INSURANCE CREDENTIALING FOR RDS AND CNS
Get in-network. Get reimbursed. Grow your practice.
Credentialing and contracting from a dietitian-owned team that bills these same plans every week.
Choose how much help you want
Commercial plans nationwide. Medicare and Medicaid applications in Florida.
Billing Setup
Practice Better + Claim.MD configured, payers loaded, test claims sent.
DO IT YOURSELF
$500
Credentialing & Billing guides
$18-30 PER GUIDE
Step-by-step PDFs for NPI, CAQH, payer applications and insurance billing.
Group Practice
Multiple providers or locations, credentialed together.
DO IT WITH YOU
Flat-fee quote
À la carte support
$250 per commercial plan
$350 per Medicare or Medicaid application (FL)
Individual payer applications
CAQH updates and reattestation
Stuck or denied applications
New location, provider, NPI or taxonomy
Full-service credentialing
$1,000
NPI 1 and NPI 2 setup or verification
CAQH creation and maintenance
Up to 3 plans, chosen for your market
Contracting and fee-schedule review
Every follow-up until approval
DONE FOR YOU
How it works.
01 Intake
Tell us your licenses, locations and goals.
02 Kick Off
30 minutes to pick the right plans for your market.
03 Applications
We build or clean up NPI and CAQH, then submit.
04 Status Tracker
Your private status link, updated until every plan approves.
05 Ready to Bill
Billing set up so your first claims go through clean.
Common Questions
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Most plans take 1-3 months from beginning to end
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Short answer: No, an LLC is not universally required before credentialing, but requirements vary by payer and state. Many commercial payers require that you enroll as a legal business entity (such as an LLC, S-corp, or sole proprietorship with an EIN) before completing provider credentialing and contracting. Policies differ by insurer, so some commercial plans will accept individual credentialing but others mandate an entity. To avoid delays or re-submissions, forming an LLC or other business entity before applying to commercial payers is commonly recommended.
Medicare and Medicaid: Enrollment rules are state-specific. In your case (Florida only), Medicare and Medicaid applications in Florida can be submitted as an individual provider or as a group/entity depending on the situation. Florida Medicaid and Medicare administrative contractors have distinct paperwork and provider type rules; an LLC is not universally required for credentialing there, but may be needed for billing under a group NPI or for certain contracts.
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Yes for commercial plans, nationwide. Medicare and Medicaid applications are Florida only.
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With "Do it with you." We pick up where you left off.
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Unfortunately, no. I will be upfront with all clients if I see that this process will >95% result in you not getting panelled.
Ready to get in-network?
Start the intake form, or book a free 10-minute call if you're not sure which path fits.