Individual Provider Plan  
$150 - 300/Application
  • Credentialing application preparation and submission to insurance
  • Free access to HRX Credentaling Software to verify credentialing progress and contracted insurances
  • Follow up with insurance network until the credentialing is approved
  • Appeal on Panel Closed Networks and application submission
  • Experienced Credentialing Expert to act as your liaison with the insurance companies
  • Credentialing Maintenance including CAQH attestation and updation of expiring documents till approval
NEW PRACTICE
PLAN
New Practice with 3+ Providers
$3300+
  • Credentialing with 12 major insurances
  • Free access to HRX Credentaling Software to verify credentialing progress and contracted insurances
  • Validation of CAQH profile (setup of CAQH if you don't already have a profile)
  • NPI Registration and Validation (NPPES)
  • Experienced Credentialing Expert to act as your liaison with the insurance companies
  • Additional plans will be charged at $325 per plan if more than 12 plans are needed
  • $1100 per additional provider
  • Credentialing Maintenance including CAQH attestation and updation of expiring documents for 12 months from start
MULTI PROVIDER INCLUSIVE PLAN Multi Provider Practive with 5 - 10 Providers
$750 - 1500/Month
  • Credentialing with 15 major insurances
  • Free access to HRX Credentaling Software to verify credentialing progress and contracted insurances
  • Validation of CAQH profile (setup of CAQH if you don't already have a profile)
  • NPI Registration and Validation (NPPES)
  • Experienced Credentialing Expert to act as your liaison with the insurance companies
  • Additional plans will be charged at $350 - 700 per plan if more than 15 plans are needed
  • $150 per additional provider per month
  • Includes initial credentialing applications, recredentialing applications and demographic updates.
  • Credentialing Maintenance including CAQH attestation and updation of expiring documents
  • Insurance contract negotiation
  • Licensure renewal assistance
  • Minimum Contract Period: 6 months
DME/LABS
PLAN
DME, Radiology, Independent Medical Labs
$200 - 300/Application
  • Credentialing application preparation and submission to insurance
  • Free access to HRX Credentaling Software to verify credentialing progress and contracted insurances
  • Follow up with insurance network until the credentialing approved
  • Appeal on Panel Closed Networks and application submission
  • Experienced credentialing expert to act as your liaison with the insurance companies
  • Enrollment in multiple states for Medicare and Medicaid for Independent Medical Labs
  • Out of state commerncial enrollment for Independent Medical Labs
  • Licensing and Registration assistance to meet out of state enrollment requirements
  • Credentialing Maintenance including CAQH attestation and updation of expiring documents till approval
CREDENTIALING MAINTENANCE PLANOngoing Credentialing Support
$99/Provider Per Month
  • Recredentialing and revalidation for all the contracted payers
  • Free access to HRX Credentaling Software to verify credentialing progress and contracted insurances
  • Ongoing update and monitoring of CAQH Proview
  • Changes to NPPES registry based on provider request
  • Appeal on Panel Closed Networks and application submission
  • Provider directory update for each payer based on insurance requirements
  • Insurance contract renegotiation during recredentialing process
  • Credentialing Maintenance including CAQH attestation and updation of expiring documents