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Medical Billing Assistance
Phone: (718)312-8068
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CREDENTIALING FEES FOR INDIVIDUAL PROVIDERS AND FACILITIES

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PHARMACY & LAB, IDTF (Mobile, Stationary, Multi-State)
Service
Price
Service
Price
Medicare enrollment
$15 000
CLIA certificate
$450
Commercial networks
$2100 per contract
Civil Surgeon certificate
$1,500
Adding group member
$480
DEA certificate
$480
Revalidation
$720
State License
$4,700
Re-credentialing per plan
$360
Establishing PC, PLLC, INC
$500
Revocation Overturn
$4,000
CAQH
$180
Contract negotiation
$1,200 - 5,000
NPI
$50
Reinstatement
$4000
CAQH only maintenance
$180 every quarter
Hospital Affiliation
$1,500
Add of CPT codes
$720
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
DME
Service
Price
Service
Price
Medicare
$6000 (per location)
Revocation Overturn
$4,000
Medicaid
$3500
Contract negotiation
$1,200 - 5,000
Reinstatement (Medicare / Medicaid)
$4000
Establishing PC, PLLC, INC
$500
Commercial networks
$2100 per contract
CAQH
$180
Revalidation
$720
NPI
$50
Re-credentialing per plan
$360
CAQH only maintenance
$180 every quarter
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
URGENT CARE FACILITY
Service
Price
Service
Price
National Urgent Care Certification
$1200
CLIA certificate
$450
Insurance Contract
$2100
Adding group member (Medicare)
$480
Re-credentialing per plan
$360
Revocation Overturn
$4,000
Establishing PC,PLLC, INC
$500
Contract negotiation
$1,200 - 5,000
CAQH (Per MD)
$180
Group Medicare
$3500
Group Medicaid
$3500
MULTI-SPECIALTY GROUP / PHYSICAL THERAPY GROUP/ PHYSICIAN GROUP
Service
Price
Service
Price
Medicare
$3500
Adding group member (Medicare)
$480
Change of participation status (Medicare)
$480
Medicaid
$3500
Adding group member (Medicaid)
$180
Reactivation (Medicare / Medicaid)
$1200
Reinstatement (Medicare / Medicaid)
$4000
Change of location (Medicare / Medicaid)
$360
Revalidation (Medicare / Medicaid)
$720
Contract with commercial insurance
$ 2100
Adding existing group member (commercial network)
$480
Adding new group member to tax id contract
$720
Re-credentialing per plan
$360
Revocation Overturn
$4,000
Contract negotiation
$4,500
Adding / changing service location/pay to address
$180
CLIA certificate
$450
Civil Surgeon certificate
$1,500
DEA certificate
$480
State License
$1,700
Establishing PC,PLLC, INC
$500
CAQH
$180
NPI
$50
Add of CPT codes
$720
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
CAQH only maintenance
$180
every quarter
INDIVIDUAL PROVIDER (ALL SPECIALTIES)
Service
Price
Service
Price
Medicare contract
$2500
Medicaid contract
$1500
Reinstatement (Medicare / Medicaid)
$4000
Specialty Update
$480
Revalidation
$720
Re-credentialing per plan
$360
Hospital Affiliation
$1,500
CLIA certificate
$450
Civil Surgeon certificate
$1,500
DEA certificate
$480
State License
$1,700
Establishing PC,PLLC, INC
$500
CAQH
$180
NPI
$50
Contract with commercial insurance
$1200
Contract negotiation
$4,500
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
CAQH only maintenance
$180
every quarter

* 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

For any customized quote feel free to contact our credentialing department olgak@wchsb.com
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CREDENTIALING QUALITY DEPENDS ON WHAT FIGURE YOU WILL CHOOSE

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Need Help
Medical Billing Assistance
Phone: (718)934-6714
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Shabbat Time
Shabbat is the seventh day of the Jewish week and a day of rest in Judaism.