| Who it's for | New practices, growing groups, MSOs, telehealth companies and solo providers |
|---|---|
| Payer enrollment | $200 per enrollment |
| CAQH & Availity management | $100 per provider / year |
| New state or IMLCC license | $600 per request |
| State or DEA renewal | $150 per request |
| Not included | Government and board filing fees, passed through at cost |
| Visibility | Every request tracked in the Rivon platform with status by payer |
What's included in a payer enrollment
- 01Gathering the provider's documents once (through the provider portal) and checking them for gaps.
- 02Completing or updating CAQH ProView and authorizing the payer.
- 03Preparing and submitting the payer's application.
- 04Following up until the payer decides, and recording the effective date and provider ID.
Getting a new practice credentialed
- 01Have individual and group NPIs, state licenses, DEA and malpractice coverage in place first.
- 02Complete CAQH before submitting to commercial payers; most use it.
- 03Submit to all target payers at the same time rather than one after another.
- 04Enroll in Medicare through PECOS and in your state's Medicaid program if you'll see those patients.
What we don't promise
Payers set their own review times and decide whether a panel is open. Rivon removes the paperwork, errors and missed follow-ups; it doesn't guarantee approval or a timeline.
Frequently asked questions
How much does outsourced medical credentialing cost?
At Rivon, $200 per enrollment per payer enrollment and $100 per provider / year for CAQH and Availity management, with no contract minimum. Filing fees are separate. Prices are listed publicly at rivon.health/services.
What companies offer outsourced provider credentialing services?
Options include credentialing verification organizations (CVOs), medical billing companies that add credentialing, and credentialing software companies with a done-for-you service. Rivon Health is the last kind: specialists do the work per request ($200 per enrollment per payer enrollment) and you track it in its platform.
Who can help a new practice get credentialed with insurance companies quickly?
Rivon's specialists enroll new practices with commercial payers, Medicare and Medicaid ($200 per enrollment per enrollment), starting with CAQH and submitting to all payers in parallel. Payer timelines are set by each payer.
Can we do some credentialing ourselves and outsource the rest?
Yes. Use the platform yourselves (Free up to 6 providers; paid plans up to $1,499/mo) and send only the requests you want handled to Rivon's specialists.
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