Simple, Transparent Pricing
Below are our starting ranges for billing, credentialing, consulting, and front desk support. Where you land depends on your volume, specialty, and payer mix — we confirm the exact number together on a complimentary call.
All prices on this page are estimates and starting ranges only. Final pricing is based on a complimentary discovery call and the specific needs of your practice.
Three simple ways to pay
Because every organization has different volumes, specialties, and operational demands, we offer several structures that ensure fairness, stability, and scalability.
Flat Monthly Fee
A fixed monthly fee for the contracted scope of services, regardless of collections volume. Optional add-on services (credentialing, audits, cleanup projects, etc.) are priced separately. Ideal for practices with predictable volume and consistent workflows.
Percentage + Minimum (Most Common)
A guaranteed minimum base fee plus a percentage of monthly collections. You pay the minimum every month, then add the agreed percentage on top of your FFS and capitated revenue. Capitated revenue is typically billed at 1%. Minimums do not roll over or credit forward. Ideal for practices with variable FFS volume or high capitation.
Example: $1,000 minimum + 5% of FFS collections + 1% of capitated revenue.
Percentage Only
A percentage of monthly collections with no minimum. Available only when collections volume is consistently high enough to support the workload of full revenue cycle management.
Why this model works
- Scales with your growth
- Protects your practice during low-volume months
- Ensures predictable budgeting
- Reflects the true workload of managing both FFS and capitated revenue
- Full transparency with no hidden fees
Estimate Your Monthly Billing Fee
This is the ceiling for your monthly minimum. The actual minimum depends on your workload and is finalized on our complimentary call — it may be lower than shown.
The final percentage depends on your collections volume and the rate we agree upon together.
- Monthly minimum$900
- FFS: $12,000 × 5%$600
- Capitation: $85,000 × 1%$850
This is a ballpark estimate using sample rates. Your exact percentage, minimum, or flat fee is tailored to your practice size, specialty, and volume — we confirm it together on a complimentary call.
Billing, Denials & Revenue Cycle Management
- Onboarding, payer setup, and workflow design
- Claim creation, scrubbing, and submission
- Denials, appeals, and A/R follow-up
- Payment posting and reconciliation
- Monthly reporting and a regular call with our team
- HIPAA-compliant workflows and access controls
| Practice Size | Flat Monthly | Or % of Collections | One-Time Onboarding |
|---|---|---|---|
| Startup / New Practice | $850 – $2,500 / mo | 7 – 9% of collections | $750 – $1,500 |
| Solo Provider | $850 – $1,600 / mo | 5 – 6% of collections | $750 |
| Small Practice (2–5 providers) | $1,250 – $2,000 per provider / mo | 5 – 7% of collections | $1,500 – $3,500 |
| Medium Practice (6–20 providers) | $900 – $1,600 per provider / mo | 4 – 6% of collections | $5,000 – $8,000 |
| Large Practice (20+ providers) | $20,000 – $60,000 / mo | 3 – 5% of collections | $10,000 – $25,000 |
| Capitation / Managed Care Revenue | — | Typically 1% of capitated collections | — |
Larger practices often prefer a tiered percentage that steps down as volume grows — we walk through that on the call.
Note: You choose either the flat monthly fee or a percentage-based model — not both. Percentage + Minimum adds a guaranteed monthly minimum on top of the agreed percentage. Percentage Only has no minimum and is available only when your volume is consistently high enough to support full RCM workload.
Advice, Audits & Oversight — Without the Day-to-Day Billing
For practices that keep billing in-house but want expert eyes on performance: billing audits, KPI reviews, denial root-cause work, SOPs, and staff coaching.
Consulting is priced individually. What you pay depends on the size of your practice and exactly what you want included — a one-time audit, a monthly review, or ongoing advisory support. We'll scope it together on a complimentary call and send you a written quote.
Credentialing and Payer Enrollment Pricing
| Service | Price | Includes |
|---|---|---|
| Credentialing (per provider) | $500 / provider | Up to 3 payer enrollments, license and sanction verification, CAQH support, and status updates until the payer decides. |
| Each Additional Payer | $350 / payer | One more enrollment or revalidation for the same provider. |
| Ongoing Maintenance (Solo) | $125 – $175 / mo | We track expirations, attestations, and directory accuracy so nothing lapses. |
| New Payer Contracting & Enrollment* | $2,500 – $3,500 | Full contracting, fee-schedule review, and onboarding for one new payer relationship. |
| Complex Engagements — Discovery Call Required | Custom quote | Group and multi-provider enrollments, bulk or multi-state enrollments, facility enrollments, new payer contracting and rate negotiation, new lines of business, name or ownership changes, and rush timelines. |
Anything more complicated starts with a complimentary 30-minute discovery call. You get a written quote, scope, and timeline within 2 business days.
* Group practices may be higher depending on practice type and size, because each provider must be added to the contract. We confirm the exact fee after reviewing your roster and payer requirements.
Remote Practice Support
Part-Time Coverage
$800 – $1,400 / mo
Up to 20 hours a week
Full Business Hours
$1,500 – $2,800 / mo
Standard weekday coverage
Overflow / As Needed
Ask for details
Flexible hours — please ask for more information
Includes scheduling, intake coordination, insurance verification support, patient communication, and reminder calls.
Patient Billing Phone Support
$1,500 per month — includes up to 250 patient calls handled by trained billing representatives. Need more than 250 calls? Please ask for more information.
Standard Terms
- Collections means all payments received (insurance and patient), minus refunds.
- Minimum term is 3–6 months for new clients.
- An onboarding fee applies unless we waive it in writing.
- Anything outside the agreed scope is quoted separately.
- Every range here is a starting point — we confirm your exact price on the call.
Pricing FAQ
How do I know which pricing model is right for my practice?
It depends on your collections volume, payer mix, and how predictable your monthly revenue is. Flat fee works well for steady, predictable practices. Percentage + Minimum is the most common because it protects you in slow months while staying fair in busy months. Percentage Only is available when your volume is consistently high enough to support the workload.
What is included in the monthly fee?
Full RCM includes claim creation and scrubbing, submission, payment posting, denial and appeal management, A/R follow-up, monthly reporting, and a regular check-in with our team. Credentialing, consulting, cleanup projects, and add-ons like patient billing phone support are priced separately based on scope.
Are there any hidden fees?
No. We quote your monthly fee, onboarding fee, and any add-ons in writing before work begins. Anything outside the agreed scope is discussed and approved first.
Why is there an onboarding fee?
Onboarding covers the work required to safely transition your billing — payer setup, workflow mapping, system access, historical A/R review, and staff training. It is a one-time cost, and we occasionally waive it for qualifying engagements.
How does the Percentage + Minimum model work?
This is our most popular option because it balances stability and fairness. Each month you pay a guaranteed minimum base fee that covers the fixed administrative work, denial follow-up, and A/R management we do no matter how many claims go out. On top of that, you pay the agreed percentage of your FFS and capitated collections. That percentage piece keeps the fee aligned with your actual revenue, which is especially helpful for practices whose volume isn't large or consistent enough for Percentage Only, or whose workload doesn't fit a simple flat monthly model. The minimum is always charged, the percentage is added on top, and minimums do not roll over or credit forward.
Can I change pricing models later?
Yes. After the initial term, we can review your volume and adjust the structure if your practice has changed. Any change is documented in a written amendment.
What if my practice is new and has no collections history?
Startup and new practices usually start on a flat monthly fee while volume stabilizes. Once we have a few months of collection data, we can revisit a percentage-based model.
How is credentialing priced?
Standard per-provider credentialing is $500 for up to three payer enrollments (not part of a group — please ask for more information). Additional payers are $350 each. New payer contracting and enrollment is $2,500–$3,500 for a single payer relationship and may be higher for group practices depending on size and provider roster. Complex work — group enrollments, multi-state applications, facility enrollments, contracting, and ownership changes — requires a custom quote after a complimentary discovery call.
Do you charge extra for patient billing calls?
Patient billing phone support is an optional add-on at $1,500 per month, which includes up to 250 calls. If you expect a higher call volume, let us know and we will quote accordingly.
How do I get an exact quote?
Book a complimentary call. We will review your volume, specialty, payer mix, and current pain points, then send a written proposal with your exact monthly fee, onboarding cost, and any add-ons within 2 business days.
Disclaimer: Every figure on this page is an estimate. Your final price is determined after a complimentary discovery call where we review your practice size, payer mix, specialty, and exact scope of work.
Ready to Get Started?
- Book a complimentary 30-minute call.
- We review your volume, payer mix, and gaps, then send a tailored proposal within 2 business days.
- Sign the agreement and we begin implementation.
