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Northgate Billing is a medical billing and credentialing company serving private practices across all 50 US states. The company handles insurance credentialing, claims submission, denial management, and practice marketing, with pricing published openly on its website.

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At a glance

About Northgatebilling

Claims turnaround
Within 48 hours of the visit
Denial response time
Within 24 hours
Billing rate
3% to 7% of collections
Credentialing price
$1,200 per provider, up to 8 payers
Minimum billing fee
$450 per provider per month
Setup fee
None
Contract
Month-to-month available
Coverage
All 50 US states
Northgate Billing positions itself in the mid-market segment for US private practices, from solo providers to group practices, that want full visibility into their billing without long-term contracts. The company's approach centres on transparency: rates are published rather than quoted per prospect, every claim is visible inside the practice's own software, and each client is assigned a named account lead with a contractual reply time. Rather than operating as a black-box billing service, Northgate works inside the practice's existing software platforms, including Kareo, athenahealth, SimplePractice, and TherapyNotes, so the practice retains its data and workflow. The pricing model, 3 to 7 percent of collections for billing and a flat fee for credentialing, is designed to align the company's revenue with what it actually collects for the client.
October 2026

Active promotions

Ready to use with your order at Northgatebilling.

Free billing audit available to new practices before any commitment, with no sales call required unless the practice requests one.
To the shop
Credentialing fee split into two payments: half at signing and half at first payer approval, so practices do not pay the full amount upfront.
To the shop
Recent

Northgatebilling in the news

Recent updates and background about Northgatebilling, summarised in our own words.

Northgatebilling

Northgate Billing publishes all rates directly on its website

Unlike many billing services that quote rates individually, Northgate Billing lists its credentialing and billing fees openly on its public website, including the 3 to 7 percent collection rate and the flat $1,200 credentialing fee. The company states that the price in the service agreement matches the price on the website, word for word.

Northgatebilling

Month-to-month contracts available alongside 12-month plans

Northgate Billing offers practices the choice between a month-to-month arrangement and a 12-month contract, with the longer term carrying a lower rate. This structure is aimed at practices that want flexibility during early growth without committing to an extended agreement.

Northgatebilling

Every client receives a Business Associate Agreement before work begins

Northgate Billing signs a HIPAA-compliant Business Associate Agreement with every client prior to accessing any records, and uses role-based access controls across its team. The company states that access to the practice's software is removed on the client's final day of service.

Summaries by Image Review based on publicly available sources and our own editing. External links may contain affiliate links.

Frequently asked questions

What others ask about Northgatebilling

Answers to the most common questions, based on search behaviour and our own research.

Is Northgate Billing a trustworthy billing company?

Northgate Billing publishes its rates openly on its website and writes three commitments into every service agreement: read access to every claim, a published price with no hidden fees, and a named account lead who replies within one business day. A Business Associate Agreement is signed before any records are accessed.

How much does Northgate Billing charge?

Medical billing is priced at 7% down to 3% of collections depending on volume, with a minimum of $450 per provider per month. Credentialing is a flat $1,200 per provider for up to 8 payers. There are no setup fees, onboarding fees, statement fees, or charges for appeals.

Do I have to sign a long-term contract?

A month-to-month option is available. A 12-month contract is also offered at a lower rate. The company states that data access is removed on the client's last day and that the practice keeps its own software and data throughout.

Which practice management software does Northgate Billing work with?

Northgate Billing works inside the practice's existing software rather than requiring a platform switch. Supported systems include Kareo and Tebra, AdvancedMD, athenahealth, DrChrono, SimplePractice, and TherapyNotes, among others.

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