Credentialing Fees For Individual Providers and Facilities
For any customized quote feel free to contact our credentialing department
All prices are per insurance and per tax id
Discount will apply for credentialing services requested for more than 8 plans
WCH requires payment of 50% of total invoice to start credentialing services
Processing fees might change, inquire with our team for final quote.
MULTI-SPECIALTY GROUP / PHYSICAL THERAPY GROUP/ PHYSICIAN GROUP
Service
Price
Service
Price
Medicare
$3,560
Adding group member (Medicare)
$540
Change of participation status (Medicare)
$540
Medicaid
$3,560
Adding group member (Medicaid)
$240
Reactivation (Medicare / Medicaid)
$1,260
Reinstatement (Medicare / Medicaid)
$4,060
Change of location (Medicare / Medicaid)
$440
Revalidation (Medicare / Medicaid)
$780
Contract with commercial insurance
$ 2,160
Adding existing group member (commercial network)
$540
Adding new group member to tax id contract
$780
Re-credentialing per plan
$440
Revocation Overturn
$4,060
Contract negotiation
$4,560
Adding / changing service location/pay to address
$240
CLIA certificate
$510
Civil Surgeon certificate
$1,560
DEA certificate
$540
State License
$1,760
Establishing PC,PLLC, INC
$560
CAQH
$240
NPI
$110
Add of CPT codes
$780
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
license per year
CAQH only maintenance
$240
every quarter
every quarter
PHARMACY & LAB, IDTF (Mobile, Stationary, Multi-State)
Service
Price
Service
Price
Medicare enrollment
$15,060
CLIA certificate
$510
Medicaid Enrollment
$15,060
Non Billing Medicaid
$2100
Commercial networks
$2,160 per contract
Civil Surgeon certificate
$1,560
Adding group member
$540
DEA certificate
$540
Revalidation
$780
State License
$4,760
Re-credentialing per plan
$420
Establishing PC, PLLC, INC
$560
Revocation Overturn
$4,060
Hospital Affiliation
$1,560
Contract negotiation
$1,260 - 5,060
NPI
$110
Reinstatement
$4,060
Add of CPT codes
$780
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
license per year
DME
Service
Price
Service
Price
Accreditation
$4,500
Medicare
$3,500
Medicaid
$2,500
Reinstatement
$2,500
Commercial Network
$1,500
Revalidation/Recredentialing
$1,200
Letter of Intent
$560
Establishing Inc, LLC
$560
NPI Enrollment
$150
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
license per year
HOME CARE
Service
Price
Service
Price
HHA Operating License
$35,500
Change Of Ownership
$5,500
DOE: Training School
$55,000
DOH: Training Program
$11,200
MLTC Enrollment
$5,500
HHA Operating Manual
$5,000
NHTD Medicaid Waiver Program
$15,500
TBI Medicaid Waiver Program
$15,500
DOH HHA Training School
$12,600
DOH PCA Training School
$12,600
URGENT CARE FACILITY
Service
Price
Service
Price
National Urgent Care Certification
$1,260
CLIA certificate
$510
Insurance contract Global
$2,100
Insurance contract FFS
$1,200
Re-credentialing per plan
$420
Revocation Overturn
$4,060
Establishing PC,PLLC, INC
$560
Contract negotiation
$1,260 - 5,060
CAQH (Per MD)
$240
Group Medicare
$3,560
Group Medicaid
$3,560
Letter of Intent
$560
Adding group member (Medicare)
$540
UCOA
$3,500
CLIA
$720
INDIVIDUAL PROVIDER (ALL SPECIALTIES)
Service
Price
Service
Price
Medicare contract
$1,200
Medicaid contract
$1,200
Reinstatement (Medicare / Medicaid)
$4,060
Specialty Update
$540
Revalidation
$780
Re-credentialing per plan
$420
Hospital Affiliation
$1,560
CLIA certificate
$510
Civil Surgeon certificate
$1,560
DEA certificate
$540
State License
$1,760
Establishing PC,PLLC, INC
$560
CAQH
$240
NPI
$110
Contract with commercial insurance
$1,260
Contract negotiation
$4,560
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
license per year
`
CAQH only maintenance
$240
every quarter
every quarter
EFT
$180
per vendor
per vendor
