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Membership Dues (1)

Annual Membership Dues (for EPMN Membership)

$990.00

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Initial Credentialing Fees (2)

Initial Credentialing for All Non-Physician Providers (RN, NP, PA, CNM, CRNA)

$425.00

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Initial Credentialing for Doctors/Physicians (MD, DO, DPM, OD, DC, DPT)

$525.00

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Other Credentialing Fees (2)

Credentialing File Reactivation Fee

$175.00

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Expedited Initial Credentialing Fee

$175.00

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Recredentialing Fees (2)

Expedited Recredentialing Fee

$175.00

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Recredentialing Fee (all Providers)

$330.00

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Enrollment Fees (14)

Medicaid Application (Texas Only)

$300.00

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Medicare Application/Enrollment

$350.00

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Medicare and Medicaid Application Bundle (Texas Only)

$350.00

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Group Medicare Application/Enrollment

$350.00

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Update Medicaid (Texas Only)

$75.00

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Group Medicare and Medicaid Application Bundle (Texas Only)

$350.00

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Add a Tax Identification Number (TIN)

$150.00

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Group Medicaid Application/Enrollment (Texas Only)

$350.00

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Update Medicare and Medicaid as a Bundle (Texas Only)

$125.00

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CAQH – New Provider Set Up

$375.00

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Update Medicare

$75.00

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BCBS Application Fee

$175.00

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CAQH – Quarterly Maintenance (year 2 and beyond)

$125.00

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Plan Participation Changes

$200.00

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