What it costs
What credentialing and payer enrollment cost to outsource
Credentialing vendors mostly charge per payer application (MedSole from $99 per payer application; Rx Credentialing $140 per commercial and $199 per government payer application), plus a monthly fee to keep each provider enrolled (HRX $199 per provider per month). CAQH ProView itself is free for providers. A Soft Home Global credentialing seat is a flat $2,200 a month for one full-time person working every application, revalidation and follow-up.
The ways this work is priced
Most credentialing quotes multiply two numbers: providers times payers. Work out that product for the next twelve months before you compare anything.
| Pricing model | What vendors publish | Suits | Watch for |
|---|---|---|---|
| Per payer application | A new provider joining a handful of payers once. | Whether follow-up calls, CAQH work and resubmission after a rejection are included, and what happens with a closed panel. | |
| Monthly maintenance per provider |
| Keeping already-enrolled providers enrolled. | Exactly what it covers: revalidation, CAQH re-attestation, roster and address changes. |
| A dedicated person | One full-time person on every provider and payer you have: $2,200 a month for our seat. | Groups adding providers every month, billing companies credentialing for several clients, or a backlog of enrollments. | Only worth it when the work fills a week. A single provider joining two payers does not. |
Each figure is quoted from the vendor’s own page and dated by what that page says. We do not rate other vendors’ work; a price here is what they publish, nothing more.
Per application or a seat: the break-even
At $2,200 a month, a seat costs the same as 8 applications a month at the top of HRX’s per-application plan, or 9 at its bottom. A group adding one provider a month to ten payers is at ten applications before a single revalidation is counted.
Applications are only the visible part. Chasing a payer that has gone quiet, fixing a rejected application, re-attesting CAQH and catching a revalidation notice sent to an old address are the steps a per-application price may not include.
The fees that are not the vendor’s
CAQH ProView is free for providers, according to CAQH’s own FAQ. A vendor charging to maintain a CAQH profile is charging for its time, not passing on a CAQH fee.
Medicare’s enrollment application fee is $750 for 2026, and it falls on institutional providers and suppliers. Physicians, non-physician practitioners and physician organizations do not pay it, per CMS. A quote that adds a Medicare application fee for an individual physician deserves a question.
Source: CAQH, ProView FAQ · CMS, Medicare Learning Network (MLN9658742) · CMS, Medicare Learning Network (MLN9658742)
What our seat includes, and what it does not
One full-time person, $2,200 a month, working inside your systems and the payers’ portals through access you control.
- Initial applications prepared and submitted
- Revalidations tracked ahead of the deadline
- CAQH kept current
- Payer follow-up until an effective date is issued
- The status of every enrollment visible to you
- A promised approval or effective date: the payer decides
- Signing for a provider: attestations go to the provider or your authorized official
- Government or payer fees, where they apply
When outsourcing credentialing is the wrong call
- One provider joining two or three payers, once: a per-application vendor, or your own office manager, costs less
- A payer or Medicaid program that restricts offshore access to provider records: check before anyone logs in, because our seats work from Rawalpindi, Pakistan
Questions
How much does credentialing cost per provider?
Per payer application, the vendor prices we found run from MedSole’s from $99 per payer application to HRX’s $250 to $300 per application, plus maintenance fees such as HRX’s $199 per provider per month. Multiply by the number of payers each provider needs.
Is CAQH free for providers?
For the provider, yes. CAQH’s own FAQ says providers may use its Provider Data Portal to enter, maintain and share their professional and practice information free of charge. What costs money is the time it takes to keep the profile current and attested, which is the part a vendor charges for.
Do physicians pay the Medicare enrollment application fee?
No. CMS says physicians, non-physician practitioners and physician organizations do not pay it. The 2026 fee of $750 applies to institutional providers and suppliers.
How long does credentialing take?
It varies by payer and by how complete the application is when it goes in. The factors that make it longer, and the dates that quietly deactivate a provider who is already enrolled, are in our credentialing timeline guide.
Sources
- MedSole RCM — MedSole RCM prints a starting credentialing fee per payer application (a floor, not a quote).
- Rx Credentialing — Rx Credentialing prints its fee per payer application in its own FAQ.
- HRX Healthcare — HRX Healthcare prints an Individual Provider Plan priced per application.
- HRX Healthcare — HRX Healthcare prints a monthly per-provider fee for ongoing credentialing support.
- CAQH, ProView FAQ — CAQH: providers enter, maintain and share their data in the Provider Data Portal (ProView) free of charge.
- CMS, Medicare Learning Network (MLN9658742), 2026 — The 2026 Medicare enrollment application fee, which falls on institutional providers and suppliers.
- CMS, Medicare Learning Network (MLN9658742), 2026 — Physicians, non-physician practitioners and physician organizations do not pay the Medicare enrollment application fee.
Sources checked 9 October 2026.
Three ways to check us before you commit to anything.
Next step
One credentialing seat, $2,200 a month
Twenty minutes is enough to tell whether a seat fits your volume. If a per-request vendor would cost you less, we will say so.
Or write to ops@softhomeglobal.com