How a new practice gets set up to get paid

Opening your own practice means building a billing operation from nothing. No A/R, no payer contracts under your new entity, no billing team. Getting paid is not a switch you flip on opening day. It runs in order: a legal entity, then your NPIs, then a credentialing profile, then payer enrollment, then the plumbing that carries claims, and only then a first clean claim. Each step gates the next, and the chain runs for months before the first steady deposit lands.

Build it once in the right order and you never tear it down and redo it. Skip a step or run them out of sequence and you refile, reapply, and wait again. The three guides below cover the whole motion.

How to set up billing for a new practiceThe correct order, entity to first paid claim, with realistic timelines and the mistakes that force a restart. How long before a new practice gets paidThe honest ramp from decision to steady payments, and how to size the cash gap. Does credentialing transfer when you open your own practiceWhat carries over from your old group and what starts over as a new billing entity.

You form the entity and get the NPIs. From there, Altair takes over with AI, backed by our expert in-house billers: it builds and re-attests CAQH, files and drives payer enrollment across commercial, Medicare, and Medicaid, and runs the billing.