| Provider Enrollment Specialists, LLC | |||||
| Premium Package | |||||
| *Up to 20 insurances/payors | |||||
| $2000.00 1 provider | |||||
| $1,500.00 | 2-4 providers (per provider) | ||||
| $1,100.00 | 5-9 providers (per provider) | ||||
| $750.00 | 10+ (per provider) | ||||
| *Includes Provider Enrollment/Credentialing | |||||
| with up to 20 insurances/payors in defined market. | |||||
| Additional insurances/contracts are $200.00 each. | |||||
| Client has 9 months from start of project to add | |||||
| additional insurances. | |||||
| Starter Package | |||||
| *Includes up to 5 insurances/payors | |||||
| $1,000.00 | per provider | ||||
| *Additional plans may be added at a cost of $325.00 | |||||
| each. Starter Package can include any combination of | |||||
| government and commercial payors (including Medicare and | |||||
| Medicaid). | Client has 9 months from start of project to add additional | ||||
| insurances. | |||||
| Government Only Package | |||||
| Government packages are for State Medicaid and Federal Medicare only. | |||||
| This does not include CMOs/MCOs/HMOs/Advantage Plans. | |||||
| $750.00 1 application | |||||
| $500.00 2 or more applications (each) | |||||
| Monthly Maintenance Package | |||||
| Level | Providers | Base Cost | w/ Hospital Credentialing | ||
| 1 | 1-4 | $125.00 | $175.00 | ||
| 2 | 5-9 | $100.00 | $150.00 | ||
| 3 | 10+ | $75.00 | $100.00 | ||
| Address changes, malpractice reminders, CAQH re-attestation and maintenance, | |||||
| general liability expiration reminders, NPI Maintenance, medicare revalidation, | |||||
| health plan credentialing/re-credentialing, hospital privileging/reappointments | |||||
| DEA/DPS/CDS new/expiration reminders, health plan terminations | |||||
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