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Pricing

Straightforward pricing for credentialing, billing, and coding support.

Pricing is designed to keep billing, coding, and credentialing understandable. You should be able to see what a service costs, what it includes, and where the boundaries are before you talk to anyone.

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Claims Processing

3.9%

of net collections

Full-service claims handling from submission through denial management, appeals, and A/R follow-up.

Includes

  • Claim submission
  • Claim scrubbing
  • Payment posting
  • Rejection correction
  • Denial management
  • Standard appeals
  • Insurance A/R follow-up
  • Prior authorization requirement and benefit checks
  • Prior authorization submission and supporting-document tracking
  • Authorization status follow-up and escalation with the payer
  • Authorization number, effective date, approved unit, and renewal tracking
  • Monthly performance reporting
  • No setup fees.
  • Prior authorization support is included at this rate. It is not an added monthly fee.
  • The practice supplies complete clinical documentation and responds to payer requests. Payer decisions and turnaround times are not guaranteed.
  • The practice or provider supplies the CPT, HCPCS, ICD-10-CM, and modifier selections. Claim scrubbing is not full chart coding.
Recommended

Claims Processing + Coding

5.1%

of net collections

Everything in Claims Processing, plus pre-bill coding review and practical provider education.

Includes

  • Everything in Claims Processing, including prior authorization support
  • Pre-bill chart and coding review
  • CPT, HCPCS, ICD-10-CM, and modifier review or assignment when supported
  • Documentation feedback
  • Provider queries when clarification is needed
  • Practical provider coding education
  • No setup fees.
  • Prior authorization support is included at this rate. It is not an added monthly fee.
  • Coding opportunities can be missed when documentation and code selection are disconnected.
  • Codes must always be supported by the record and by payer rules. No upcoding, and no reimbursement outcome is guaranteed.

Credentialing

$100

per provider, per payer application

Application work handled end to end, with documented payer follow-up and confirmed effective dates.

Includes

  • Application preparation
  • Application submission
  • Corrections
  • Documented payer follow-up
  • Status updates
  • Confirmation of payer effective date
  • Startup Bundle: 10 payer applications for $950.
  • No monthly maintenance fees.
  • One application means one provider submitted to one payer. Additional applications beyond a 10-application bundle are $100 each.
  • Payer approval and timelines are controlled by the payer and are not guaranteed.

Plain English

What “net collections” means.

Net collections means the payments actually received from insurers and patients for claims managed by NP Revenue Partners, less refunds and reversals. It is not total charges billed.

  • Counted: insurer payments and patient payments received on claims we manage.
  • Subtracted: refunds and payment reversals.
  • Not counted: total charges billed, contractual adjustments, or write-offs.

Tier comparison

Understanding the 1.2% difference.

Claims Processing is 3.9% of net collections and works from the codes your practice selects. Claims Processing + Coding is 5.1% and adds pre-bill chart and code review, documentation feedback, provider queries, pattern review, and provider education. The difference between the two tiers is 1.2% of net collections.

What the added 1.2% pays for

  • Chart and code review before the claim goes out, so documentation and code selection are checked together rather than after a denial.
  • Corrections and queries explained in clinician-friendly language, not payer shorthand.
  • Recurring issues turned into short, practical education for the providers who keep running into them.

Codes must always be supported by the record and by payer rules. No reimbursement outcome is guaranteed.

Added service cost at a glance

Monthly difference between the 3.9% and 5.1% tiers by net collections
Monthly net collectionsMonthly difference (1.2%)
$10,000$120
$25,000$300
$40,000$480
$50,000$600
$100,000$1,200

This table shows the added service cost only. It does not estimate recovered reimbursement or predict any financial result.

FAQ

Pricing questions, answered.

Next step

Talk through the right scope for your practice.

A free 20-minute consultation covers billing, coding, documentation, credentialing, prior authorization, and revenue cycle questions—then we quote the scope that actually fits.

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