Fees

Medical Billing & Collection Fees

PHYSICIAN (INDIVIDUAL OR GROUP PRACTICE) PRICE Home Health & Hospice PRICE DME PRICE
Medicaid 5% of Payments Medicare 2% of Payments Medicare 5% of Payments
Medicaid 5% of Payments Commercial Payors 4% of Payments Medicaid 5% of Payments
Commercial Payors 5% of Payments Medicare & Commercial 2% of Payments Commercial Payors 5% of Payments
Please note that the table below is the services we provided within each type of specialty. Please make it look nice and pretty. The table at the top is the actual pricing.
PHYSICIAN(INDIVIDUAL OR GROUP PRACTICE)   Home Health & Hospice DME PRICE
Coding Review check Claims Transmission check Claims Transmission check
Claims Transmission Claims Follow up Claims Follow up
Claims Follow up check Transmission Reports check Transmission Reports check
Payment Posting check Patient Eligibility check Patient Eligibility check
Accounts Receivable check Payment Posting check Payment Posting check
Denial Management check Collection & Recovery check Collection & Recovery check
Patient Financial Statement check Remittance Advise check Remittance Advise check
Appeals check Appeals & Denial Management check Appeals & Denial Management check
EFT & ERA Maintenance check Authorizations check Authorizations check
        Patient Financial Statements check

Credentialing Fees for Medical Professionals and Group Practice

MEDICARE PRICE MEDICAID PRICE PAYORS PRICE OTHERS PRICE
Individual Enrollment or PC $2,500 Individual $1,500 Credentialing Per Plan $200 Per License Hospital Affiliations $1,500
Facility / Group Enrollment up to 3 members $3,500 – 5,000 Group Enrollment up to 3 members $3,500 Re-Credentialing Per Plan $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 & Contracts(Humana, Amerigroup, Cigna Healthspring, 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 & Contracts ( Humana, Amerigroup, Cigna Healthspring, 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
*** DRS requires payment of 50% of total invoice to start credentialing services

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