Virtual-first groups

The gap that costs the most

Virtual-first groups market nationally and license selectively. The result is a set of states where the site accepts patients and no clinician is licensed, enrolled, or registered to prescribe there. The roster audit finds those first, because they carry regulatory exposure rather than just delay.

What opening a state actually costs

For a physician, a compact state is a Letter of Qualification plus an add-on. For an APRN it is an RN license where the nurse compact does not reach, an APRN license, prescriptive authority, a collaborative practice agreement in roughly 25 states, a state controlled substance registration, a state-specific DEA registration, and individual payer enrollment. We return that as a number and a timeline before you commit to the market.

Incident-to does not apply

Telehealth excludes incident-to billing. Every nurse practitioner and physician assistant needs individual enrollment with Medicare and every commercial payer, in every state. See the nurse practitioner brief.

What we never touch

We do not connect to your clinical systems, your patient records, or your scheduling data. No business associate agreement is required for the core engagement. Read the data scope.