How Much Does Physician Credentialing Cost?
The cost of physician credentialing varies based on the number of providers, the number of payers, the complexity of the market, and whether the practice is new or established.
Factors That Affect Cost
- Number of providers being credentialed
- Number of payers and plans
- New practice vs. established group
- State and market complexity
- Whether CAQH and Medicare/Medicaid enrollment are included
Ongoing Maintenance Costs
Maintenance agreements after initial credentialing typically run $45–$60 per provider per month and cover recredentialing, revalidations, and CAQH attestations.
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PPS offers packages for every organization size and scope. Contact us for a custom quote.