Credentialing Fees

Credentialing Fees for Medical Professionals and Group Practice

MEDICARE PRICE MEDICAID PRICE COMMERCIAL PAYORS PRICE OTHERS PRICE
Individual Enrollment or PC $2,500 Individual $1,500 Credentialing $200 per plan Hospital Affiliations $1,500
Facility / Group Enrollment – up to 3 members $3,500 – 5,000 Group with up to 3 members $3,500 Re-Credentialing $100 Per Plan CLIA $450
Add to Group $480 Change of location $360 CAQH only maintenance $180 Every Quarter Civil Surgeon $1,500
Change Participation Status $480 Add Member in Group $180 EFT Set-up $65 Per Plan DEA $480
Direct Deposit New/Update $480 Direct Deposit New / Update $480 ERA Set-up $85 Per Plan State License $1,700
Revalidation $720 Reinstatement $4,000 Demographic Update $100 Per Plan Establishing PC,PLLC, INC $500
Reactivation $1,200 Revalidation $720     NPI $50
Revocation Overturn $4,000 Update Specialty $480        
Change of information $1,200 and up            

Credentialing Fees for Home Health & DME Providers

GOVERNMENT PRICE MANAGED CARE PLANS PRICE COMMERCIAL PLANS
Medicare Enrollment $1,000 Managed Medicare Individual Credentialing & Contracting

*****(Humana, Amerigroup, Cigna Health spring, Molina, Superior, Bravo, Care Improvement Plus etc.)

$250 Per Plan Product Commercial Plans Credentialing & Contracts.

*****(AETNA, BCBS, CIGNA, UNITED HEALTHCARE & More)

$85 Per Product OR $400 bundled rate or
Medicaid Enrollment $700 Managed Medicaid Individual Credentialing & Contracting

*****(Humana, Amerigroup, Cigna Health spring, Molina, Superior, Bravo, Care Improvement Plus etc.)

$250 Per Plan Product Demographic Update $150 Per Plan Product
State Provider Contracts $500 Demographic Update $150 Per Plan Product Direct Deposit New/Update $100
Military/TRICARE Certification & Contracting $350 Direct Deposit New / Update $150    
Direct Deposit New/Update $250        
Change of information $250        

Feel free to contact our credentialing department for any customized quote credentialing@dominionrevenue.com

* All prices are per insurance and per tax id
** Discount will apply for credentialing services requested for more than 3 plans

  • 610 Uptown Blvd Suite 2000
    Cedar Hill, Texas 75104
  • Phone: 1-888-471-9333
    Fax: 214-489-7435
  • Email:
    info@dominionrevenue.com
Call Now!