How Our Pricing Works

Two phases, one subscription. Your rate drops automatically when the heavy lifting is done.

● PHASE 1
Active Credentialing
Months 1–6 — We build your CAQH, enroll you in Medicaid via TMHP, submit to all 8 payers, and follow up every 14 days until you're contracted. This is the labor-intensive phase.
  • CAQH ProView profile build + payer authorizations
  • TMHP / PEMS Medicaid enrollment
  • All 8 payer applications + contracting
  • Follow-ups every 14 days per payer
  • Claims submission + training
  • Full portal access from day one
● PHASE 2
Maintenance & Operations
Month 7+ — Your credentials are active. We keep them that way. CAQH re-attestations every 120 days, license tracking, re-credentialing, and ongoing claims — at a lower rate.
$
  • CAQH re-attestation every 120 days
  • License & malpractice expiration tracking
  • Payer re-credentialing (every 2–3 years)
  • Claims submission continues
  • Roster updates & demographic changes
  • Full portal access continues

Choose Your Plan

Every provider in your plan gets credentialed with all 8 payers. No setup fees. No deposits. No contracts beyond 6 months.

6-month minimum commitment, then month-to-month at maintenance rate. Cancel anytime with 30 days notice after Month 6.

Solo Provider
Solo Founder
1 clinician — launching your practice or leaving a platform
$349/mo
Months 1–6 · Active Credentialing
Drops to $149/mo at Month 7
  • 1 provider credentialed with all 8 payers
  • 25 claims/month included
  • CAQH ProView build + payer authorization
  • TMHP Medicaid enrollment support
  • Availity + UHC/Optum portal setup
  • EHR training (SimplePractice, TherapyNotes)
  • Free business consultation
  • Real-time client portal with credential tracking
Get Started →
Group Practice
Starter
Growing practices — all clinicians credentialed
$749/mo
Months 1–6 · Active Credentialing
Drops to $389/mo at Month 7
  • Up to 5 providers — all 8 payers each
  • 50 claims/month included
  • Group NPI (Type 2) setup + PECOS/CMS-855R
  • CAQH build for every clinician
  • TMHP enrollment + MCO contracting
  • Staff onboarding & EHR training
  • Multi-provider portal — owner + clinician logins
  • Credential compliance dashboard for all providers
Get Started →
Group Practice
Growth
Established practices — full operational support
$1,549/mo
Months 1–6 · Active Credentialing
Drops to $699/mo at Month 7
  • Up to 10 providers — all 8 payers each
  • 75 claims/month included
  • Everything in Group 5
  • Quarterly compliance reviews
  • Roster management (adds/departures)
  • Dedicated account representative
  • Priority support — same-day responses
  • Full admin portal with role-based access
Get Started →

Pro & Premier — 11+ Providers

Dedicated account manager. All providers credentialed. Maintenance rate locked in at Month 7.

Pro · Up to 15
$2,299/mo
→ $878/mo at Month 7
Premier · Up to 20
$2,749/mo
→ $1,099/mo at Month 7
21+ Providers
Custom

Claims overage: $2.40 per submission beyond your included monthly amount. No rollover on unused claims.

Do the Math — Solo Provider Example

Typical vendor: $100/payer × 8 payers$800 one-time
+ separate maintenance ($30–$60/provider/mo)$360–$720/yr
+ claims billing (3–10% of collections)$3,600–$12,000/yr
+ no portal, no tracking, no transparency??
Your cost with Foundational (Year 1):$2,988 total
$349 × 6 + $149 × 6 = $2,988 — everything included, no surprises

How We Compare

Published pricing from real competitors vs. what you get with Foundational.

Feature Foundational Per-Payer Vendors % of Collections (RCM) DIY / Clearinghouse
Credentialing ModelAll 8 payers included$100–$200 per payerIncluded (but % fee)You do it yourself
Monthly Cost (Solo)$349 → $149$800+ upfront + $30–60/mo4–10% of collections$45–120/mo software only
Claims Included25–100/mo includedNot includedIncluded (but % fee)Software only — no support
Claims Overage$2.40/claim flat$2.45–$3.99/claim + minimums3–10% of what you collectN/A
CAQH ManagementFull build + 120-day re-attestationSome include, some charge extraUsually includedYou manage it
Expiration TrackingAutomated alerts (90/60/30/14/7 day)Manual / spreadsheetVariesYou track it
Real-Time PortalFull dashboard + credential trackingEmail updates onlySome offer portalsNo visibility
Re-credentialingIncluded in maintenanceAdditional fee per payerUsually includedYou do it
Deposit Required$0 — no depositVariesSetup fees commonN/A
% of CollectionsNever — flat rate onlySome add % after free period3–10% foreverN/A

Competitor pricing sourced from published rates: Fortify RCM ($100/payer + 3% collections), MBPros ($2.45–$3.99/claim + minimums), Claim.MD ($60–$120/mo clearinghouse), Office Ally ($44.95/mo software), PPS (~$200/plan/provider + $30–60/mo maintenance).

Your Own Credentialing Command Center

Every client gets instant access to our real-time portal. No more chasing emails or wondering where things stand. See everything — live.

📊

Live Credentialing Dashboard

See every provider × every payer in real time. Color-coded progress bars show exactly where each application stands — from submitted to contract executed.

🛡️

Credential Compliance Center

All licenses, malpractice, DEA, board certs, CAQH attestations, and payer re-credentialing dates in one place. Automated alerts at 90, 60, 30, 14, and 7 days before anything expires.

📋

Claims Tracking & Usage

Track every claim submitted — status, billed amounts, payments received, denials. See your monthly usage against your plan's included limit in real time.

📄

Secure Document Vault

Upload and access licenses, malpractice certificates, W-9s, contracts, and payer approvals. Everything organized by provider, always available.

👥

Multi-Provider Management

Group practices get separate logins for every clinician. Owners see everyone. Clinicians see their own CAQH, credentials, and status. Role-based access keeps things clean.

📝

CAQH Intake Questionnaire

Complete your full CAQH provider data right in the portal — education, work history, licenses, malpractice, practice info. We use it to build your CAQH ProView profile.

🔔

Email & In-App Notifications

Get notified when a case status changes, a credential is expiring, a claim is processed, or we need something from you. Nothing falls through the cracks.

📈

Activity Log & Audit Trail

Every action is logged. See who did what and when — perfect for compliance audits and keeping your practice organized as you scale.

Our Service Commitment

We control our turnaround — you see it all in real time. Payer processing times vary, but we never sit on your paperwork.

1
Business Day
Kickoff + intake checklist delivered after signup
5
Business Days
CAQH build + payer authorizations submitted
10
Business Days
TMHP enrollment + payer applications submitted
14
Calendar Days
Follow-up cadence per payer until resolved
2
Business Days
Claims submitted after receiving clean claim packet
120
Day Cycle
CAQH re-attestation — managed, never missed

Transparency note: Payer processing timelines are outside our control. TMHP processes in up to 60 days. UHC takes up to 45 days. Superior averages 90 days. BCBSTX CAQH review averages 8–10 days for provisional. We guarantee our submission speed and follow-up cadence — and you can see it all in your portal.

Full Plan Comparison

Everything included — both credentialing and maintenance phases.

Feature Solo
$349 → $149
Starter
$749 → $389
Growth
$1,549 → $699
Providers Credentialed1Up to 5Up to 10
All 8 Insurance Panels
CAQH Build + 120-Day Re-attestation
TMHP Medicaid Enrollment
Availity + UHC/Optum Setup
Claims Submitted/Month255075
Claims Overage Rate$2.40/claim$2.40/claim$2.40/claim
EHR Training (SimplePractice etc.)
Free Business Consultation
Real-Time Client Portal
Credential Compliance Tracking
Automated Expiration Alerts
Document Vault
Group NPI (Type 2) + PECOS
Multi-Provider Portal (Owner + Clinician)
Staff Onboarding
Roster Management
Quarterly Compliance Reviews
Dedicated Account Representative
Maintenance Rate (Month 7+)$149/mo$389/mo$699/mo

Optional Add-Ons

Need more? Add these to any plan.

50-Claim Pack
Beyond your monthly included limit
$120
100-Claim Pack
Best value for high-volume practices
$220
Denial Follow-Up / Appeal
Per claim worked — research + resubmit
$15/claim
Credentialing Appeal
Payer denial reconsideration
$150/event
Expedited Provider Push
Where payers allow expedited tracks
$250/clinician
Additional Clinician
Beyond your tier cap (Months 1–6 / 7+)
$125 / $60
Eligibility

Fully licensed behavioral health providers only — LPCs, LCSWs, LMFTs, psychologists, psychiatrists, NPs (PMHNP), PAs, MDs/DOs. LPC-Associates and pre-licensed providers cannot be independently credentialed but may be added to group rosters under an LPC-S supervisor.

Why Maintenance Matters

Credentialing isn't a one-time thing. Here's what happens when no one is watching the deadlines.

What We Handle in Maintenance

  • CAQH re-attestation every 120 days — an expired CAQH profile freezes payments across all payers simultaneously
  • License & malpractice renewal tracking — payers can terminate contracts within 30 days of an expired credential
  • Payer re-credentialing every 2–3 years — miss it and you're dropped from the network
  • DEA, board certification, CPR/BLS tracking — all on different cycles, all can disrupt your practice
  • Roster and demographic updates — address changes, new locations, provider additions
  • Claims submission continues — same monthly limit, same support, same portal

What Happens Without It

!
CAQH expires — payments freeze for every payer at once. Superior warns they won't be notified automatically — you have to tell them.
!
Malpractice lapses — payers terminate. Reinstatement means starting the credentialing process over.
!
Re-credentialing missed — UHC auto-starts approaching the 3-year mark only if your attestation is current on their cadence. Otherwise, you fall off.
!
TMHP enrollment lapses — Medicaid MCO contracts (Superior, Molina, Driscoll) all depend on active Medicaid enrollment. One lapse cascades.
!
No audit trail — without compliance records, one audit can unravel months of revenue

Ready to Get Credentialed?

No deposit. No % of collections. No guessing where things stand. Book a free consultation or sign up and see your portal today.