Pricing

These starting points reflect common service scopes. Contact Clarion RCM to discuss the work you need and confirm the service details before work begins.

State licensing

Application, renewal, and multi-state licensing support for the requirements that apply to your providers.

License setup$300–$600Application coordination and document follow-up, plus state-by-state status and deadline tracking.one time per license

Renewal and compliance maintenance$50–$100Renewal deadline and requirement tracking, and ongoing compliance follow-up for active licenses.per license / month

Provider credentialing

Organized provider records, verification support, and payer-specific credentialing follow-through.

Payer application$100–$140Provider information and document coordination, with primary-source and payer follow-up.per application

Managed credentialing, groups of 4–10$125Credentialing records, document coordination, and payer status follow-up.per provider / month

Managed credentialing, groups of 11+$99Credentialing records, document coordination, and payer status follow-up.per provider / month

Re-credentialing50–60%Optional support with deadline tracking and payer documentation follow-up, priced against the initial credentialing cost.of initial cost

Hospital privileging$300–$800Optional privileging application coordination and location-specific status follow-up.per location

Payer enrollment

Medicare, Medicaid, commercial, private, and regional payer enrollment support from forms through follow-up.

Payer application$99–$139Enrollment forms and submission coordination, with effective-date, status, and revalidation follow-up.per application

Managed enrollment$500 + $99A monthly service fee of $500 plus $99 per provider. Includes submission coordination, effective-date follow-up, and status follow-up.monthly + per provider

Annual unlimited enrollment$1,000–$1,500Optional annual support for unlimited payer enrollment, with status and revalidation follow-up.per provider / year

Billing, coding, and denials

Practical support for coding, claims, denials, payment follow-up, and accounts receivable.

Billing and revenue cycle support4%–6%Coding, claim review, submission, payment follow-up, denials management, and accounts-receivable support. $500 monthly minimum.of collections

Limited per-claim billing$4–$7A limited option for defined claim-processing needs: claim submission support and defined billing follow-up.per claim

Prices are starting points. Final scope and price depend on the service requested and are confirmed with you before work begins.

Credentialing calculator

Estimate the cost of payer applications

Payer applications start at $100 to $140 each. Enter your provider and payer counts to see the range. This is an estimate, and the final price is confirmed in your scope.

Number of providers Payers per provider

Applications are counted as providers multiplied by payers.

Estimated one-time application cost$1,500 – $2,100

Managed credentialing, per monthGroups of 4+ providers

Pick your payers and ask for a final quote

Billing calculator

Estimate the fee for billing and revenue cycle support

Billing support is priced at 4% to 6% of collections with a $500 monthly minimum. Enter your monthly collections to see the range. This is an estimate, and the final fee is confirmed in your scope.

Monthly collections ($) Fee rate: 5.0%

The slider covers the 4% to 6% range shown in our pricing.

Estimated monthly fee at selected rate$2,500

Estimated range, 4% to 6%$2,000 – $3,000

Ready to simplify your practice administration?

Tell us the work you need and we will follow up with a scope and next step.

Schedule a meeting Review pricing