Bill the hospital directly. Keep every dollar the agency was taking.
Staffing agencies take 20–35% of your rate as the middleman between you and the hospital. LocumLedger gives you the credentialing tools and invoice infrastructure to cut them out — and get paid the full amount, faster.
Keep 20–35% more per shift — the margin you currently hand to the agency
Verified credentials attached automatically
Hospitals already pay enough to cover your full rate. The agency captures the gap.
The hospital rate for locum coverage already reflects the staffing agency's margin. When you credential yourself and invoice the facility directly, that margin stays with you — not the intermediary. The paperwork is the only obstacle. We remove it.
Keep the full rate
Bill the hospital at the rate they already pay — and keep the entire amount yourself instead of 65–80% of it.
Accepted first time
Every invoice leaves with correctly formatted credentials attached, so it clears the billing office without a rejection cycle.
Paid in fewer days
Clean submissions clear faster. No intermediary payment cycle slowing your cash flow by weeks.
Everything the hospital 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 facility 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 Nothing left blank, nothing out of date.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 renewal alerts
You hear about a lapsing license or certificate well before it causes 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 cleared on the first submission.
Self-credentialing guide
Step-by-step guidance through the hospital credentialing process — source verification, privileging applications, and committee timelines explained in plain language.
Records always export-ready
Tax-ready billing history, malpractice carrier documentation, and credentialing records exported in the formats your accountant and hospital committees 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 have to relearn it.
Per-hospital billing profile
Format requirements, purchase-order rules, and portal details stored per facility.
Credentials that travel with you
Licenses, certifications, and malpractice coverage follow you across every hospital you bill.
Payment timeline visibility
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 directly.
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 who cover hospital shifts and want to invoice 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-state specialists
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 credentialing and billing infrastructure to stand on their own.
Rural and critical-access coverage
Physicians filling critical coverage gaps where hospitals especially need reliable, compliant direct billing partners.
Practice billing 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 revenue, faster payment, and fewer billing disputes.
20–35%
More revenue per shift when the agency margin stays with you instead of them.
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 cleared first submission. The credential attachment looked 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.
Larger group
Practices with dedicated billing staff. Custom onboarding and credentialing support included.
Stop sharing your rate. Own your billing relationship.
Credential yourself, invoice directly, and receive the full amount the hospital owes you — without an agency standing in the middle.
Early access is free. No card needed to join.