Telehealth billing platform pricing, published so you can model it.
How much does it cost to get a telehealth company credentialed and contracted with insurance payers?
On Anvil, pricing is published. While you bill under our PC, you pay a platform fee on collections, not billed charges, and roster-adds are included. Building your own PC adds fixed fees, including a physician owner at $3,000 per month with a 12-month minimum. Payer contracting and credentialing for your entity are included in the tiers.
Updated November 1, 2026
Telehealth billing platform pricing is published, so you can model this without a sales call. A platform fee on collections while you bill under our PC, plus fixed fees for your own PC and physician owner. The fee steps down as volume moves.
Launch
Bill in-network on our 50-state PC in weeks.
- Roster-add your clinicians under our payer contracts
- Real-time eligibility at booking (API and hosted widget)
- Coding, claims, denials, and AR under our PC
- Contracted rate and platform fee reported separately
- We carry claims risk during the rental phase
Best for: Cash-pay companies going in-network for the first time
Start on LaunchBuild
Launch, plus your own PC and physician owner.
- Everything in Launch
- Your own PC formed in your launch states (Foundry PC)
- Friendly physician owner placed and matched ($3,000/mo)
- MSO and PC document suite, CPOM structuring by state
- Credentialing files built under your own entity
Best for: Companies that want the asset on their balance sheet
Start on BuildScale
Build, plus contracting your entity and migrating volume.
- Everything in Build
- Payer contracting for your entity, commercial, Medicaid, MA
- Volume migration from our PC to yours, no revenue gap
- Rate management and renewals on your contracts
- Platform fee steps down as volume moves to your PC
Best for: Multi-state groups and companies switching off a rental vendor
Talk to us about Scale- Platform fee is charged on collections during the rental phase and steps down as claims move to your own contracts.
- One-time fees cover formation and program setup. State filing, publication, and registered agent fees pass through at cost.
- Adding states to your own PC is $360 per state (foreign qualification) plus filing fees. States that require a separately formed entity are quoted individually.
- Monthly components carry a 12-month minimum.
Payer contracting cost, credentialing cost per clinician, and the rental PC fee
Payer contracting cost
Payer contracting cost for your own entity is in Scale: the one-time program fee and the platform fee. We do not invoice a separate per-contract fee for commercial or Medicaid enrollment.
Credentialing cost per clinician
Credentialing cost per clinician is included. Roster-adds under our PC and full credentialing under your entity are not billed per clinician. Psychiatry, therapy, and ABA groups start with behavioral health payer contracting.
Rental PC fee
The rental PC fee is the platform fee on collections while you bill under our PC. Build and Scale also include the monthly physician owner fee for your own PC. Compare it with the cost of building insurance operations in-house.
The platform fee steps down as volume moves to your own PC, which is how you own your payer contracts. The rent-first choice is renting a PC or building your own, papered as an MSO-PC structure for telehealth. Leaving another vendor? Start with switching from a network rental vendor.
Who may own the professional entity is covered under corporate practice of medicine for telehealth. Claims under either entity run through telehealth revenue cycle management.
When should a virtual care company accept insurance? Score the seven signals before you model the fee.
Should a virtual care company build insurance billing in-house or outsource it?
Outsource the five workstreams to launch, and keep ownership of the contracts. Building contracting, credentialing, eligibility, coding, and denials in-house means hiring those teams before the first insured visit. Anvil runs them while your own PC is formed, and publishes the platform fee and PC fees so you can model both.
Build vs partner, on your numbers
What does insurance ops cost if you build it, and if you don't?
Commonly cited: in-house insurance operations run 20-25% of insured revenue at steady state. Adjust it. The model updates as you type.
Questions, answered
How much does it cost to get a telehealth company credentialed and contracted with insurance payers?
On Anvil, pricing is published. While you bill under our PC, you pay a platform fee on collections, not billed charges, and roster-adds are included. Building your own PC adds fixed fees, including a physician owner at $3,000 per month with a 12-month minimum. Payer contracting and credentialing for your entity are included in the tiers.
Should a virtual care company build insurance billing in-house or outsource it?
Outsource the five workstreams to launch, and keep ownership of the contracts. Building contracting, credentialing, eligibility, coding, and denials in-house means hiring those teams before the first insured visit. Anvil runs them while your own PC is formed, and publishes the platform fee and PC fees so you can model both.
What is telehealth billing platform pricing?
On Anvil it is a published platform fee on collections during rental, plus fixed fees for your own PC and physician owner. Payer contracting cost and credentialing cost per clinician are included in the tiers, not billed as surprise line items. The rental PC fee is the platform fee while you bill under our PC.
Why publish pricing?
Because you should be able to model this without a sales call. Most vendors in this category do not publish, which usually means the number depends on who is asking.
What is the platform fee charged on?
Collections, not billed charges. If a claim is not paid, there is no fee on it.
What does the physician owner fee cover?
A licensed physician who owns your PC under the friendly-PC structure, matched by Foundry PC, with the agreements and ongoing obligations that structure requires. $3,000 per month, 12-month minimum.
Are there per-clinician credentialing fees?
Roster-adds under our PC are included in the platform fee. Credentialing under your own entity is included in Build and Scale.
What is not included?
State filing, publication, and registered agent fees, which pass through at cost. Clearinghouse fees above our included volume. Legal work outside the standard document suite.
Pick a tier. Or send us your numbers and we will.
Most companies start on Build so the PC forms while they launch.