CREDENTIALING FEES FOR INDIVIDUAL PROVIDERS AND FACILITIES
Select the provider
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
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
CAQH
$240
Contract negotiation
$1,260 - 5,060
NPI
$110
Reinstatement
$4,060
CAQH only maintenance
$240 every quarter
Hospital Affiliation
$1,560
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
Medicare
$6,500 (per location)
Revocation Overturn
$4,060
Medicaid
$3,560
Contract negotiation
$1,260 - 5,060
Reinstatement (Medicare / Medicaid)
$4,060
Establishing PC, PLLC, INC
$560
Commercial networks
$2,160 per contract
CAQH
$240
Revalidation
$780
NPI
$110
Re-credentialing per plan
$440
CAQH only maintenance
$240 every quarter
Letter of Intent
$560
Accreditation
$3,500
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
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
$2,160
Adding group member (Medicare)
$540
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
INDIVIDUAL PROVIDER (ALL SPECIALTIES)
Service
Price
Service
Price
Medicare contract
$2,560
Medicaid contract
$1,560
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
* 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
let’s start
CREDENTIALING QUALITY DEPENDS ON WHAT FIGURE YOU WILL CHOOSE
