Keep the margin the agency takes. Bill the hospital directly.
Handle your own credentialing, send hospital-ready invoices, and own your revenue. No intermediary. No opacity. No cut taken.
Verified and attached
Agencies keep 20–35% of every shift you cover. You can change that.
When you credential yourself and invoice the hospital directly, the full rate is yours. The paperwork looks daunting — we make it straightforward.
Keep the full rate
Bill the hospital at the rate they already pay an agency — and keep the entire amount yourself.
Accepted first time
Every invoice leaves with the right format and verified documents, so it clears without a bounce-back cycle.
Payment in fewer days
Clean submissions clear faster. No intermediary payment cycle dragging your cash flow.
Everything the billing office needs — built in and sent automatically.
One profile holds your credentials. Every invoice that leaves carries them — current, complete, and formatted for the specific hospital receiving it.
Credential-aware invoice builder
Pulls your provider numbers, license details, and malpractice coverage into each invoice automatically. Nothing left blank, nothing out of date.
60- and 30-day expiry alerts
You hear about a lapsing license or certificate well before it becomes a problem. No invoice ever leaves with an expired document attached.
Two-sided shift sign-off
Both you and the hospital staffing office sign each shift log digitally. A clean audit record is always ready if a charge is questioned.
Per-hospital requirements check
Before it sends, each invoice is verified against that hospital's actual billing format. It arrives correctly structured and accepted on the first submission.
Self-credentialing guide
Step-by-step guidance through the hospital credentialing process — primary source verification, privileging applications, and committee timelines explained in plain language.
Clean records, always ready
Tax-ready billing history, malpractice carrier documentation, and credentialing body records exported in the formats they actually accept.
Cover three to eight hospitals. Each one remembered exactly.
Every billing office has its own format, its own purchase-order rules, its own portal. We hold that knowledge so you never relearn it.
Per-hospital billing profile
Format requirements, purchase-order rules, and portal logins stored per facility.
Credentials that follow you
Licenses, certifications, and malpractice coverage travel with you across every hospital you bill.
Payment term transparency
See exactly when each hospital is due to pay. No more guessing or chasing for status updates.
For physicians ready to own their billing relationship.
If you cover shifts at multiple hospitals and want to move revenue out from under the agency model, this was built for you.
Independent locum physicians
Doctors (MD/DO) who cover hospital shifts and want to bill the facility directly rather than through an agency.
Small locum groups
Groups of two to ten doctors sharing credential management and billing across a set of hospital relationships.
Multi-specialty locum doctors
Emergency medicine, hospitalist, and specialist physicians covering rural and community hospitals across multiple states.
Physicians transitioning off agency contracts
Clinicians who already have hospital relationships but need the credentialing and billing infrastructure to stand on their own.
Rural and critical-access hospital coverage
Physicians who fill critical coverage gaps where hospitals especially need reliable, compliant direct billing.
Practice administrators
Billing staff managing direct invoicing and credentialing for one physician or a small group from a single dashboard.
The numbers behind billing direct.
Physicians who credential and bill hospitals directly report more money, faster payment, and fewer billing disputes.
20–35%
More revenue per shift when the agency margin stays with you.
First try
Invoice acceptance rate when credentials and format are correct from the start.
"I finally sent an invoice directly to the hospital and it went through on the first submission. The credential attachment made it look completely professional. The agency used to handle this — and take a significant cut. I had no idea it could be this straightforward."
Independent locum physician, emergency medicine
"Managing credentials across six hospitals was the main reason I kept renewing the agency contract. Once I saw how LocumLedger handles that, the decision was easy."
Hospitalist physician, three-state practice
Flat fee. No percentage of your invoices — ever.
A staffing agency charges a percentage of every invoice. We charge a flat monthly fee. The more you bill, the more you save.
Solo physician
One doctor, unlimited invoices, up to eight hospital profiles. Full credential management included.
Small group
Two to ten doctors sharing a credential library and billing across any number of hospital relationships.
Enterprise group
Larger groups and practices with dedicated billing staff. Custom onboarding and credentialing support included.
Stop sharing your rate. Own your billing relationship.
Credential yourself, invoice directly, and get paid the full amount the hospital owes you — without an agency standing in the middle.
Early access is free. No card needed to join.