k

Fees

3/4/2015

Credentialing Fees for Medical Professionals and Facilities

MEDICARE: PRICE MEDICAID: PRICE IDTF   DME PRICE
Individual Enrollment or PC $2,500 Individual $1,500 Mobile $15,000 Medicare enrollment (per location) $6,000
Facility/Group Enrollment - up to 3 members $3,500-5,000 Group with up to 3 members $3,500 Stationary $15,000 10-15 Insurance Plans 15% discount of regular price
Add to Group $480 Change of location $360 Multi-State $15,000 and up Insurance Contract $2,100
Change Participation Status $480 Add Member in Group $180 Update $1,200 and up    
Direct Deposit New/Update $480 Direct Deposit New/Update $480 Pharmacy & Lab $15,000 and up    
Revalidation $720 Reinstatement $4,000        
Reactivation $1,200            
Revocation Overturn $4,000 Revalidation $720        
Change of information $1,200 and up Update Specialty $480        

Feel free to contact our credentialing department for any customized quote

olgak@wchsb.com
URGENT CARE ENROLLMENT PRICE: FEE FOR SERVICE ENROLLMENT PRICE:
Urgent Care Certification $1,200 Any Private Insurance $1,200
Urgent Care Insurance Contracts $2,100 Add existing member to tax id contract $480
Additional UC location 15% discount off regular price Add new member to tax id $720
    Contract negotiation $1,200 - 5,000
    Practice Update $480 - 720
OTHER SERVICES PRICES:
Hospital Affiliations $1,500
CLIA $450
Civil Surgeon $1,500
DEA $480
State License $1,700
Establishing PC,PLLC, INC $500
CAQH $180
NPI $50
Annual Re-Credentialing Service $500 per license per year
CAQH only maintenance $180 every quarter
Re-credentialing per plan $360

* 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

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