How many payers do you need to credential with? Each payer includes CAQH setup (if needed), application, EFT/ERA enrollment, and tracking to confirmation.
Commercial Payers
Aetna, BCBS, UHC, Cigna, etc. — $200 each
Medicare
PECOS enrollment + PTAN — $250
Medicaid
State enrollment (+ MCO enrollment if applicable) — $250
Bundle discount applied: 5+ payers get a 10% discount on credentialing. You're saving $0.
EFT and ERA enrollment is included with each credentialing payer above — no additional charge.
Group credentialing pricing is based on the number of providers and payers. All providers are enrolled under your group entity.
Number of Providers
Each provider enrolled under group TIN
Commercial Payers
Aetna, BCBS, UHC, Cigna, etc. — $350/payer × providers
Medicare
PECOS enrollment for all providers — $450 flat
Medicaid
State enrollment for all providers — $450 flat
Group rates: commercial payers $350 × number of providers · Medicare $450 flat · Medicaid $450 flat. Includes group NPI setup, provider roster linking, and EFT/ERA for all providers.
Note on payer thresholds
Some payers — including UHC — require a minimum number of providers before credentialing under a group entity. Payers that do not meet that threshold will be processed as individual credentialing at $200/payer. After checkout, we will review your payer list and provider count and adjust your invoice accordingly if any payers need to be handled individually. You will never be charged more than quoted without prior notice.
I don't need credentialing right now
Skip this step — just need EMR setup, billing, or a strategy session.
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