Transparent | Published | No Hidden Fees

Transparent Pricing. Built for Independent Practice Economics.

Independent practices should be able to understand what they are buying, what is included, and what it will cost — before committing to anything. Arete publishes its pricing because transparency is part of the operating model.

No EHR license fee
No per-user software fee
No Core monthly minimum
No fee on uncollected charges
Estimate My Cost
Scope. This page covers pricing for Arete's core technology platform, credentialing, and continuing education. Arete Networks (CIN) participation and Arete PracticeWorks consulting engagements are scoped to each practice — schedule a discussion to explore your options.

Clear Pricing. No Guesswork.

Everything on One Table.

The practice keeps its ownership, local identity, and clinical independence. Arete provides the shared infrastructure.

Service Published Price
Core EHR/RCM — third-party payer claims 6.25% of Posted Payments
Core EHR/RCM — self-pay and lien settlements 1.25% of Posted Payments
Core EHR/RCM monthly minimum None
Credentialing $25 per provider per month
Friday15 Continuing Education $25 per provider per month
Credit-card processing Contracted directly with selected processor
Onboarding fee One-time $250 per practice

The platform is built to take on the work your outside biller or in-house billing staff currently perform. Credentialing and Friday15 are required components of the Arete MSO / CIN platform. Per-provider fees apply to each active provider enrolled in the applicable service and are prorated or adjusted as specified in the service agreement.

See It in Practice

What Would Arete Cost My Practice?

Enter your practice's approximate monthly figures. All inputs are estimates — final fees are governed by your executed agreement.

Insurance (6.25%)
 
Self-pay (1.25%)
 
Credentialing + Friday15
 
Total Monthly
 

Estimate only. Does not include credit-card processing fees or separately contracted services. Final fees governed by executed agreement.

Example — $30K insurance + $20K self-pay + 3 providers

Insurance
$1,875
$30K × 6.25%
Self-pay
$250
$20K × 1.25%
Credentialing
$75
3 providers × $25
Friday15
$75
3 providers × $25
Total / Month
$2,275
≈4.55% blended

That is the total Arete monthly fee for the services shown: a 4.55% blended rate for Core EHR/RCM, Credentialing, and Friday15. There are no separate EHR license fees, per-user software fees, or Core monthly minimums.

What's Included

Every Service, In Detail.

Click any service to see the complete list of what's included. These aren't marketing bullets — they are the actual scope of each service.

Core Platform

EHR + Revenue Cycle Management
6.25%
Third-party payer Posted Payments
1.25%
Self-pay & lien Posted Payments
No Core monthly minimum

SPRY-Powered EHR & Practice Management

  • Electronic health record
  • Clinical documentation and configurable workflows
  • Practice-management functionality
  • Provider and resource scheduling
  • Patient registration and intake
  • Patient portal
  • Digital forms and patient communications
  • Eligibility verification
  • Benefits and patient-responsibility workflows
  • Prior-authorization support
  • AI-assisted clinical documentation, including AI scribe capabilities
  • Clearinghouse connectivity
  • Standard reporting and analytics
  • Role-based access and audit capabilities
  • Standard API, interface, webhook, and data-export access
  • Ordinary platform transactions and usage
  • Ongoing platform maintenance, updates, and support

Revenue Cycle Management

  • Claim creation and validation
  • Electronic claim submission
  • Claim-status monitoring and follow-up
  • Clearinghouse rejection management
  • Electronic remittance and payment posting
  • Adjustment and contractual write-off posting
  • Denial identification and management
  • Accounts-receivable follow-up
  • Secondary claim processing
  • Patient balance calculation
  • Patient billing support
  • Revenue-cycle reporting
  • Payment and ledger reconciliation support

Implementation & Transition

  • Practice-readiness assessment
  • Implementation planning & workflow configuration
  • Data migration (demographics, scheduling, insurance, clinical, auth, claims, payments)
  • Payer enrollment and clearinghouse-readiness coordination
  • Provider and staff training
  • Go-live preparation, support, and post-go-live stabilization
  • Ongoing technical and operational support

Arete MSO Support

  • Practice onboarding and implementation oversight
  • Workflow assessment and standardization
  • Change-management support
  • Platform administration
  • Vendor management and escalation
  • Revenue-cycle performance oversight
  • Billing and payment-workflow troubleshooting
  • Practice-level and network-level reporting
  • Financial and operational performance analytics
  • Clearinghouse, payer, and payment-platform coordination
  • Security, privacy, and compliance coordination
  • Product-roadmap prioritization
  • Network-level technology development
  • Ongoing identification of administrative efficiencies

Interoperability (Contracted Roadmap)

  • ONC-certified health information technology
  • Direct Secure Messaging
  • DirectTrust Directory connectivity
  • TEFCA exchange through a designated QHIN
  • Standard API and interface connectivity

How Posted Payments are calculated. Posted Payments are cash-basis amounts actually received and posted to the practice's ledger — not gross charges, not contractual adjustments, not uncollected amounts. For third-party payer claims, the percentage applies to both payer payments and patient-responsibility amounts (copays, coinsurance, deductibles) collected on the claim. Posted refunds, reversals, and recoupments reduce the total when recorded.

Required Component

Credentialing
$25 per provider / month

Initial Credentialing & Enrollment

  • Provider information and document collection
  • CAQH profile establishment or review and data completion
  • NPI validation and taxonomy/demographic review
  • State professional-license verification
  • Education and professional-training verification
  • Professional liability insurance verification
  • Malpractice claims-history collection
  • DEA and controlled-substance registration verification (where applicable)
  • Medicare and Medicaid participation and sanction review
  • Federal exclusion and debarment screening
  • Payer application preparation, submission, and follow-up
  • Commercial payer enrollment
  • Medicare and Medicaid enrollment support (where applicable)
  • EFT and electronic-remittance enrollment
  • Payer portal registration and configuration
  • Effective-date confirmation and documentation

Ongoing Credentialing Support

  • CAQH maintenance and reattestation
  • License and insurance expiration monitoring
  • DEA and controlled-substance registration monitoring
  • Recredentialing and revalidation
  • Payer demographic and location updates
  • Addition and termination of providers and locations
  • Payer roster maintenance
  • Monthly sanction and exclusion monitoring
  • Medicare and Medicaid sanction monitoring
  • Credentialing committee and delegated-credentialing support
  • Payer audit and file-review support
  • Provider profile and status reporting
  • Enrollment issue escalation and resolution

Primary Verification Sources

  • CAQH ProView
  • NPPES and NPI Registry
  • State professional licensing boards
  • National Practitioner Data Bank
  • OIG List of Excluded Individuals and Entities
  • SAM.gov exclusion and debarment records
  • CMS Medicare enrollment and sanction sources
  • State Medicaid enrollment and sanction sources
  • DEA and state controlled-substance registration sources
  • Professional liability insurance carriers
  • Educational and professional-training institutions
  • Commercial payer portals and provider directories
  • Other NCQA-approved primary sources

Required Component

Friday15 Continuing Education
$25 per provider / month

Friday15 provides continuing education and practice-readiness content through focused, on-demand episodes designed to be completed in approximately 15 minutes — without travel, full-day seminars, or extended time away from patients.

The Service Includes

  • Continuing-education and non-CE educational content
  • On-demand access
  • Approximately 15-minute episodes
  • Video and narrated presentation formats
  • Complete episode transcripts
  • Companion study materials
  • Knowledge checks and completion documentation
  • Certificates of completion, where applicable
  • Provider-level course and progress history

CE Tracking & Administration

  • State-specific CE eligibility information
  • State-specific CE completion tracking
  • Support for monitoring recurring CE requirements
  • New and updated episodes as healthcare, payer, and regulatory requirements evolve
  • Clinical, administrative, compliance, financial, and practice-readiness content

CE approval and applicability vary by profession and state. Friday15 identifies the jurisdictions and provider types for which credit is available.

Core EHR/RCM

Why a Percentage of Posted Payments?

Independent outpatient practices experience normal changes in volume, collections, and payer mix. A fixed platform minimum can become most burdensome during the months when a practice can least afford it.

Costs increase only when collected revenue increases

Costs decrease when collected revenue decreases

No fee is charged on uncollected charges

Practices of different sizes access the same infrastructure under a consistent methodology

Credentialing & Friday15

Why a Fixed Monthly Price?

Credentialing work is driven by the number of providers and recurring requirements — not by revenue. A percentage-of-revenue fee would cause the price of credentialing to increase even when the credentialing workload remained unchanged.

Connects the fee to the unit that creates the work

Does not penalize practice growth

Supports continuous monitoring rather than episodic activity

Makes costs predictable for practice financial planning

Credit-Card Processing

Choose the Payment Platform That Fits Your Practice.

The SPRY-powered platform supports the following credit-card and electronic-payment platforms. The practice contracts directly and is responsible for processor fees and contractual terms. Arete seeks to negotiate more favorable network pricing where possible but does not require a practice to use a particular processor.

Square
Stripe
Fortis
Go Card Connect
Paya
Jupiter
Bluefin — onboarding now

Where legally and contractually permitted, a practice may pass applicable credit-card processing costs through to the patient. Any surcharge or convenience-fee program must comply with applicable state law, card-network rules, processor requirements, and payer contracts.

Frequently Asked Questions

Pricing Questions, Answered Plainly.

What counts as an insurance-related Posted Payment vs. self-pay?

In plain terms: an insurance-related Posted Payment is any amount — from the payer or the patient — that comes in on a claim Arete/SPRY actually worked. Self-pay revenue is anything a practice collects on its own, without Arete/SPRY doing the payer-facing billing work.

Contractual definition: Insurance-related Posted Payment means payments received from third-party payers for claims submitted and worked by SPRY and Arete on behalf of a Live Clinic, excluding Excluded Revenue. Excluded Revenue includes gross charges, contractual adjustments, self-pay revenue (patient self-pay, cash-pay, copays, coinsurance, deductibles on self-pay services, wellness, memberships, subscriptions, retail, DME, cash packages, patient financing, and private-pay), and personal injury lien/settlement proceeds unless SPRY is expressly engaged in writing to perform lien or settlement collection services for the applicable matter.

Are copays, deductibles, and coinsurance charged at 6.25% or 1.25%?

Copays, coinsurance, and deductibles collected on a third-party payer claim are charged at 6.25%, since they are part of the insurance-related Posted Payment for that claim.

Is there a monthly minimum?

There is no monthly minimum for the Core EHR/RCM platform and related services. If a practice has no collections during a month, there is no Core EHR/RCM platform fee. Credentialing and Friday15 fees — which are fixed per-provider charges rather than revenue-based — would still apply.

Are refunds and payer recoupments credited?

Yes. Posted refunds, reversals, payer recoupments, and chargebacks reduce Posted Payments when recorded, which lowers the applicable fee accordingly.

Are credit-card processing fees included?

No. Practices make a separate arrangement with their preferred credit-card processing platform. Arete attempts to negotiate more favorable terms on behalf of practices but does not require a particular processor.

Are Credentialing and Friday15 required?

Yes. Credentialing and continuing education are foundational to Arete's ability to operate as an MSO and CIN. Third parties that contract with Arete expect that all providers will be credentialed with continuous monitoring of primary sources of provider information. Credentialing and Friday15 are required components of the platform.

Are implementation and data migration included?

Yes. Implementation, onboarding, enrollment, and data migration costs are included. The one exception may be practices with unusual data migration requirements, for which a separate one-time data migration charge might apply.

Can pricing change?

A price change is possible. Arete does not anticipate Credentialing or Friday15 price changes in the foreseeable future, and has structured its underlying platform arrangement to support long-term rate stability for Core EHR/RCM. Were a price change being contemplated, practices would be provided with advance notice to support financial planning.

What is the onboarding fee for?

The onboarding fee offsets direct costs Arete incurs to onboard a practice. It is a one-time charge of $250 per practice.

Published pricing is provided for transparency and general planning. Final services, eligibility, implementation scope, and fees are governed by the applicable executed agreement. Third-party charges are excluded unless expressly stated.

See How the Arete Model Applies to Your Practice.

Review your payer mix, current operating costs, and what joining the network would actually mean for your bottom line.

Schedule a Discussion