Pricing
Published fees. A clear scope.
Consulting is priced by the project or the hour. Enrollment is priced per application. Billing is priced from your practice's own numbers, in the agreement.
- Health Revenue Intelligence, LLC
- A business associate agreement before any patient record
- Printed fees
- Status, next action and owner
Summary
How much does revenue cycle consulting cost?
The billing review costs $7,500 for a practice with one to three providers and $12,500 for four to ten. Hourly consulting is $250 an hour. Old unpaid claims recovery is $250 an hour, written estimate first. New-practice billing setup is $1,900 per practice.
For billing support, the proposal defines what counts as a billable claim, the per-claim fee, monthly minimum, term and any early-exit charge. It also names work priced separately. See how billing is scoped and priced.
Summary
How much does credentialing cost?
We price enrollment per application: $450 for the practice with each payer, $350 for each practitioner with each payer, and $300 to set up a CAQH profile, invoiced once at signing. A solo owner filing with four payers pays $2,100. The calculator below totals any practice from the same fees.
The whole card, top to bottom.
| Item | What it covers | Fee |
|---|---|---|
| Consulting | ||
| Billing review, one to three providers | Enrollment, claim totals and billing workflow, ending in written findings, supporting evidence and recommended actions. Implementation is optional and separately priced. | $7,500 |
| Billing review, four to ten providers | The same review, sized for a larger practice. | $12,500 |
| Hourly consulting | Advice and hands-on work that is not a fixed project: payer questions, denials, reports and staff questions. | $250an hour |
| Old unpaid claims recovery | We work the practice's claims more than 90 days old until each payer pays or gives a final answer. | $250an hour, written estimate first |
| New-practice billing setup | Clearinghouse setup, electronic remittance (ERA) and direct deposit (EFT) enrollment with each payer, and the billing workflow written down. | $1,900per practice |
| Service Line Made Billable | One written answer on one new service. | $2,500fixed, one service |
| Enrollment | ||
| Organization application | Enrolls the practice itself with one payer. | $450per payer |
| Practitioner application | Enrolls one provider with one payer.$325 each for 11 to 25 applications in one order; $300 each for 26 or more. The rate applies to all practitioner applications in that order. | $350per provider, per payer |
| CAQH profile setup | The shared profile most commercial payers read. | $300per provider |
| Solo practice | One fee per payer, whatever forms that payer needs. No practitioner fee. | $450per payer, plus $300 CAQH |
| Medicare supplier enrollment (CMS‑855S) for a dental practice | Enrolls a dental practice as a Medicare supplier. The CMS application fee and any required bond premium or other third-party charges are billed at actual cost and confirmed in your proposal. | $1,500per application |
| Credential maintenance | Re-credentialing, CAQH re-attestation, expirables tracking and roster changes with each plan, from the first effective date. | $200per enrolled provider per month, $600 a month minimum |
| Billing | ||
| Billing and revenue cycle | Agreed responsibilities for eligibility, authorizations, claims, payment posting, denials, appeals and the status record. | By agreementset from your own numbers |
Enter your providers and payers. The total uses only the fees above.
Untick the first box when adding a provider to a practice already enrolled. One provider with that box ticked is priced as a solo practice, at $450 per payer.
Enrollment Sprint estimate
Two providers and five payers: $6,350, invoiced once at signing.
- Five organization applications at $450$2,250
- Ten practitioner applications at $350$3,500
- Two CAQH setups at $300$600
The estimate is our fee only.
Three practices, priced from the card
- One provider, four payers
- $2,100, or $525 per payer.
- Two providers, five payers
- $6,350, the calculator's default.
- Five providers, six payers
- $13,200.
How we price enrollment.
We are not the lowest-priced option. We print our fees and stay with each application until the payer answers.
If an application is rejected because of our error, we refile at no new fee. If a payer's panel is closed, we answer in writing with the routes still open.
What every Sprint includes.
Most of the fee covers follow-up after filing: calls, letters and answers to payer requests until each application is approved or denied.
| Included | How it reaches you |
|---|---|
| Each payer chased to an effective date | Followed until the payer answers, and the date goes into the enrollment file the practice keeps |
| A written page per payer | What to bill that payer once the enrollment is live |
| Status and next action | Your work status, one row per application |
| Answers in writing | From the first review onward |
What is not on the rate card.
Billing is priced as a flat fee per claim with a monthly minimum. Both are set in the agreement from your practice's claim mix and fixed in writing before your first claim. The fee is never a percentage of what is billed or collected, and it is owed whether or not a payer pays.
Billing runs for the term in the agreement. Ending it early carries an exit fee, set in the agreement from the monthly minimum and the length of the term. Either way, your claim history and files stay yours.
You know each fee before the work starts.
- Billing review
- A fixed fee, on one invoice at signing: $7,500 for one to three providers, $12,500 for four to ten. The work starts when it is paid.
- Hourly consulting
- $250 an hour, for the hours worked.
- Old unpaid claims recovery
- $250 an hour, on a written estimate first.
- Billing setup
- $1,900, fixed.
- Payer Enrollment Sprint
- Prepaid. One invoice at signing covers every application in the agreed scope.
- Service Line Made Billable
- $2,500, fixed, for one written answer on one service.
- Billing and revenue cycle
- Priced in a written agreement from the practice's own numbers.
Common questions about the fees.
Why does a solo practice pay $450 per payer?
A solo owner pays one $450 fee per payer, even where that payer needs more than one form. With Medicare, a sole owner may enroll on one form, or enroll the practice and reassign payments to it, depending on how the practice is set up; the one fee covers whichever it needs. A group pays $450 per payer plus $350 for each provider.
Can we start with a few payers and add more later?
Yes. Each application is priced on its own from this card, so a payer you add later is one more line.
Does the status record cost extra?
No. It comes with every Sprint and covers every payer in it.
What does the $300 CAQH setup cover?
One provider's profile, built from scratch or repaired, then attested and released to the plans on your list. A provider whose profile is already complete and current does not need it.
Is the fee still owed if a panel turns out to be closed?
Yes. The fee pays for the application and the follow-up, including a written exception request, and a closed panel still gets both.
Are there charges that are not on this card?
Not for consulting or enrollment: every fee for both is on this card. Credential maintenance is offered at $200 per enrolled provider per month, with a $600 monthly minimum, from the first effective date. Billing is the one service priced separately, in its own written agreement.
Send us your payer list and we will price it.
Name your providers and the payers you want.
Include any payer you are unsure of; the review shows whether it needs an application at all.