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Ellery Health Partners Pricing

Defined payer-administration services with transparent monthly capacity.

Ellery Health Partners offers individual service desks and multi-service Payer Desk plans with defined scope, monthly capacity, and published pricing. Practices may engage a single payer-administration workflow or combine prior authorization, insurance verification and benefits, and claims follow-up within one managed service.

Individual Service Desks

Individual Service Desks provide defined monthly capacity for practices that require support within a specific payer-administration workflow.

  • Authorization Desk

    Managed prior authorization support from requirement verification and submission through payer follow-up and status documentation.

    1. $995/month30 prior authorization cases
    2. $1,795/month60 prior authorization cases
    3. $2,695/month100 prior authorization cases

    Included:

    • Authorization requirement verification
    • Benefit checks related to the request
    • Payer portal submissions
    • Payer-required fax workflows
    • Payer phone calls
    • Documentation coordination
    • Status follow-up
    • Additional-information follow-up
    • Administrative escalation
    • Case documentation
    Choose Authorization Support

  • Verification & Benefits Desk

    Coverage and benefit verification using payer portals and direct payer contact when additional clarification is required.

    1. $595/month75 verifications
    2. $995/month150 verifications
    3. $1,695/month300 verifications

    Included:

    • Active coverage verification
    • Effective-date confirmation
    • Plan information
    • Relevant benefit information
    • Deductible information when available
    • Coinsurance information when available
    • Copay information when available
    • Authorization requirement checks
    • Referral requirement checks
    • Payer phone calls when required
    • Verification documentation
    Choose Verification Support

    Verification reflects information provided by the payer and does not guarantee payment.

  • Claims Follow-Up Desk

    Payer-side follow-up for submitted claims that require status research, administrative clarification, or additional action.

    1. $595/month40 claims
    2. $1,295/month100 claims
    3. $2,295/month200 claims

    Included:

    • Claim status checks
    • Payer portal research
    • Payer phone calls
    • Processing-status follow-up
    • Administrative hold identification
    • Missing-information identification
    • Payer request follow-up
    • Reference and call-number documentation
    • Administrative escalation when appropriate
    • Status reporting to the practice
    Choose Claims Follow-Up

    Claims Follow-Up does not include medical coding, charge entry, collections, or full-service medical billing.

Multi-service support

The Ellery Health Partners Payer Desk

For practices managing several payer workflows at once, the Payer Desk combines prior authorization, insurance verification, and claims follow-up under one monthly scope.

  • Practice Payer Desk

    $1,995per month

    Includes:

    • 30 Prior Authorization Cases
    • 75 Insurance Verifications
    • 40 Claims Follow-Ups
    • Payer Calls
    • Status Documentation
    • Workflow Management
    • Monthly Reporting
    Choose Practice Payer Desk

  • Most Popular

    Group Payer Desk

    $3,695per month

    Includes:

    • 60 Prior Authorization Cases
    • 150 Insurance Verifications
    • 100 Claims Follow-Ups
    • Payer Calls
    • Status Documentation
    • Workflow Management
    • Monthly Reporting
    Choose Group Payer Desk

  • Multi-Location Payer Desk

    $5,995per month

    Includes:

    • 100 Prior Authorization Cases
    • 300 Insurance Verifications
    • 200 Claims Follow-Ups
    • Payer Calls
    • Status Documentation
    • Workflow Management
    • Monthly Reporting
    Choose Multi-Location Payer Desk

Payer Desk plans include the monthly volumes shown above. Additional volume is billed at the applicable contracted case rate. Unused monthly volume does not roll over.

Denial and appeal services and provider credentialing are priced separately and do not reduce Payer Desk monthly case allowances.

Denial & Appeal Support

A formal appeal can require substantially more administrative work than routine claim or authorization follow-up. Ellery Health Partners prices that work separately so the scope remains clear.

  • Individual Administrative Appeal$125per appeal
  • Appeal Pack$99510 administrative appeals

Included:

  • Payer denial research
  • Payer phone follow-up
  • Administrative requirement review
  • Documentation coordination
  • Appeal submission support
  • Reconsideration support when applicable
  • Status tracking
  • Administrative escalation
  • Final status documentation

Clinical appeal content requiring medical judgment remains the responsibility of the treating provider or appropriate clinical staff.

Ellery Health Partners does not guarantee that an appeal, authorization, or claim will be approved or paid.

Discuss Appeal Support

Provider Credentialing & Payer Enrollment

Credentialing and enrollment are priced by provider and payer so practices can use Ellery Health Partners for one enrollment need or an entire provider onboarding project.

  • Commercial Payer Enrollment$249per provider, per payer
  • Medicare or Medicaid Enrollment$349per provider, per program
  • CAQH Setup or Full Cleanup$299per provider
  • Credentialing Maintenance$129/monthper provider

  • New Provider Enrollment Package

    $1,995

    A defined enrollment package for practices bringing a new provider into their payer network.

    Includes:

    • CAQH setup or full audit
    • Medicare enrollment
    • Medicaid enrollment
    • Up to five commercial payer applications
    • Application preparation
    • Application submission
    • Missing-information follow-up
    • Payer correspondence
    • Status checks
    • Follow-up through payer determination
    • Final status documentation

Enrollment and credentialing decisions are made by the applicable payer or organization and cannot be guaranteed by Ellery Health Partners.

Start a Credentialing Inquiry

Need more volume?

Practices with payer volume above the published plans can request a custom monthly scope. Custom pricing is based on service mix, expected volume, workflow complexity, and payer requirements.

Discuss Your Workload

What every Ellery Health Partners engagement includes

  • A written scope: Responsibilities, included services, capacity, and pricing are documented before work begins.
  • U.S.-based support: Contracted work is performed by personnel located in the United States.
  • Practice-controlled access: Work is completed through accounts and permissions provisioned and controlled by the practice.
  • Documented activity: Actions, reference numbers, requirements, and outcomes are recorded in the practice’s authorized system.
  • Clear service boundaries: Clinical and coding decisions remain with the practice and its licensed clinicians.

Pricing FAQ

Do unused cases roll over?

No. Monthly case and verification allowances reset each billing period and unused volume does not roll over.

What happens if we exceed our monthly volume?

Additional volume is billed at the applicable contracted case rate. Practices with consistently higher volume can move to a larger plan or request a custom monthly scope.

Can we purchase only one service?

Yes. Prior Authorization, Insurance Verification & Benefits, and Claims Follow-Up are available as individual service desks.

Can we combine services?

Yes. Payer Desk plans combine Prior Authorization, Insurance Verification & Benefits, and Claims Follow-Up under one monthly scope.

Are appeals included in Payer Desk plans?

No. Formal denial and appeal work is priced separately because the administrative workload can vary significantly by case.

Is credentialing included in Payer Desk plans?

No. Provider Credentialing & Payer Enrollment is a separately priced service.

Does Ellery Health Partners provide medical billing?

No. Ellery Health Partners provides defined payer-administration services. Claims Follow-Up does not include coding, charge entry, collections, or full-service medical billing.

Do you guarantee approvals or payment?

No. Authorization, appeal, enrollment, credentialing, and payment decisions are made by the applicable payer or organization.

Do we have to hire or manage a Ellery Health Partners employee?

No. Practices engage Ellery Health Partners for a defined managed service. Ellery Health Partners is responsible for staffing and managing the internal resources used to deliver the contracted workflow.

Tell us what is sitting on your team’s desk.

Share the payer work your practice is handling now and the approximate monthly volume. We will help you identify the Ellery Health Partners service level that fits the workload.

Ellery Health Partners does not request or accept patient information through this website.

Discuss Your Workload