Why we print our prices and what the number buys.

Why enrollment can be printed to the dollar.

A quote is fair when the size of the work cannot be seen from outside. Billing is like that. Its cost depends on claim volume, the payer mix and how much of the work stays in your office.

Enrollment has a different shape. Each payer takes a separate application for each provider, and the practice itself often needs one too.^A Once the units are known, the price is arithmetic.

Ours reads like this. $450 for each organization application, $350 for each practitioner application, and $300 to set up a provider's CAQH profile.^B A solo practice pays one fee per payer, at $450, however many forms that payer asks for. Two providers with five payers comes to $6,350, and the calculator on our pricing page will show you the same figure line by line.

What a printed number lets an owner do.

It lets you budget before you spend an hour on the phone. It also lets you hold two vendors side by side.

Read the unit before the figure. A fee per provider and a fee per provider per payer can differ several times over once a practice needs five or six payers. Ours is per application, and every line of the calculator on our pricing page names its unit.

What the fee does not buy.

A payer decides whether its panel is open and when it approves an application. Commercial plans take months to answer, Medicare tends to be quicker, and each state runs Medicaid at its own pace.^A

The fee pays for the part we control. Each application is filed, then followed until that payer sets an effective date or answers in writing. Your work status shows where every one stands. The Sprint is prepaid, on one invoice at signing, so the number you saw on the page is the number you are billed.

How billing is priced.

Our billing service covers the whole revenue cycle. We price it as a flat fee per claim with a monthly minimum, both set in the agreement from your practice's claim mix and fixed in writing before your first claim.

Questions worth asking any vendor.

Is the fee per provider, per payer, or per application? Does it cover following each application to an effective date, or only filing it? When is it invoiced? What happens to the fee if a payer's panel turns out to be closed? A vendor who answers all four in writing, before a sales call, is one you can compare.