Go independent.Keep all of it.
PracticeElf is the voice-first operating system that walks clinicians from employed to independent — and hands the practice back to you, fully owned.
Built on the track record of Physician Practice Specialists
- 300+ independent practices launched/
- 50,000+ providers credentialed/
- flat fee, always
Heritage figures from our credentialing team's history — a record, not a forecast.
The one difference
Most platforms take a cut of your practice forever. We take a flat fee, once.
When clinicians compare options, the headline rate is rarely the real cost. The real cost is the percentage that compounds against you every year you grow.
They grow when you grow — at your expense
- They keep a percentage of what your practice earns, indefinitely.
- Your success raises their take. The better year you have, the more leaves.
- The arrangement is hard to exit and harder to value later.
“A partner who profits more, the harder you work, isn't a partner.”
You grow. You keep all of it.
- One flat fee. We never take a percentage of your practice.
- When the practice grows, the upside stays entirely yours.
- You own the entity, the name, and every decision from day one.
“Flat fee. When you grow, you keep all of it.”
Flat fee. We never take a percentage of your practice. When you grow, you keep all of it.
The number most clinicians are never shown
The cash gap between your last employed paycheck and your first independent one.
typically, over a ~90–180 day ramp while credentialing, contracts, and first payments land.
Estimate based on your inputs and typical timelines — not a promise. We refine it as we learn more. The valley is real, it is plannable, and Elf is built to shorten and fund it deliberately rather than letting it surprise you.
Operate without giving up control
Elf runs the back-office and setup of your practice — you own it and stay in control.
The operating layer
- Back-office & setup.Entity formation paperwork, banking setup, and the administrative scaffolding of an independent practice.
- Credentialing & tracking.Elf tracks every payer, flags overdue ones, and drafts the follow-up; turn up the dial and our team works the calls and portals.
- Drafting & coordination.Prepares applications, letters, and onboarding documents, and coordinates the people you bring on.
- The voice-first layer.Ask Elf out loud where anything stands. It answers, then does the next step on request.
Always, entirely
- The medicine.Clinical judgment is yours. Elf never touches care, patients, or decisions.
- The decisions.Nothing moves without your sign-off. You set the dial; you can turn it back down.
- The name.Your practice carries your name and your brand — not ours.
- The ownership.You hold the entity outright. We are the operator's tool, never the owner.
A back office that does the work, and a practice that stays entirely yours.
Flat fee. We never take a percentage of your practice. When you grow, you keep all of it.