60-90 days)
Group (NPI-2) and Individual (NPI-1) enrollment
Credentialing & Contracting
Provider directory listings kept current on payer portals
Contract Negotiations (If Applicable)
Coverage to all plans under Commercial insurances
CAQH profile setup and upkeep, at no extra cost
Performance Report
What the 4-8% Actually Buys
The percentage pays for claims work. Most of what it buys never shows up on an invoice.
On the invoice
Claims coded, filed and posted
Denials worked until they are fixed or appealed
Unpaid claims followed up before filing deadlines pass
Off the invoice
Hours you no longer spend on claims, evenings included
No hold queues with insurers, no learning each payer's rules
A named contact who knows your practice
A portal where you can watch every claim move
The fee pays for the work. The bigger return is the time and worry you stop spending on it.
Priced per unit
Front Desk Services
Per hour, per team member
$35
Patient Scheduling
Patient check-in management
Patient Authorization
Patient Communication
Financial Guidance To Patient
Adv. Benefits & Prior Auth
Per patient
$4.50
Insurance verification
Detailed patient benefit analysis
Updates to your front desk as authorizations move
Prior authorizations requested and tracked
How the Price Works
The range is public
Billing is 4-8% of what we collect for you. This page says what moves a practice up or down that range, so nothing about the price is a surprise.
Paid from collections
The fee is a share of money that actually came in. If a claim is not paid, there is no fee on it.
60 days to leave
There is no long-term contract. Give us 60 days' notice. In those 60 days we work your open claims, hand over your records and help your next billing company get started.
Your client portal, included
Your EHR shows what you billed. Your portal shows what we are doing about it.
Your EHR or practice management system runs your practice, but it does not show you our work. The Medtransic HIPAA Compliant Portal does: every claim and its current stage, the denials we are working, your A/R by age, each payer application and its in-network date, and the documents we still need from you. It is the same record our team works from, and it comes with every client account.
- Did that claim get paid?
- Every claim with its stage and amount, the denials we're working, and your receivables by age.
- Where is my application with Aetna?
- Each payer application shows its stage, its history, and the date you can start seeing that payer's patients.
- What do you still need from me?
- One list of the documents we're waiting on. Upload once, and it reaches every payer that asked for it.
What Billing Would Cost Your Practice
Enter what your practice collects from insurance and patients in a typical month. The fee is a share of that, so it is never more than 8% of money that actually came in.
Or pick one
Your exact rate is set after a free consultation, once we know what you want us to take on.
Frequently Asked Questions
What's included in the billing percentage?
Our billing service includes everything from claim submission to payment posting, denial management, patient statements, and dedicated account management.
How long does credentialing take?
In our experience it usually takes 60 to 90 days with each payer. Credentialing is $150 per application, per provider.
Do you offer volume pricing?
Yes, for credentialing. One application is $150, and larger orders get volume pricing, whether that is one provider joining many payers or a group enrolling several clinicians. Tell us how many providers and payers and we'll send you a quote.
What moves my rate between 4% and 8%?
How much work you hand us. Basic billing is 4%, and prior authorizations, more providers or more work move the rate up. We set your exact rate after a free consultation.
How do I leave if it is not working?
Give us 60 days' notice. During those 60 days we work your open claims, offboard your practice and help your next billing company get started, so your cash flow is not interrupted.
Ready to Get Started?
Book a free consultation. We learn what your practice needs, tell you what we would take on, and give you your exact rate inside the 4-8% range. If you already bill insurance, we can also review a sample of your claims for free.