Medical Billing & Credentialing Pricing
Pricing for Medical Billing, Credentialing & Virtual Support
2.49% of Monthly Collections
Included in Billing Services
- Advance Benefits Verification
- Medical Coding Services
- Charge Creation/Submission
- AR & Denial Management
- Appeal Submissions
- Daily EDI Rejection
- Payment Hunting
- Daily Payment Posting
- Patient Statements Verification
- Medical Record Management
- Dedicated Account Managers
- Transparent Reporting
Exclusive Services
Starting from $99 Per Application/Provider
Included in Credentialing Services
- Quick enrolment for Federal Insurance ( 30-35 days)
- Quick enrolment for Commercial Insurance (70-80 days)
- Group (NPI-2) and Individual (NPI-1) enrolment
- Credentialing & Contracting
- Make you visible on Provider Directories on Insurance Portals
- Contract Negotiations (If Applicable)
- Coverage to all plans under Commercial insurances
- CAQH Maintenance (Setup not included)
- Performance Report
- Identification of Issues
- Comprehensive reviews
- Transparent Reporting
- Customize Recommendations
- Improved RCM
- Patient Scheduling
- Check In Progress
- Patient Authorization
- Patient Communication
- Financial Guidance To Patient
- Comprehensive insurance verification
- Detailed patient benefit analysis
- Elimination of errors in billing
- Timely updates for smooth operations.
- Timely Approved Prior Authorizations
Pricing at a Glance
| Service | How it is priced | Starting price |
|---|---|---|
| Medical billing and RCM | Percentage of monthly collections | From 2.49% |
| Credentialing and payer enrollment | Flat fee per application, per provider | From $99 |
| Front desk support | Per hour, per team member | $4.99/hour |
| Benefits verification and prior authorization | Per patient | $4.50 |
| Medical billing audit | Based on the number of providers | Free |
What affects your billing rate
The 2.49% rate is a starting point. The rate quoted for your practice depends on:
- Specialty and coding complexity. Procedure-heavy specialties take more coding and documentation review than routine office visits.
- Monthly claim volume. The number of claims, providers and locations sets how much work goes into each month.
- Payer mix. Medicare, Medicaid and commercial plans each have their own rules, authorizations and follow-up.
- What is included. Coding, credentialing, patient statements and work on old unpaid claims can be added to or left out of a plan.
- Current AR. A large backlog of aged claims may need a one-time cleanup before regular billing starts.
For an exact rate, request a free billing quote. We review your specialty, volume and payer mix and send a written price.
How Our Pricing Works
We price each service the way practices use it, so you only pay for what you need:
- Medical billing: a percentage of the payments we collect for you, starting from 2.49% of monthly collections. Because we're paid on collections, our work is tied to getting your claims paid.
- Credentialing and enrollment: a flat fee per application, per provider, starting from $99.
- Front desk and verification support: hourly or per patient, so you can scale it with your schedule.
- Billing audit: free, to show where your current billing is losing money before you decide anything.
Not sure which mix fits your practice? Request a free billing quote or see all our billing and RCM services.
Pricing FAQs
How much do medical billing services cost?
Our billing services start from 2.49% of monthly collections. The exact rate depends on your specialty, claim volume and the services you need. Call us for a quote.
What does the billing percentage include?
Medical coding, charge creation and submission, daily EDI rejection work, AR and denial management, appeals, payment posting, patient statement checks, a dedicated account manager and regular reporting.
How much does credentialing cost?
Credentialing and enrollment start from $99 per application, per provider. That covers individual (NPI-1) and group (NPI-2) enrollment, credentialing and contracting, and CAQH maintenance (CAQH setup is not included).
How long does insurance enrollment take?
Our typical timelines are 30 to 35 days for federal programs and 70 to 80 days for commercial insurance. Payer processing times can vary.
Do you charge for a billing audit?
No. The initial medical billing audit is free and covers a review of your claims, the issues we find and our recommendations.
How much do front desk and verification services cost?
Front desk support is $4.99 per hour per team member. Advanced benefits verification and prior authorization is $4.50 per patient.