Therapy Billing Guides

Vermont Medicaid Portal Login: Green Mountain Care and Biller Access

Vermont Medicaid Portal provider login: access Green Mountain Care web services, register through PMM, and distinguish Delegate from Team Member access.

Health PAS-Online Login: WV Medicaid Account and Biller Access

Health PAS-Online provider login: open West Virginia Medicaid’s official portal, register a Trading Partner Account, and add a biller with claims permissions.

Alaska Medicaid Health Enterprise Login: Provider and Biller Access

Alaska Medicaid Health Enterprise provider login: open the official portal, request Organization Administrator access, and add a biller’s own account.

Aetna Login: Commercial Provider Portal and Biller Access

Aetna provider login: open Availity Essentials, find Aetna Payer Spaces, check PIN and permission requirements, and give your biller their own access.

Humana Login: Medicare Advantage Portal and Biller Access

Humana provider login: use Availity Essentials for Medicare Advantage, find Humana Payer Spaces, and separate legacy commercial claims from account setup.

Anthem Login: Availity Payer Spaces and Biller Access

Anthem provider login: open Availity Essentials, select the correct state and plan, and check payer-specific enrollment, reporting and biller permissions.

BCBS Login: Find Your Plan’s Availity Portal and Biller Access

BCBS plans on Availity provider login: choose the right Blue plan, check payer-specific registration and roles, and keep Blue e and network enrollment separate.

How Bomi Recovered $71,600 From Unbilled Therapy Sessions

A practice using SimplePractice was paying 6% for billing, yet sessions went unsubmitted. Bomi recovered $71,600. An anonymized story, shared with permission.

NaviNet Login: Provider Accounts and Biller Access

NaviNet provider login: register your office, recover your password, and distinguish staff from outside biller access; Highmark uses Availity and IBX uses PEAR.

Magellan Login: Provider Portal and Biller Access

Magellan provider login: find New User and password help, use Administrator Setup for individual biller access, and distinguish Idaho’s Availity workflow.

PECOS Login: Provider Account Setup and Biller Access

PECOS provider login: use your CMS I&A account, recover your user ID, create access and authorize your biller without sharing a password.

Noridian Medicare Portal Login: NMP Registration and Biller Access

Noridian Medicare Portal provider login: register your own NMP account, recover credentials and have the administrator approve your biller’s provider access.

Palmetto eServices Login: Register and Add Your Biller

Palmetto eServices provider login: set up your own account, recover access and have the Provider Administrator create your biller’s separate Provider User account.

Centene / Ambetter Provider Login: Secure Portal and Availity

Centene / Ambetter provider login: choose Availity or your state plan’s secure portal, create your own account, and give your biller separate access.

Molina Provider Portal Login: Availity and Biller Access

Molina provider login: use Availity Essentials, register or recover your account, and ask your administrator to grant your biller separate user access.

Wellpoint Provider Portal Login: Availity and User Access

Wellpoint provider login: open Availity Essentials, register or recover your user account, and keep biller permissions separate from state-plan enrollment.

Aetna Better Health Provider Login: Availity and Biller Access

Aetna Better Health provider login: use Availity, find registration and recovery help, and give each biller their own authorized user account.

Texas Medicaid Telehealth: Therapy Billing Rules

Texas Medicaid therapy telehealth: check covered video and audio-only services, modifiers 95 and FQ, relationship requirements, consent and MCO instructions.

Texas Medicaid Therapy Claims: TMHP or Your MCO?

Route Texas Medicaid therapy claims to TMHP or the responsible MCO, check fee-for-service filing rules, and follow TexMedConnect status after submission.

Texas Medicaid Eligibility: TexMedConnect Guide

Verify Texas Medicaid eligibility in TexMedConnect, distinguish provider access from Your Texas Benefits, and check the service-date plan before therapy.

Texas Medicaid Enrollment vs STAR MCO Credentialing

Separate TMHP state enrollment from STAR, STAR+PLUS and STAR Kids MCO credentialing, using HHSC’s current service-area map and plan comparison pages.

Texas Medicaid Enrollment for Therapists: PEMS

Texas LPCs, LCSWs, LMFTs and psychologists: prepare PEMS enrollment, check current prerequisites, and separate state approval from MCO participation.

CMAP Secure Web Site Login: Create an Account and Add Your Biller

CMAP Secure Web Site provider login: CMAP account setup, your biller’s own Clerk ID access, official sign-in and password help.

DC Medicaid Provider Portal Login: Create an Account and Add Your Biller

DC Medicaid Provider Portal provider login: DC Medicaid account setup, your biller’s own Trading Partner Representative access, official sign-in and password help.

MaineCare Health PAS Online Login: Account Setup and the October Portal Change

MaineCare Health PAS Online provider login: Health PAS account setup, your biller’s own Trading Partner Representative access, official sign-in and password help.

DMAP Provider Portal Login: Delaware Account Setup and Delegate Access

DMAP Provider Portal provider login: DMAP account setup, your biller’s own Delegate access, official sign-in and password help.

DHS Medicaid Online Login: Hawaii DMO Account Setup and Biller Access

DHS Medicaid Online provider login: DMO account setup, your biller’s own Individual Account access, official sign-in and password help.

Nebraska Provider Data Management System Login: Enrollment and Biller Access

Nebraska Provider Data Management System provider login: Nebraska PDMS account setup, your biller’s own individual state user ID access, official sign-in and password help.

MESA Provider Portal Login: Mississippi Account Setup and Delegate Access

MESA Provider Portal provider login: MESA account setup, your biller’s own Delegate access, official sign-in and password help.

MES Login: Provider Portal MFA, Reset and Locked Accounts

MES provider login: fix Virginia missing MFA codes, password resets, temporary locks, inactive accounts and PRSS delegate access issues.

Virginia Medicaid Revalidation in PRSS: Due Dates and Steps

Revalidate a Virginia Medicaid provider in PRSS: check service-location due dates, use the ATN, review documents and track approval before enrollment expires.

Cardinal Care MCO Payer IDs for Virginia Therapy Claims

Find current Virginia Cardinal Care MCO claims payer IDs, confirm behavioral health routing and avoid mixing plan claims with DMAS fee-for-service billing.

TMHP Login: My Account, IAMOnline and Biller Access

TMHP provider login: open My Account through IAMOnline, create your account, reset access and give your biller separate Texas Medicaid permissions.

MN–ITS Login: LoginMN Account Setup and MPSE

MN–ITS provider login: sign in through LoginMN, use MPSE for enrollment, set up invitation-based access, and add a biller with their own permissions.

Verify MHCP Eligibility in MN–ITS Before a Session

Use MN–ITS Eligibility Request 270, choose the right service date, review the 271 response, and identify MHCP coverage, health plans, and other insurance.

Minnesota Medicaid Mental Health Claims and Telehealth

Check Minnesota MHCP mental-health claim routing, psychotherapy requirements, FFS telehealth place of service, audio-only rules, and documentation.

PROMISe Login: PA Provider Portal and Biller Access

PROMISe provider login: open Pennsylvania’s official portal, register your account, add a biller as an alternate, and find account recovery help.

PA Medicaid Enrollment for Therapists: PROMISe and ePEAP

Prepare PA Medical Assistance enrollment for LPCs, LCSWs, LMFTs, and psychologists; distinguish provider specialties, groups, and BH-MCO participation.

PA HealthChoices: Physical vs Behavioral Health MCOs by County

Find Pennsylvania’s official BH-MCO county assignments and distinguish mental health network credentialing from Physical HealthChoices plan participation.

Verify PA Medicaid Eligibility with PROMISe EVS

Check Pennsylvania Medical Assistance eligibility for each therapy date, read managed care and other coverage, and troubleshoot invalid ACCESS card results.

PA Medicaid Behavioral Health Claims: PROMISe or BH-MCO?

Choose the Pennsylvania MA behavioral health claims route, distinguish group and rendering providers, and find official claim and correction instructions.

PA Medicaid Mental Health Telehealth Billing: Current Rules

Find OMHSAS telehealth guidance, FFS POS and audio-only instructions, BH-MCO billing rules, and the 2025 change for services outside behavioral health clinics.

AHCCCS Behavioral Health Claims and Telehealth Billing

Prepare AHCCCS behavioral health claims: identify FFS or plan routing, verify rendering and billing providers, and check telehealth modifiers and POS rules.

AHCCCS Online Login: Provider Account and Biller Access

AHCCCS Online provider login: find official links, master or individual account setup, ID.me verification, password recovery and biller-access guidance.

Verify AHCCCS Eligibility Before a Therapy Session

Check AHCCCS eligibility and health-plan enrollment for the therapy service date. Use the portal, identify the payer, and separate authorization checks.

MO HealthNet Behavioral Health Claims and Telehealth

Route Missouri therapy claims using the September 2026 FFS precertification update, participant service limits, plan authorization and telehealth POS rules.

Verify MO HealthNet Eligibility in eMOMED

Use eMOMED Participant Eligibility to check Missouri Medicaid on the service date, review benefits and plan assignment, and route therapy claims correctly.

eMOMED Login: Account Setup and Biller Access

eMOMED provider login: use your own account and MFA, then have the practice administrator grant your biller their own Provider Employee access.

Colorado Provider Web Portal Login: Account Setup and Delegate Access

Colorado Provider Web Portal provider login: open the official login, register your own account, add a biller as a Delegate and find recovery help.

Verify Health First Colorado Eligibility in the Portal

Check Health First Colorado eligibility in the Provider Web Portal, confirm the service date, review RAE assignment and other insurance, and retain evidence.

Colorado Medicaid Behavioral Health Claims and Telehealth

Route Colorado Medicaid behavioral health claims, check psychotherapy readiness, and apply plan-specific telehealth documentation and claim-form rules.

ForwardHealth Login: Provider Portal and Administrator Setup

ForwardHealth provider login: find the official portal, request account access, establish the administrator, add your biller, and recover a locked account.

ForwardHealth Enrollment for Behavioral Health Therapists

Choose the Wisconsin Medicaid enrollment path for an individual therapist, billing group, or outpatient mental health clinic and distinguish DHS 35 certification.

BadgerCare Plus HMOs vs ForwardHealth FFS Credentialing

Separate Wisconsin Medicaid enrollment from BadgerCare Plus HMO participation, verify current health plans, and identify the service-date claims route.

Verify Wisconsin Medicaid Eligibility in ForwardHealth EVS

Use ForwardHealth Enrollment Verification to check service-date benefits, HMO assignment, other coverage, and common no-results errors before therapy.

Wisconsin Medicaid Mental Health Claims in ForwardHealth

Identify the FFS or HMO claims route, prepare billing and rendering details, submit a ForwardHealth professional claim, and follow up using claim evidence.

Wisconsin Medicaid Telehealth Billing for Mental Health

Find current ForwardHealth mental health telehealth rules, distinguish video and audio-only modifiers, and check POS, supervision, and HMO requirements.

IHCP PHP Login: Provider Healthcare Portal and Biller Access

IHCP PHP provider login: open Indiana’s official Provider Healthcare Portal, register a service-location account, add a biller delegate, and find recovery help.

Indiana Medicaid Enrollment for Therapists: Type 11 and HSPP

Match LMHC, LCSW, LMFT, and psychologist licenses to IHCP type 11 specialties, individual or group roles, and HSPP rules.

Indiana Medicaid MCEs vs FFS: HIP, HHW, HCC and PathWays

Check FSSA’s current Indiana Medicaid plans by program and separate IHCP enrollment from managed care credentialing and claims routing.

Verify Indiana Medicaid Eligibility in the IHCP PHP

Use PHP eligibility verification for the service date, review MCE assignment and other coverage, and distinguish member-not-found from ineligible responses.

Indiana Medicaid: hiring a graduate, associate or student intern

Choose the IHCP behavioral health claim route, match rendering and billing providers, and apply current supervising-NPI modifier guidance.

Indiana Medicaid Mental Health Telehealth Billing: POS and Modifiers

Check IHCP telehealth code coverage, POS 02 or 10, audio-only modifier 93, video modifier 95, and the responsible MCE’s instructions.

CHAMPS Login: Find Michigan Medicaid Payment RAs

CHAMPS provider login: use MiLogin for Business, give your biller their own access, and find Michigan Medicaid payment remittance advice in My Inbox.

Michigan Medicaid Payer IDs by Health Plan: Claims vs ERA

Check sourced Michigan Medicaid claim payer IDs for Meridian, McLaren, HAP CareSource and UPHP, plus ERA and conflicting-manual cautions.

CHAMPS Enrollment Status: Track a Michigan Medicaid Application

Find Track Application in CHAMPS, use your application ID, and distinguish an incomplete application from state review and approved enrollment.

CHAMPS Revalidation for Michigan Medicaid Providers

Prepare for Michigan Medicaid revalidation, check the notice window, and follow the CHAMPS group submission steps without confusing saved changes with submission.

Ohio Medicaid MCO Payer IDs and OhioRISE Claims

Find medical payer IDs for Ohio Medicaid MCOs and OhioRISE, distinguish receiver IDs, preserve leading zeros, and avoid standard Medicaid versus MyCare errors.

Ohio Medicaid Counseling Fee Schedule: Where to Look

Find official Ohio Medicaid counseling fee schedules for independent practices and certified community agencies, with code lookup and plan-payment context.

What Is Provider One? ProviderOne, SAW and Plan Portals

Understand Washington ProviderOne, distinguish provider and client logins, and choose SAW support, OneHealthPort SSO or an Apple Health plan portal.

Apple Health MCO Payer IDs: Claims vs Eligibility

Find sourced Washington Apple Health IDs for CHPW, Coordinated Care, UHC and Wellpoint, with transaction and clearinghouse distinctions.

Washington Behavioral Health: BH-ASO vs BHSO and MCO

Distinguish Apple Health managed care, behavioral health services only plans and regional BH-ASOs before choosing a therapist’s claim route.

Maryland Medicaid Therapy Claims and Telehealth

Maryland therapists: find Carelon PBHS claim access in Availity, separate authorizations, and check Medicaid telehealth modifiers and place-of-service rules.

EVS Login: Maryland eMedicaid Provider and Biller Access

EVS provider login: sign in to Maryland eMedicaid, reset your password, give your biller authorized eligibility access and resolve a missing EVS link.

Maryland Medicaid: Carelon PBHS vs HealthChoice

Understand Carelon’s Maryland ASO role, the public behavioral health system, and HealthChoice MCOs before choosing a therapy enrollment or claim route.

Maryland Medicaid Enrollment for Therapists

Maryland therapists: plan Medicaid provider enrollment, identify your provider type, prepare for MPRIME, and separate Carelon registration from approval.

MPRIME Training Sessions: Maryland Provider Guide

Find official MPRIME training resources for Maryland Medicaid: registration, new enrollment, updates, revalidation, and a practical staff training agenda.

Zelis ePayment Center Login: Payer Portals and Biller Access

Zelis ePayment Center provider login: find your payer portal, registration, password help and biller access, plus the route from virtual card to no-fee ACH.

Zelis ePayment Center enrollment vs Zelis Payments Network: choosing no-fee EFT

Compare payer-sponsored Zelis ePayment Center enrollment with fee-based ACH+ and ZAPP Edge. Find official no-cost EFT routes and verify the next payment.

MVP Health Care pays through Zelis: virtual card fees and how to switch to no-fee EFT

MVP offers payer-sponsored no-cost EFT/ERA through ePayment Center. Find the official enrollment link, per-TIN requirements and fee checks.

Select Health pays through Zelis: virtual card fees and how to switch to no-fee EFT

Select Health lists free ePayment Center ACH alongside fee-bearing virtual cards and ACH+. Use its official enrollment steps to change payment methods.

Devoted Health and Zelis: virtual card fees and the no-fee EFT enrollment route

Devoted’s September 2026 Payspan transition uses a no-cost Zelis ePayment Center. Follow the official registration route and check paid ZAPP separately.

Banner Health Plans pays through Zelis: virtual card fees and how to switch to no-fee EFT

Banner publishes a sponsored no-fee Zelis ePayment Center route. Find the official portal and support contacts without choosing fee-based ACH or cards.

AvMed pays through Zelis: virtual card fees and how to switch to no-fee EFT

AvMed distinguishes no-cost ePayment Center ACH from fee-based ACH+ and merchant card fees. Find its official registration link and transition checks.

KanCare Telehealth Billing for Therapists: What to Check

Find Kansas Medicaid telemedicine guidance, distinguish fee-for-service from KanCare plan rules, and verify therapy codes and requirements before a virtual visit.

KanCare Therapy Claims: KMAP and Plan Billing Routes

Choose the Kansas Medicaid claim route for therapy: fee-for-service, KanCare front-end billing, plan submission, and UnitedHealthcare’s Optum behavioral health lane.

Verify KanCare Eligibility in the KMAP Provider Portal

Check Kansas Medicaid eligibility and KanCare MCO assignment before therapy visits, avoid KMAP date-range errors, and record benefits questions for the right plan.

How to Enroll in KanCare as a Therapist Through KMAP

Start a therapist’s Kansas Medicaid enrollment in KMAP, generate the correct checklist, track application corrections, and follow through with KanCare MCO requests.

KanCare Credentialing: KMAP Enrollment vs MCO Approval

Understand Kansas Medicaid credentialing for therapists: KMAP enrollment, Healthy Blue, Sunflower, and UnitedHealthcare network approval, plus the Aetna transition.

KMAP Login: Provider Portal and Delegate Access

KMAP provider login: open the official Kansas Medicaid portal, register administrator or delegate access, and find enrollment and recovery help.

MPRIME Login: Maryland Access Guidance and Legacy ePREP

MPRIME provider login: find MDH’s official access guidance, the legacy ePREP link and separate EVS/Carelon routes; direct MPRIME login is not yet published.

Payspan Login: Payment Portal, Free EFT and Card Fees

Payspan provider login: open the payment portal, compare free payer EFT with virtual cards and paid services, and follow payer-specific enrollment guides.

Tufts Payspan EFT: Choose the Right Payer Product

Set up Tufts Health Plan Payspan EFT and 835 remittances using the right product label, registration code and NPI.

Harvard Pilgrim Payspan EFT: Product Exceptions

Enroll eligible Harvard Pilgrim products in Payspan EFT, check Access America exceptions, and plan for payment-history limits.

BCBS Massachusetts Payspan EFT and Bank Verification

Register for BCBS Massachusetts Payspan EFT, confirm the small bank deposit, and retain payment advisories after the paper overlap.

Capital Health Plan Payspan EFT Registration

Use Capital Health Plan’s official Payspan code request and EFT instructions, then verify payment and remittance delivery.

Fallon Payspan Payments and the 2027 Zelis Move

Fallon’s October 2026 notice keeps Payspan as the current payment processor and moves its Zelis transition to 2027.

Sunflower Payspan Free EFT vs Zelis ACH+

Sunflower’s official notice distinguishes free Payspan EFT from optional paid Zelis ACH+. Check your election before accepting fees.

Wellcare By Health Net Oregon: Payspan Free EFT

Health Net Oregon lists free Payspan EFT for Wellcare By Health Net, with a different payment route for other product lines.

Buckeye Payspan EFT and the Upcoming Zelis Switch

Buckeye’s September 2026 notice schedules phased Payspan migration from November through early 2027, with a free EFT/ERA option.

Meridian Illinois Payspan Free EFT and ERA

Set up free Payspan EFT/ERA for Meridian Illinois Medicaid and distinguish the separate 2026 Wellcare Meridian Dual Align enrollment.

Sunshine Medicaid Payspan EFT and Transition Dates

Find Sunshine Health’s current Payspan EFT instructions and confirm its announced replacement date before changing payment options.

Ambetter Florida Payspan EFT and the Zelis Switch

Use Ambetter from Sunshine Health’s Payspan registration resources and verify its announced December 2026 payment transition.

Oregon MMIS Login: Password Reset, Locked Account and PIN Help

Oregon MMIS provider login: open the official portal, recover a password or PIN, give your biller clerk access and find current OHA support.

Oregon OHP CCO Directory by County: Provider Lookup Guide

Find OHP CCOs by Oregon county and ZIP code, then verify member coverage, provider participation and the right claim destination.

Oregon Medicaid Payer IDs: OHA, CareOregon, PacificSource and Trillium

Verified Oregon Medicaid medical and behavioral health payer IDs for OHA, CareOregon, PacificSource and Trillium, with product and routing checks.

Add Your Biller to MassHealth POSC as a Subordinate User

Create or link a MassHealth POSC subordinate account for your biller, choose service-location permissions and keep administrator access current.

MassHealth ACOs, MCOs and MBHP: Behavioral Health Routing

Use the current MassHealth plan list and identify whether behavioral health routes to MBHP, a managed-care plan or direct MassHealth billing.

MassHealth Behavioral Health Claims: POSC or MBHP

Choose the behavioral health claim destination, submit direct MassHealth professional claims and distinguish MBHP from other Carelon payment routes.

MassHealth POSC Login: Provider Account Setup

MassHealth POSC provider login: use your own business account, register a Primary User and give your biller separate subordinate access.

MassHealth Therapy Telehealth Billing: POS and Modifiers

Review MassHealth therapy telehealth coverage, home versus other-site POS codes, audio-only modifiers and MBHP or plan billing requirements.

Verify MassHealth Eligibility with EVS, POSC or NEHEN

Check MassHealth coverage for the service date in POSC EVS or NEHEN, review plan and insurance details and retain the eligibility response.

Florida Medicaid Secure Web Portal Login: FMMIS Access

Florida Medicaid Secure Web Portal provider login: open FMMIS, set up your account, add biller access, and recover an administrator or agent login.

Create a Florida Medicaid Secure Web Portal Account

Set up Florida Medicaid provider portal access using your Medicaid provider ID and PIN letter, then add separate accounts for your billing team.

Give Your Biller Access to the Florida Medicaid Web Portal

Add a Florida Medicaid portal agent, choose claims and eligibility roles, and distinguish user access from Trading Partner and SMMC plan enrollment.

Florida Medicaid Enrollment for LMHCs, LCSWs, LMFTs and Psychologists

Understand AHCA enrollment for Florida behavioral health practitioners, Full versus Limited enrollment, group linkage, and legacy Registered status for SMMC.

Florida Medicaid ID vs. SMMC MMA Plan Credentialing

Separate AHCA provider enrollment from SMMC plan contracts, find current plans by Florida region, and check the October 2026 Children’s Medical Services change.

Verify Florida Medicaid Eligibility Before a Therapy Session

Use the Florida Medicaid portal to check service-date eligibility and SMMC enrollment, then confirm plan benefits, network status and authorizations.

Florida Medicaid Behavioral Health Claims: FFS or SMMC Plan?

Route Florida Medicaid behavioral health claims to the right payer and check provider enrollment, service codes, documentation and remittances before resubmitting.

Florida Medicaid Telehealth Billing for Therapists

Check Florida Medicaid’s audio/video rule, behavioral health telemedicine eligibility, FFS GT modifier and SMMC plan instructions before billing a remote visit.

Verify NC Medicaid Eligibility in NCTracks

Check NC Medicaid eligibility in NCTracks by date of service, identify Standard or Tailored Plan enrollment, and confirm behavioral health claim routing.

NC Medicaid Behavioral Health Claims and Telehealth

Route NC Medicaid therapy claims to the right payer and check NCTracks taxonomy, telehealth GT or KX modifiers, place of service and coverage policies.

ePACES Login: eMedNY Access and Biller Setup

ePACES provider login: find eMedNY’s official sign-in, activate access, add your biller, and separate eligibility and FFS claims from PSP provider enrollment.

eMedNY ETIN Certification and Biller Access

Understand New York Medicaid ETIN applications, annual certification, provider and service-bureau forms, and separate ePACES permissions for your biller.

Verify NY Medicaid Eligibility in ePACES: MEVS Guide

Run an ePACES MEVS eligibility request for the right service date, read managed-care and other-insurance details, and route behavioral health billing.

NY Medicaid Behavioral Health Claims in ePACES

Submit New York Medicaid FFS therapy claims through ePACES, distinguish complete from submitted, and check status using profession-specific billing rules.

NY Medicaid Telehealth Billing for Therapists

Check New York Medicaid telehealth modifiers, audio-only conditions and the POS 11 office exception, plus separate managed-care and OMH requirements.

NJMMIS Login: Provider Account Setup and Biller Access

NJMMIS provider login: find the official sign-in, register the practice, give your biller a separate Sub-account, and fix password or inactive-account problems.

Verify NJ Medicaid Eligibility: REVS and NJMMIS eMEVS

Check New Jersey Medicaid eligibility by REVS or eMEVS, identify the member’s plan and other insurance, and distinguish an active response from payment approval.

NJ Medicaid Behavioral Health Claims: MCO or Fee-for-Service?

Choose the correct NJ FamilyCare claim destination, separate submission from payment, and check provider enrollment, plan participation and authorization before billing.

New Jersey Medicaid Telehealth Billing for Therapists

Verify current NJ FamilyCare telehealth coverage, the 2027 payment-parity extension, and plan-specific audio, video, modifier and place-of-service requirements.

Verify SC Medicaid Eligibility in the SCDHHS Web Tool

Check SC Medicaid eligibility for the service date, use the published Web Tool Single Query steps and confirm MCO coverage and other insurance.

SC Medicaid Behavioral Health Claims and Telehealth Billing

Route Healthy Connections therapy claims to FFS or the MCO, check LIP billing requirements and apply current South Carolina video and GT guidance.

VPay Virtual Cards: Opt Out, Compare ACH Fees and Checks

Identify VPay under Optum Financial, check merchant fees, find your payer’s ACH or paper-check route and keep VPay separate from Optum Pay.

McLaren Medicaid VPay Cards: Request ACH or a Check

Use McLaren’s published VPay support route to change virtual-card payments to ACH or checks, and confirm the terms for your Michigan Medicaid billing entity.

Florida Health Care Plans VPay: Enroll in ACH and 835

Find FHCP’s VPay ACH/835 support number, separate payment setup from claim submission and check fee terms before accepting virtual-card payments.

WebTPA VPay EFT: Set Up Smart Data Solutions ERAs

Use WebTPA’s documented VPay EFT/835 route and Smart Data Solutions remittance setup, with the Prudential flyer’s group-specific boundaries.

Dean Self-Funded VPay: EFT and SDS for 71890 or 75261

Check Dean’s 2026 self-funded payment routes, including 71890 employee plans and 75261 ASO, before choosing VPay EFT and SDS remittances.

Firefly Health Plan VPay: Payment Setup and Remittances

Find Firefly’s official VPay payment contact, keep its network-specific claim instructions separate and verify the fee and remittance setup.

West Virginia Senior Advantage VPay: EFT or Paper Checks

Use WV Senior Advantage’s VPay contact for EFT or paper-check opt-out, compare merchant and EFT fees and arrange electronic remittances.

AMFT, ASW and APCC Billing: Which CA Payers Pay?

Optum and Cigna publish rules that cover California associates, and Aetna allows it in network. Other plans vary. How the claims bill and what to confirm.

Nevada Medicaid Behavioral Health Claims and Telehealth

Review Nevada Medicaid behavioral health FFS claims, PT 14 authorization limits and telehealth POS/modifiers, with separate MCO and facility-fee checks.

Nevada Medicaid EVS: Verify Eligibility in PWP

Verify Nevada Medicaid eligibility in PWP, formerly EVS: search dates, coverage details, MCO assignment and the misleading fee-for-service benefit row.

Illinois Medicaid Telehealth Billing for Therapists

Check Illinois Medicaid telehealth billing by service and plan: HFS CBS GT/93 modifiers, POS 02/10, and the limits of applying those rules to private practice.

MEDI Login: myHFS, Digital ID and Medicaid Eligibility

MEDI provider login: use the Illinois myHFS sign-in, set up Digital ID and MEDI authorization, and reach IEC eligibility inquiries.

YesNM Login: New Mexico Medicaid Provider Portal

YesNM provider login: open the official New Mexico Medicaid portal, set up Turquoise Claims and enrollment access, add your biller, and fix login errors.

Verify New Mexico Medicaid Eligibility: Turquoise Claims

Use Turquoise Claims to verify New Mexico Medicaid eligibility. Follow current member-search steps and check coverage, plan assignment, and billing readiness.

New Mexico Medicaid Claims and Telehealth

Understand New Mexico Medicaid Turquoise Claims routing, MCO follow-up, individual enrollment, taxonomy checks, and service-specific telehealth billing review.

Can Associates or Student Interns Bill OSU Health Plan?

OSU Health Plan supervision rules for Ohio LPCs, LSWs, MFTs and psychology trainees, with licensing, network, disclosure and quarterly record requirements.

Group Number on a Medicaid Card: Where to Look

Looking for a group number on a Medicaid card? Learn how state and health-plan cards differ, which ID to use, and what to ask when a form requires one.

How to Check Medicaid Status: Application or Renewal

Check Medicaid application or renewal status through your state agency. Find the official contact route and separate member questions from provider checks.

GAMMIS Eligibility: Verify Georgia Medicaid Coverage

Use the official GAMMIS portal to verify Georgia Medicaid eligibility for each visit. Check service dates, CMO assignment, benefits and other insurance.

Georgia Medicaid Therapy Claims and Telehealth

Route Georgia Medicaid therapy claims to FFS or the member’s CMO. Check the current telehealth guidance, provider NPIs, affiliations and authorizations.

Optum Pay Basic vs Premium: Fees, ACH and Virtual Cards

Compare Optum Pay Basic and Premium fees, virtual cards and ACH, current monthly cap, enrollment steps and the cost of biller access.

UnitedHealthcare Commercial: Optum Pay ACH Enrollment

Enroll UnitedHealthcare commercial payments in Optum Pay ACH, check Basic versus Premium and resolve virtual cards issued before activation.

UHC Community Plan Maryland: Optum Pay EFT

Find UHC Community Plan Maryland’s Optum Pay EFT route, distinguish the medical plan from behavioral payment routing and check remittance access.

Optum Behavioral Health / UBH: Optum Pay EFT

Set up Optum Behavioral Health/UBH ACH through Optum Pay, review Basic versus Premium and distinguish Provider Express access from payment enrollment.

Oxford Health Plans: Optum Pay EFT Enrollment

Use Oxford’s commercial payment instructions to enroll with Optum Pay, locate PRA detail and check the practice TIN before changing ACH.

HealthChoice Optum Pay or Zelis: Check Your EFT Route

Oklahoma HealthChoice uses UMR and multiple payment vendors. Check the 2026 Optum ACH/Zelis enrollment matrix before changing EFT.

Optum Pay Login: Provider and Biller Access

Optum Pay provider login: open the official sign-in page, find enrollment and identity help, and connect your biller through its separate service account.

InstaMed Virtual Card Fees: Switch to No-Fee ACH EFT

Avoid virtual-card processing costs by checking InstaMed’s free payer ACH EFT/ERA enrollment, product limits and the owner-only application rule.

Geisinger Claim Payment Cards: Switch to Free InstaMed EFT

Geisinger claim payment cards incur your merchant-processing rate. Find the free InstaMed EFT/ERA enrollment route and check the first deposit.

CountyCare InstaMed EFT/ERA Enrollment: Free Direct Deposit

Register for CountyCare payments through InstaMed. Find the official EFT form, bank-document requirements and the difference from Availity claims.

Maryland Physicians Care: Free InstaMed EFT and ERA

Maryland Physicians Care uses InstaMed for free claim-payment EFT and ERA. Find the official registration route and reconcile payments after enrollment.

Premera Individual Plans: InstaMed EFT and NPI2 Limits

Check Premera individual-plan InstaMed EFT enrollment, NPI2/TIN limits and the January 1, 2027 date-of-service cutoff before choosing a payment route.

LifeWise Individual Plans: InstaMed EFT and Paper Checks

LifeWise uses InstaMed for individual-plan EFT and a separate group-plan route. Check billing NPI/TIN details and what to do when paper checks continue.

Dean Health Plan InstaMed EFT/ERA: Check Your Payer ID

Dean lists InstaMed payment services for payer IDs 41822 and MEDM1. Find EFT registration and keep the separate ASO/WebTPA route straight.

Excellus InstaMed EFT/ERA: Check Your Payment Route

Excellus appears on InstaMed’s free ERA/EFT payer list. Check enrollment, payer ID 12B37 and why dental Zelis fee guidance is not a universal rule.

ECHO Provider Portal Login: ACH and Biller Access

ECHO provider login: open ProviderPayments.com, set up biller access, and separate payment lookup from payer-specific EFT and fee-based All Payer ACH.

CareSource Ohio: QuicRemit Fees and EFT Enrollment

Use CareSource Ohio’s official ECHO enrollment route, understand QuicRemit virtual card fees, and request EFT with the right payer and practice details.

Aetna Better Health Florida: No-Fee ECHO EFT

Enroll in Aetna Better Health Florida’s dedicated no-fee ECHO EFT route, authenticate with a payment draft, and avoid confusing it with All Payer ACH.

AmeriHealth Caritas PA: ECHO Card Fees and EFT

Stop AmeriHealth Caritas Pennsylvania ECHO virtual cards, find the direct-payer no-fee EFT route, and confirm banking and remittance setup for your practice.

Can Associates or Interns Bill Select Health?

Plan for Select Health’s January 2027 incident-to enforcement: initial evaluations, provisional licenses, care-plan changes, and existing patients.

Therapy Platforms: Rates, Referrals & Control

Compare Alma, Headway, Grow Therapy and Rula with direct payer contracts. Check reimbursement, referral fees, records access and cash-flow risks.

Texas LPC Associate Insurance Billing: Who Can Bill?

In Texas, the group bills an LPC Associate’s sessions under the LPC-S, and only with payers that allow it: Aetna, Cigna, BCBSTX. Not Texas Medicaid.

Can Licensed Associates Bill Quest BH or EAP?

Quest’s licensed-associate and treating-NPI rules, BH versus EAP claim routes, and employer benefit transitions through the end of 2026.

BCBSIL EFT Is Active but ERA or EPS Is Missing

Getting BCBSIL deposits with no ERA or payment summary? EFT and ERA are separate enrollments. Find the existing ERA, its receiver, and the claim summary.

Evernorth Login: Behavioral Health Provider and Biller Access

Evernorth provider login: create your individual behavioral health account, find the Website Access Manager, add your biller and fix missing portal permissions.

Can Associates Bill Moda in Oregon and Idaho?

Moda RPM079 for Oregon and Idaho: contract amendments, roster and attestation, rendering NPI, reduced reimbursement, and full-license transition.

ERA Enrollment Approved: Are You In-Network Yet?

No. An ERA approval only means payment reports will arrive electronically. Here is how to read Optum and payer enrollment emails and confirm network status.

Georgia LAPC Supervised Billing: Headway and Payers

Headway’s supervisory billing pilot skips Georgia. A Georgia group can bill LAPC sessions under a supervisor with Aetna and Cigna by contracting directly.

Can Associate Therapists Bill Blue Cross of Idaho?

Blue Cross of Idaho mental health extenders: direct contracts, sponsorship, enrollment and electronic billing versus performing NPI fields.

ERA Received but No Bank Deposit: What to Check

An ERA date is not the deposit date, and one ACH often covers many claims. Search your bank for the full payment total, then trace it with the payer.

Can Limited-License Therapists Bill Priority Health?

Priority Health’s Michigan license/supervisor pairings, AJ and HO modifiers, Type 1 rendering NPI, review timing, and Medicare Advantage exclusion.

Healthy Blue Kansas EFT: Already in EnrollSafe?

EnrollSafe says your TIN is already registered? Recover that account, then check its Healthy Blue Kansas enrollment row. Registration alone is not EFT.

Supervisee Claims in SimplePractice and TherapyNotes

The payer decides whose NPI goes in box 24J and box 17. Here is how to set supervised claims per clinician and payer in SimplePractice and TherapyNotes.

Can Associate Therapists Bill AZ Blue?

AZ Blue’s 2026 incident-to rules for associate therapists: supervisor intake, employment, availability, contracted rendering identity and claim checks.

Missing Insurance Check: Trace It Before Reissuing

Insurance says it mailed a check that never arrived? Confirm the mailing address, ask whether it was cashed, then request a stop and reissue from the issuer.

Can Associate Therapists Bill Premera Washington?

How Washington therapy groups bill Premera associates under their own NPIs, handle pending licenses, and prepare for full licensure.

Molina Illinois EFT Enrollment: ECHO’s No-Fee Route

Set up Molina Illinois direct deposit through ECHO’s single-payer form, not the all-payer offer. What ECHO needs, how long it takes, and what to do with cards.

Can Associates Bill Magellan in California or Idaho?

Compare California associate modifiers with Idaho IBHP supervisory fields, contract prerequisites and unresolved conflicts in Magellan’s own instructions.

TriWest EFT Enrollment: Fix Remittance Validation

Availity wants a prior TriWest payment before TRICARE West EFT? Use a recent remittance’s trace number, amount, and date, or the paper route if you have none.

Can Associates Bill WellSense? Check the 2026 Administrator

Hiring for WellSense clients? Check the behavioral-health administration transition, current plan approval and why an old Carelon addendum is insufficient.

Payer Asked for a Refund: Was It Already Recouped?

Got an insurance refund request? Match it to the original payment, check later remittances for an offset, and pick one way to repay so you don’t pay twice.

Insurance Paid $0: Deductible, Denial or Out of Network?

A $0 therapy claim usually means deductible, a denial, or out-of-network processing. How to read the EOB and what to check before you bill the client.

Licensed in Two States: Credentialing and Billing

License follows the client's location. Medicaid needs enrollment per state, BCBS runs through your local Blue plan, and Aetna rarely needs a new contract.

Lucet Alabama and Florida: Supervised Therapy Claims

Lucet-administered Alabama and Florida therapy rules: intern eligibility, supervisor NPI, license modifiers, group billing and employer-plan exclusions.

SimplePractice Card Declined: What to Check Next

A client’s card was declined or won’t save in SimplePractice. Pause retries, have the client update the card in the portal, then collect the balance once.

EHR + Biller vs Headway, Alma, Grow: True Cost

Compare an EHR plus a percentage biller on your own contracted rates with Headway, Alma and Grow payouts, using public pricing and a worked example.

Leaving Headway, Alma, or Grow: How Therapists Transition

How therapists move off Headway, Alma, and Grow Therapy: what transfers, what does not, and a step-by-step plan that protects clients and cash flow.

Regence and Asuris: Supervised Therapy and SA

Compare Regence and Asuris associate-therapy rules: SA, same-group supervision, education, review obligations and commercial versus Medicare scope.

Insurance Paid Less Than Your Therapy Contract Rate?

Check the allowed amount against the current schedule for that product and clinician. Most low payments are stale rates; real ones are loading errors to fix.

Therapy Payment Plans: Separate Old Debt From New Visits

Set a per-session amount that covers today’s copay plus a set payment on the old balance, then turn off full-balance AutoPay so the plan is what gets charged.

Sessions Health ERAs: Stop Hand-Entering EOBs

Enroll each payer for ERAs so Sessions Health posts payments to claims itself. Enter only paper EOBs by hand, and match deposits to ERAs by trace number.

Can Associate Therapists Bill Independence Blue Cross?

IBX commercial supervised therapy rules for LSW/LMSW, LAMFT and LAPC clinicians: AJ, supervisor rendering, written consent and credentialing transitions.

Medicare Paid, Secondary Didn’t: Check the Crossover

Medicare paid but the Medigap or Medicaid secondary has not? Check the crossover code, whether the supplement paid without an ERA, and what it actually owes.

Can Associates or Interns Bill Horizon New Jersey?

Horizon NJ’s supervised therapy rules: eligible licenses, a board-approved supervision plan, patient consent, supervisor rendering and modifier HO.

Billing for Limited Permit Holders in New York

NY permit holders and LMSWs bill under a supervisor, only where the payer allows it. NY Medicaid allows it for LMHC, LMFT and LCSW supervisors, not LCATs.

Insurance Paid but No Payment Report in SimplePractice

Got a check or deposit but no ERA in SimplePractice? Check the Payment Reports enrollment, the payer ID that actually paid, and who else receives your ERAs.

Can Associates or Interns Treat WPEE Fund Members?

The Fund’s outpatient mental-health benefit uses a licensed-practitioner condition. Learn what that establishes and what remains unresolved for supervised LSWs and students.

Virtual Card Posted as Client Payment in SimplePractice

Ran an insurance virtual card and it landed as client income? Reclassify it as an insurance payment, avoid a real refund, and skip the next card.

Can QTTs or Student Interns Bill Wisconsin Medicaid?

ForwardHealth has different enrollment, supervision and claim identities for degree-holding qualified treatment trainees and graduate student practicums.

UHC Provider Portal Login: One Healthcare ID and Community Plan

UHC Provider Portal and Community Plan login: recover your One Healthcare ID, connect the right TIN, and give staff or outside billers separate access.

Can Residents and Supervisees Bill Virginia Medicaid?

Virginia has an affirmative resident/supervisee pathway with board/site approval and rapid supervisor signoff; Aetna Better Health acceptance remains separate.

Client’s COBRA Is Pending: Bill Insurance or Self-Pay?

While a client’s COBRA is pending, hold their insurance claims or bill self-pay, check eligibility for each visit date once coverage starts, and track deadlines.

Can Associates or Interns Bill Tufts Commercial?

Tufts commercial coverage has a supervised-practitioner pathway. Tufts Health Direct, Medicaid, dual-eligible and senior products need separate rules.

Whose Date of Birth Goes on the Insurance Claim?

The patient’s birth date always goes on the claim. The subscriber’s is needed only when they are the same person; for a dependent, payers rarely need it.

Can Associates or Interns Bill TRICARE?

TRICARE’s supervised counselor category requires completed experience, a state credential and physician oversight. Compare East, West and For Life before hiring.

Client Uploaded Insurance in Sessions Health: What Next?

After a client uploads insurance in Sessions Health, match the right payer (fixing Needs Payer), check the card, then verify benefits before the first claim.

Can Supervised Therapists Bill Sentara Commercial?

Sentara names a resident and supervisee pathway and requires the supervisor’s individual rendering NPI. Match the credential and commercial product first.

SimplePractice Export Missing Appointments?

SimplePractice data exports leave out appointments. Pull the Appointment status report separately, and check the archive before you close the old account.

Can Associate Therapists Bill Regence Washington?

Washington associates have a documented Regence pathway with approved supervision, same-group requirements and SA; the exact claim-role mapping still needs confirmation.

Switching Billers: Who Handles Old Claims?

Split old and new claims by date of service. The outgoing biller finishes what it filed until its last day; the new biller takes new visits and agreed cleanup.

Practice Name and DBA Change: Payer Update Checklist

A therapist practice checklist for updating NPPES, CAQH, payer records, claims, EFT, ERA, and tax records after a legal-name or DBA change.

Can Associate Therapists Bill Regence Oregon?

Oregon permits certain outside supervision, while Regence’s payment pathway requires a same-group supervisor. Resolve that difference before assigning insured clients.

Switching EHRs With Unpaid Insurance Claims

Keep old claims, remittances, and payments on the old EHR until they settle, start new claims on a set date in the new one, and check that every client imported.

Highmark Commercial Telehealth Coding Changes for Providers

Highmark permits CPT 98000-98015 for Commercial telehealth E/M. Learn the effective dates, modality and POS rules, open modifier questions, and next steps.

Can Associate Therapists Bill Regence Idaho?

Regence’s associate provision can support an Idaho graduate hire, with same-group supervision and a separate LMSW supervision-plan check.

TherapyNotes Note Finished but Claim Not Ready?

A signed TherapyNotes note does not build the claim by itself. Check the appointment’s service code, location, fee, insurance, and supervisor co-signature.

Can Associates or Interns Bill Oscar Through Optum?

Oscar’s applicable Optum commercial/exchange pathway covers CA, CO, HI, IA and MA; elsewhere requires previous Optum approval. Service/entity exclusions apply.

Insurance Shows Inactive for a Past Visit: What to Check

A check run today shows today’s coverage, not the visit date’s. Re-check eligibility for the actual date of service before moving a past visit to self-pay.

Can Licensed Associates Bill Molina Apple Health?

Washington supports a facility-affiliated licensed-associate pathway; confirm Molina’s product, participation and Part I versus Part II claims lane.

Sessions Health: Charge a Parent’s or Partner’s Card

In Sessions Health, charge a linked contact’s card by selecting that person when you add the payment. The billing contact only controls who receives bills.

Can Associate Therapists Enroll With MedCost?

MedCost lists associate licenses on its add-provider form. Prepare individual enrollment, verify approval and distinguish that evidence from supervisor billing.

Insurance Card Name Does Not Match the Sessions Health Chart

Card name differs from the chart? Find out whose card it is and whether the legal name changed, then fix the legal-name or subscriber field, not the display name.

KanCare: Can Associates Bill Healthy Blue or UHC?

Distinguish a licensed Kansas clinician under supervision from a nonlicensed student or graduate, and verify the actual KanCare participation decision.

Add a Second State License in SimplePractice

Add another state license under Settings > Profile > Clinical info on the same clinician profile. Insurance in the new state needs separate credentialing.

Can Associates or Interns Bill Innovation Health?

Innovation’s Aetna contract relationship supports a conditional supervisory pathway with completed education, qualified supervision and the same employer.

How Clients Add a Card in SimplePractice

Clients add a card in the SimplePractice Client Portal once Online Payments is on. Never take card numbers by email; staff can enter one in the client’s billing.

Humana Louisiana: Can Provisional Clinicians Provide CPST?

Louisiana’s Humana manual distinguishes fully licensed assessment staff from provisional staff eligible for other CPST components and defined psychology interns.

Multiple Tax IDs in SimplePractice: Set Claim Rules

Use SimplePractice claim rules to send each clinician or payer’s claims under the right tax ID. Changing a tax ID does not fix claims that were already sent.

Can Associate Therapists Bill Highmark Pennsylvania?

Highmark PA has an own-NPI route for enumerated LAMFT, LAPC and LSW clinicians. Check group affiliation, covered services and contract rates before assigning patients.

SimplePractice Taxonomy Rejection: Rendering or Billing?

Box 33b is the billing taxonomy (a group code for a Type 2 NPI); box 24J is the clinician’s own. Find which one the rejection names before changing settings.

Highmark NY Medicaid: Can Interns or Permit Holders Bill?

Separate limited-permit clinicians, continuously supervised student sessions and designated CFTSS agency services before hiring for a Highmark-covered caseload.

Fix a Wrong Copay on a Past SimplePractice Visit

Correct Client owes on a past SimplePractice appointment, settle any overcharge as a credit or refund, and decide whether future visits need the same fix.

Can Supervised Therapists Bill Highmark Health Options?

Identify the actual Delaware benefit before hiring: independent LBHP coverage and licensed behavioral-health programs have different staffing rules.

SimplePractice Insurance Balance vs Client Balance

An insurance balance in SimplePractice is usually money still waiting on the payer, not a bill for the client. Here is how to tell what the client owes.

SimplePractice Price Increase: What Changes

SimplePractice changes insurance claim fees October 1, 2026. See who pays more, why fees are changing, and what therapists should do next.

How to Find Your Health First Colorado Provider ID and Enrollment Effective Date

Find an individual Health First Colorado Provider ID, enrollment effective date, and group-affiliation date without sharing a portal password.

Can Associates or Interns Bill Harvard Pilgrim?

Harvard Pilgrim’s commercial BH policy recognizes supervised practitioners. Confirm product administration, participating supervision and patient consent before assignment.

Did SimplePractice Charge the Card? How to Check

A SimplePractice invoice, statement, or credit is not a card charge. Find the payment, its method, and its receipt before telling a client they were charged.

Can Associate Therapists Bill Geisinger Health Plan?

Geisinger directs specified Pennsylvania supervised license categories to incident-to billing rather than independent empanelment. Verify the actual practitioner arrangement.

SimplePractice Ready to File: Are Those Claims Submitted?

Unbilled or Ready to File in SimplePractice means no claim has gone out yet. Find out why each visit is stuck and file it once, without duplicate claims.

Can Registered Interns Bill Florida Medicaid?

Separate Florida’s post-degree registered-intern credential from Medicaid’s agency practitioner categories and pre-degree student placements.

Record a Cash or Check Payment in SimplePractice

Log a client’s cash, check, or outside card payment in SimplePractice against the right visit so AutoPay or your biller does not charge the card again.

Should Pennsylvania Therapists Join Curative?

Curative is recruiting Pennsylvania behavioral-health providers. What its $0 plan, fee schedule, reimbursement signals, and contract terms mean before signing.

Can Associates or Registered Interns Bill Florida Blue?

Florida Blue’s Lucet approval depends on PPO/HMO scope, employer group and exclusions; 00590 does not establish eligibility.

Record Headway or Alma Payments in SimplePractice

Keep Headway, Alma, or other platform-billed clients out of your own claims and card charges in SimplePractice, then record each platform payout once.

Can You Bill UPMC Under a Supervisor?

What UPMC Health Plan commercial policies say about billing an LPC’s psychotherapy under a psychologist while credentialing is pending.

BCBSIL E/M Downcoding: Therapist Guide

BCBSIL began re-leveling some commercial E/M claims July 1. Learn which mental health providers are affected and how to review lower payments.

Can Associates or Interns See First Choice Health EAP Clients?

First Choice EAP requires fully licensed providers. Separate that hiring requirement from PPO benefits, referral authorizations and ongoing insurance care.

Apply a SimplePractice Client Credit to the Next Session

Use a SimplePractice client credit for the next session: open the unpaid invoice, choose Apply available credit, and check what is left before charging.

Did Alma Change All Its Rates on August 15?

Alma's Aetna rates changed for August 15 service dates—but not every payer or code. Here's how therapists can audit claims and payouts.

Can Associates or Interns Join ComPsych’s Network?

ComPsych’s public individual network criteria require the highest state credential and postgraduate experience. Organizational exceptions are not established.

SimplePractice Claim Missing a Diagnosis? How to Fix It

A SimplePractice claim needs a diagnosis dated on or before the visit. Check the diagnosis date, full-length code, and whether the claim was already sent.

Payspan Login: Registration Code, Password and Biller Help

Payspan provider login: open the official payment portal, recover your username or password, request a registration code and authorize your biller.

Are Headway Annual Chart Reviews Coming?

Headway is rolling out annual chart reviews to some therapists. Learn what is confirmed, what reviewers check, and how to respond.

Colorado Medicaid PT 77 Guide

Colorado therapy groups: what Health First Colorado's PT 77 transition means for PT 25/16 enrollments, affected codes, and next steps.

Can Psychology Trainees Bill Community Care HealthChoices?

Community Care’s Medicaid rules distinguish master’s-level practitioner restrictions from a specific psychologist-supervised trainee pathway.

Fix a No-Show or Late-Cancel Fee in SimplePractice

Waive, reduce, or refund a SimplePractice no-show or late-cancel fee: fix the fee on the appointment, keep it off insurance, and handle any money already taken.

Can Limited-License Therapists Bill BCBS Michigan?

BCBSM’s March 2027 incident-to restriction has a conditional OPC letter-of-intent extension to September 2027. Dates and requirements for therapy groups.

Workers' Compensation Billing for Therapists

How workers' compensation billing works for therapists: claim numbers, adjusters, authorizations, fee schedules, and what to collect before treating.

What Is a Minnesota MMB Supplier ID?

Learn what an MMB supplier ID is, how Minnesota Medicaid providers register for one, and how to connect it to MHCP for EFT payments.

Colorado Access and CCHA: Hiring Supervised Clinicians

Apply current Colorado oversight obligations while keeping each RAE’s actual clinician acceptance, documentation and claim identity distinct.

Can I Bill 90791 Again for a Returning Client?

When a repeat 90791 is safe, why the six-month clock may run from the last treatment date, and what to bill when a returning client resumes care.

Pause SimplePractice AutoPay While Insurance Is Pending

Turn off AutoPay for one SimplePractice client before the overnight run when a claim, secondary, or denial is unresolved, then restart it on a verified amount.

Alma Partially Reversed Aetna's 90837 Cut

Alma kept 90837 separate from 90834 after negotiating with Aetna, but overall reimbursement still fell. What therapists should audit now.

Medi-Cal Prop 35 Payments for Therapists

Medi-Cal has proposed a six-month supplemental payment for eligible mental-health claims. What therapists should verify while federal approval is pending.

Carelon Is Moving PaySpan Payments to Zelis

Carelon is moving Carelon-member payment processing from PaySpan to Zelis in mid-2026. What therapists should verify before the transition.

CareSource Indiana: Can Associates or Interns Bill?

Separate ordinary CareSource outpatient hiring from Indiana CCBHC encounters, including Gainwell routing and supervised-provider exceptions.

SimplePractice Refund Not Available? Payment Too Old

SimplePractice card refunds work only within 180 days on the original card. Past that, refund by check outside SimplePractice and record it so the ledger matches.

Can Associates Bill Fallon Health Through Carelon?

Fallon’s Massachusetts facility rule permits qualifying graduates under supervision. It is not blanket Carelon permission for every private group or student.

Fix a Missing or Invalid Rendering NPI Rejection

A rendering NPI rejection is rarely a bad number. Check who the claim listed, payer enrollment, group taxonomy, and routing before you resubmit or apply again.

Can Associates or Students Bill BlueCare and TennCareSelect?

A BlueCare facility can have documented supervised master’s and graduate-student pathways, with contract, roster and onsite-supervisor requirements.

Primary and Secondary Insurance Claims: How to Bill

Bill the primary plan, wait for its EOB, then send the secondary with the primary’s payment details. How to confirm the order and avoid duplicate crossovers.

NCTracks Office Administrator Is Wrong

What North Carolina Medicaid providers should do when the NCTracks Office Administrator on an individual record belongs to another employer.

Your First Insurance Client: What to Expect

A first-insurance-client checklist for solo therapists: EHR access, EFT, provider and biller responsibilities, and the claim-to-payment timeline.

Are ASR and HAP Combining?

ASR Health Benefits and HAP have new Henry Ford Health names. What Michigan therapy practices should know about contracts, networks, claims, and payer IDs.

Can Associate Therapists Bill Blue Shield California?

Associate therapy has a documented commercial/Medi-Cal pathway when Blue Shield bears financial responsibility, with roster requirements and a Medicare Advantage exclusion.

How to Get Proof of Timely Claim Filing

Proof of timely filing shows the payer received your claim before its limit: the original submission, payer acknowledgment, and claim number. How to build it.

Can Associates or Interns Bill BCBS Oklahoma?

BCBSOK recognizes formal supervisory billing for trainee-license clinicians. Separate those conditions from current RP029 documentation requirements.

Wrong Payer ID on a Claim? How to Fix the Routing

Claim sent to the wrong insurance? Confirm the real administrator from the card or eligibility, fix the payer on the policy, and handle the first claim cleanly.

Oscar Network Gap Exceptions for Therapists

How Oscar network gap exceptions work for therapy clients, clinicians, and billers: when to ask, what approval means, and what to track.

Who Can I Bill Under as My Supervisor?

Learn who qualifies as a billing supervisor for LPC Residents and associate therapists—and when a practice owner's credentialing can be used.

Give Bomi Access to Optum Payer Enrollment Services

How to add Bomi as a user for the correct provider and TIN in Optum Payer Enrollment Services without sharing practice credentials.

InstaMed Login: Provider and Biller Access

InstaMed provider login: open the official portal, find account help, and give your biller a separate user for payer payments and remittances.

Medicare: Participating, Non-Par, Not Enrolled

Learn how Medicare participation status changes claims, assignment, payment, limiting charges, and the deadline for filing CMS-460.

Can Associates or Interns Bill BCBS New Mexico?

BCBSNM permits a formal trainee pathway, with direct personal supervision and separate claim identities for nontrainees. Learn what to verify before hiring.

NCTracks: Add a Billing Agent

How North Carolina Medicaid practices add a Billing Agent in NCTracks, choose 835 routing, and keep portal access under practice control.

NCTracks MCR: Add Location and Affiliation

How North Carolina Medicaid providers use an NCTracks Manage Change Request to add a service location and affiliate an individual NPI to a group.

WPO EAP: Submit a Workplace Options Provider Invoice

WPO EAP invoice help for Workplace Options referrals: open the provider submission form, use your assignment ID, and keep payment and case routes separate.

Can Associates or Interns Bill BCBS Alabama?

Use Alabama’s documented behavioral-health approval with its organization, supervision and location conditions; do not mistake it for student-placement permission.

Give Bomi MN-ITS/MPSE Access

How a Minnesota Medicaid provider grants Bomi individual MN-ITS and MPSE access for MHCP enrollment or roster work without sharing a personal password.

How to Work With Your Biller

A practical new-client insurance workflow for therapy practices: what your front desk should collect, what your biller should configure, and what not to guess.

Can Associates or Interns Bill Asuris?

Asuris has its own commercial associate pathway. Check board registration, same-group supervision and any residency/fellowship exclusion before assigning insured clients.

Can Associates or Interns Bill Anthem California?

The 2026 8VC4 PPO recognizes associates and certain trainees. Separate that benefit from group participation and claims setup before hiring.

Nevada Provider Flex: Give Biller Access

How a Nevada Medicaid practice gives a biller named delegate access and transfers an active Provider Flex enrollment without sharing passwords.

Give Your Biller Arizona Medicaid APEP Access

How an Arizona Medicaid provider adds a biller to an existing AHCCCS APEP group domain without sharing passwords or creating a duplicate enrollment.

Novitasphere Login: IDM Account and Billing-Service Access

Novitasphere provider login: create your own CMS IDM account, request an End User role and connect a billing service through 8291P and provider links.

Quest Behavioral Health Is Shutting Down

Quest Behavioral Health will cease operations Dec. 31, 2026. What therapists should do about coverage transitions, network status, and claims.

Claim Accepted but Not Paid: What to Check

Accepted is not paid. Learn why accepted therapy claims stall, from payment holds to pending enrollment, and how to check status without refiling a duplicate.

2027 Medicare Fee Proposal for Therapists

CMS's proposed 2027 Medicare fee schedule could move psychotherapy codes differently. See what changes, what does not, and what therapists should do.

Claim Rejected vs. Denied: What’s the Difference?

A rejected claim was stopped before the payer processed it; a denied claim was processed and decided. How to tell which you have and what to do first.

How to Change EIN With Insurance Companies

Changing your medical practice EIN? Use this Medicare, payer, NPI, credentialing, EDI, and EFT checklist to avoid preventable payment gaps.

Corrected Claim, Void, or Appeal? A Practical Guide

Send a corrected claim when your data was wrong, a void when the claim should not exist, and an appeal when the payer’s decision was wrong. How to tell which.

Duplicate Claim Rejection: Find the Original First

Got a duplicate claim denial? The payer already has a claim for that visit. Find the original, check its status, and correct it instead of sending it again.

Is Aetna Auditing Therapists?

Aetna can review therapist records before or after payment. Learn what its current rules say, what a request means, and how to respond.

Maryland MPRIME Hold: Therapist Guide

Maryland therapists: check your Medicaid provider type, meet the August 1 ePREP hold, and understand MPRIME backdating and exceptions.

Give a Biller Access to Kansas Medicaid KMAP

How a Kansas Medicaid provider adds a registered billing or credentialing partner as a KMAP Provider Delegate without sharing a portal login.

IAMOnline Login: TMHP Activation, MFA and Account Recovery

IAMOnline provider login: reach TMHP My Account, activate your named user, set up MFA and resolve account or application inactivity.

Wyoming DyP Login: Access and Service-Location Changes

Wyoming DyP provider login: sign in, create your own account, invite a biller as a Collaborator and update an existing service location through CoC.

Give Your Biller Access to Blue Cross NC Blue e

Blue Cross NC does not let practices add a billing company as a Blue e user. The biller registers its own Blue e entity with your signed authorization.

Give Your Biller Access to Wisconsin ForwardHealth

Your ForwardHealth administrator adds the biller as a clerk, sets the username and starting password, and assigns roles. Here is the handoff that works.

Add Your Biller as a PROMISe Alternate (PA Medicaid)

The provider adds the biller under Manage Alternates with a PIN. The biller registers as an Alternate with the generated code, then uses Switch Provider.

How Bomi Improves VOB Accuracy

How Bomi checks benefits, handles uncertain network and cost-share answers, compares VOB estimates with remittances, and improves payer-specific rules.

Why Verification of Benefits Is Often Wrong

Why electronic and phone VOBs can miss deductible, network, authorization, Medicare, and Medicaid details before the first claim is processed.

Telehealth Therapy Coverage: What to Verify With the Plan

Before a video therapy session, confirm the plan’s telehealth benefit for the CPT code and your network status where the client will be. Here is what to check.

EAP Sessions Exhausted: Switching Therapy to Insurance

When a client’s last EAP session is done, close out the EAP, then verify their health plan like a new client: deductible, network and authorization first.

How to Estimate a Therapy Deductible, Copay, or Coinsurance

Estimate a client’s per-session therapy cost before and after the deductible from the plan’s allowed amount, then explain it as an estimate, not a bill.

Mental Health Carve-Out: Find Who Manages the Benefit

A client’s mental-health benefit may be run by a different company than the one on the card. Find that administrator before checking network or claims.

Authorization Units vs Visits: Tracking Therapy Approvals

Read a therapy authorization by its quantity type, codes and date window, count only attended sessions against it, and renew before visits or dates run out.

Therapy Deductible Reset: What to Recheck Each Plan Year

When a client’s plan year turns over, rerun eligibility, update the member ID and plan, and give a fresh estimate before the first new-year session.

Client Met the Out-of-Pocket Max? What to Check

A client who met their out-of-pocket maximum usually owes no more in-network copays this plan year. Verify the limit and date before you stop collecting.

CMS-1490S Form: Medicare Patient Claim and Provider Limits

CMS-1490S is Medicare’s patient claim form. Download the official PDF and instructions, and understand the limits when the clinician is not Medicare-enrolled.

Therapy Referral vs Prior Authorization: The Difference

A referral sends the client to you; a prior authorization approves specific therapy visits in advance. Learn what each one needs and why one is not the other.

Set Up Evernorth EFT

How Evernorth providers set up EFT and ERA, grant biller access, verify bank/payment routing, and reconcile remittance reports.

Out-of-State BCBS Card: How BlueCard Claims Work

Bill an out-of-state Blue Cross Blue Shield PPO member to your local Blue plan, not the plan on the card. Check the suitcase, prefix and product first.

Idaho Medicaid Credentialing

A plain-English map of Idaho Medicaid enrollment, TPA/Gainwell, Magellan/IBHP, CAQH, Availity, and dual-plan exceptions for therapists.

Idaho Medicaid Provider Portal Login: Trading Partner Account Setup

Idaho Medicaid provider login: find Health PAS Online sign-in, Trading Partner Account registration, password recovery, invited staff roles and billing-agent associations.

Idaho Medicaid Biller Access

How Idaho therapy practices can associate a billing agent with a Medicaid TPA without sharing the provider login.

Give Your Biller Access to ProviderOne

How Washington therapy practices can add a biller to ProviderOne with named users, profiles, and no password sharing.

Verify Apple Health Eligibility

A Washington therapy-practice workflow for checking Apple Health eligibility, managed-care payer, FFS coverage, and claim route.

Availity for Idaho IBHP

How Idaho therapists should place Availity Essentials in the Magellan/IBHP workflow without confusing it with the state TPA.

Apple Health Claims: ProviderOne vs MCOs

How Washington therapists should route Apple Health claims between ProviderOne fee-for-service and managed-care plans.

Insurance Product vs CPT Code: What Is the Difference?

The insurance product is the client’s specific plan or network, like an HMO or PPO; the CPT code is the service you bill. Your biller needs both to answer you.

Verify Idaho Medicaid Eligibility

A therapist-focused checklist for verifying Idaho Medicaid, IBHP, MMCP, and Idaho Medicaid Plus eligibility before billing.

Apple Health Prior Auth for Therapists

How to route Washington Apple Health prior authorization through ProviderOne or a managed-care plan for therapy services.

Idaho Medicaid Claims Routing

How Idaho therapists should route Medicaid claims among Magellan, Gainwell, Molina, and UnitedHealthcare after eligibility verification.

Apple Health Telehealth Billing for Therapists

Washington Apple Health telehealth billing guide for therapists: HCA policy, mental health services, audio-only, and MCO checks.

Idaho Medicaid Prior Authorization for Therapists

Idaho Medicaid prior authorization resources for therapists: find Magellan IBHP forms and current handbook guidance, then check the member and service route.

Idaho Medicaid Telehealth Billing

A practical checklist for Idaho Medicaid telehealth billing across state, IBHP, and dual-plan workflows.

Idaho Medicaid Denials and Appeals

How Idaho therapists should classify Medicaid denials before deciding on correction, review, reconsideration, dispute, or appeal.

Idaho Medicaid Plus and MMCP

How Idaho therapists should handle dual-plan Medicaid members whose behavioral-health workflow may not follow standard IBHP routing.

Idaho YES for Child Therapists

A provider-facing map of Idaho YES, Magellan/IBHP, Liberty assessments, authorizations, and claim routing for child therapists.

WITS Idaho: SUD Provider Access Ended October 1, 2026

WITS Idaho and Idaho Mountain WITS searches: find the official DHW notice, the October 1 external-access cutoff, and the process for requesting data reports.

Medigap Plan G: Why a Therapy Client Owes a Deductible

Standard Medigap Plan G pays the Part B coinsurance but not the Part B deductible, so early-year therapy visits can leave a balance. Here is how to confirm it.

Does Psychological Testing Need Prior Authorization?

Often, yes. A plan can list screenings under preventive care with no authorization while psychological testing needs one. Verify the testing codes themselves.

UnitedHealthcare StudentResources: Therapy Billing Guide

StudentResources is UHC’s school-year student plan. Verify term dates, the clinician’s license and network status, and supervision rules before billing.

Can a Therapy Practice Waive a Copay?

Routinely waiving copays for insured clients creates payer and compliance risk. Individual, documented hardship relief is different. Here is how to set it up.

Virginia Medicaid Credentialing for Therapists

How MES, PRSS, Cardinal Care, and MCO contracting fit together for Virginia therapists.

Virginia MES Login: Medicaid PRSS Provider Portal

Virginia MES provider login: find official MES and PRSS links, enrollment access, PAH and delegate setup, password recovery and provider-account help.

PRSS vs Cardinal Care MCO Credentialing

Why Virginia Medicaid PRSS enrollment and Cardinal Care MCO credentialing are separate steps.

Verify Virginia Medicaid Eligibility

How Virginia therapists should verify Medicaid eligibility, Cardinal Care plan assignment, and claim lane.

Virginia Medicaid Claims for Therapists

How Virginia therapists route Medicaid claims between fee-for-service and Cardinal Care MCOs.

Virginia Medicaid Service Authorizations

How Acentra, Atrezzo, MES, and Cardinal Care MCOs fit into Virginia Medicaid behavioral health authorizations.

Virginia Medicaid Telehealth Billing

What Virginia therapists should check before billing Medicaid telehealth services.

Virginia Medicaid Behavioral Health and ARTS

A billing and credentialing map for Virginia Medicaid mental health and ARTS providers.

Virginia Behavioral Health Redesign

What Virginia Medicaid’s behavioral health redesign delay means for CMHRS and therapy providers.

Cardinal Care MCO Credentialing

How therapists should approach Virginia Cardinal Care MCO contracting and participation checks.

Colorado Medicaid Denied the Claim: Can You Bill the Client?

Usually not. Health First Colorado bars billing members for covered services, billing errors, PAR denials and secondary balances. The two exceptions, explained.

TennCare Medicaid ID vs MCO Credentialing

The Tennessee credentialing mistake that delays therapy claims: confusing a TennCare Medicaid ID with managed-care network participation.

MyTennCare Login: Online Services for Providers

MyTennCare provider login: use your TNT ID for TennCare Online Services. Find account help, new-provider access and administrator-managed staff requests.

TennCare Biller Access

How a Tennessee provider should give a biller separate TennCare Online Services staff access instead of sharing an administrator password.

Verify TennCare Eligibility

A practical eligibility checklist for Tennessee therapists seeing TennCare members, including date span, MCO assignment, and claim routing.

TennCare Claims for Therapists

How Tennessee therapists should think about TennCare MCO claims, crossover claims, Online Services, and claim-route verification.

Verify Michigan Medicaid Eligibility

Learn how Michigan therapists should verify Medicaid eligibility, Benefit Plan IDs, MHP assignment, and TPL before sessions.

TennCare Telehealth Billing for Therapists

How Tennessee therapists should verify TennCare telehealth billing rules across state guidance, MCO policies, eligibility, and claim routing.

Michigan Medicaid Claims for Therapists

A practical guide to Michigan Medicaid claim routing for therapists: fee-for-service, Medicaid Health Plans, PIHPs, and CHAMPS.

TennCare Behavioral Health for Therapists

How Tennessee therapists should understand TennCare behavioral health routing, MCO assignment, Health Link context, and network checks.

Michigan Medicaid Prior Authorization

Learn how Michigan Medicaid prior authorization works in CHAMPS and what behavioral health providers should verify first.

Michigan Medicaid Telemedicine Billing

A practical Michigan Medicaid telemedicine billing guide for therapists covering audio-visual, audio-only, modifiers, and verification steps.

Michigan Medicaid Behavioral Health Routing

Learn how Michigan Medicaid behavioral health routing works across Medicaid Health Plans, PIHPs, and CMHSPs.

UHC Community Plan Tennessee Credentialing

What Tennessee therapists should verify for UnitedHealthcare Community Plan of Tennessee credentialing, behavioral health, authorization, and claims.

Oregon Medicaid Credentialing for Therapists

How OHP enrollment, the MMIS Provider Portal, Open Card, and CCO credentialing fit together for Oregon therapists — the plain-English map.

Enroll in Oregon Medicaid as a Therapist

A practical guide to OHP provider enrollment for therapists: what to gather, where the online request lives, and why CCO steps come afterward.

Oregon MMIS Login: Medicaid Provider Portal Setup

Oregon MMIS provider login: use Firefox or Edge, find PIN, password and lockout help, and set up your own account and delegated Oregon Medicaid access.

Give Your Biller Access to Oregon MMIS

How Oregon Medicaid Provider Portal access works: add your biller as a clerk under the site administrator, and never share your login.

OHP Enrollment vs CCO Credentialing

OHP enrollment and CCO credentialing are not the same. Learn the difference before seeing Oregon Medicaid clients.

Verify OHP Eligibility: Provider MMIS and Member ID Lookup

Verify OHP coverage in provider MMIS, find a missing member ID and distinguish service-specific CCO coverage from Open Card claim routing.

OHP Open Card vs CCO: Where Oregon Medicaid Claims Go

OHP open card means fee-for-service coverage. Find official Oregon billing guidance and verify each benefit’s CCO enrollment before routing a therapy claim.

OHP Prior Authorization for Therapists: Fee-for-Service and CCO Routing

Check OHP behavioral health authorization by service and payer, including fee-for-service specialty routes, OHA request updates and PA Inquiry.

OHP Telehealth Billing for Therapists

Oregon OHP telehealth billing for therapists under OAR 410-120-1990: consent, licensure, POS 02 vs POS 10, and modifier 95 vs modifier 93.

OHP Billing Change for BH Associates

OHA is changing OHP Medicaid billing rules for board-registered behavioral health associates. Learn the July 1, 2027 date and what to verify.

Lane County OHP: PacificSource to Trillium Follow-Up

Follow up on Lane County’s February 2026 OHP change: date-specific claims, Trillium coverage, continuity periods and current authorization checks.

CareOregon / Health Share Credentialing

What therapists should know about CareOregon/Health Share provider contracting, OHP Medicaid IDs, and CareOregon Connect before applying.

Ohio Medicaid Credentialing for Therapists

How ODM enrollment, the PNM portal, centralized credentialing, and per-MCO contracting fit together for Ohio therapists — the plain-English map.

Ohio PNM Login: Provider Portal and Biller Access

PNM provider login: open Ohio’s official portal with your own OH|ID. Find account recovery, provider roles and Administrator-granted access for your biller.

Verify Ohio Medicaid Eligibility Each Session

How to check Ohio Medicaid eligibility in PNM and identify which MCO, OhioRISE, or FFS a member is in — before every session — to avoid denials.

Ohio Medicaid Claims: FFS vs Managed Care

How Ohio Medicaid claims route: fee-for-service through PNM vs managed care through each plan, behind one EDI front door (OMES / Gainwell).

Prior Auth for Ohio Medicaid Therapists

How prior authorization works across Ohio Medicaid FFS, each MCO, and OhioRISE — plus the 2026 CMS-0057-F rules and standardized BH/SUD PA forms.

Ohio Medicaid Telehealth Billing Guide

How Ohio Medicaid covers telehealth therapy under OAC 5160-1-18 (effective 1/1/2026): place of service, the GT modifier, U-modifiers, and 2025-2026 codes.

Ohio Medicaid License Tiers for Therapists

Independent (LPCC/LISW/IMFT) vs dependent (LPC/LSW/MFT) — who can enroll with Ohio Medicaid and bill, and who needs supervision.

Ohio Medicaid 2026: BH Prior-Auth Changes

What Ohio's 2026 behavioral health prior-authorization changes mean for therapy practices and billers.

UMR Is Moving Optum Pay Payments to Zelis

UMR-administered plans are moving provider payments off Optum Pay and onto Zelis, which can default you into a virtual card that skims 2–3% per payment.

UMR Pays Through Zelis: Avoid the 3% Fee

UMR routes provider payments through Zelis, often as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.

How to Add Bomi as Your Biller in TherapyNotes

A step-by-step guide to giving Bomi billing access to your TherapyNotes account by adding us as a Practice Biller user.

Meritain Health & Echo Health: Avoid 3% Fee

Meritain Health (an Aetna company) routes payments through Echo Health / QuicRemit as virtual cards that skim 2–3%. Switch to no-fee standard ACH EFT.

Echo Health (QuicRemit): Avoid the 3% Fee

ECHO Health pays many claims as QuicRemit virtual cards that skim 2–3%. Federal law gives you the right to no-fee standard ACH EFT — here's how to opt out.

HealthLink & Zelis: Avoid the 3% Card Fee

HealthLink routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.

Allegiance & Zelis: Avoid the 3% Card Fee

Allegiance routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.

Auxiant & Zelis: Avoid the 3% Card Fee

Auxiant routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. You're entitled to no-fee standard ACH EFT instead.

Quest Behavioral Health & Zelis: 3% Fee

Quest Behavioral Health routes payments through Zelis as virtual cards or fee-based EFT that skim 2–3%. Switch to no-fee standard ACH EFT.

Zelis Skims 3% — Switch to No-Fee EFT

Zelis sends many insurance payments as virtual cards or fee-based EFT that skim 2–3%. Federal law gives you the right to no-fee standard ACH EFT instead.

Insurance Virtual Cards: Switch to EFT

Payers send therapy payments as single-use virtual cards that skim a ~3% fee. Here's how to get reissued as a check and enroll in EFT direct deposit.

Out-of-Network Billing for Therapists

Whether you can bill a payer you're not paneled with, and your client's options: out-of-network benefits, a superbill, a single-case agreement, or self-pay.

Can Associate Therapists Bill Medicare Under Supervision?

Check the Medicare billing practitioner’s incident-to benefit, auxiliary qualifications, state law, supervision, and plan of care before billing therapy.

Can Associates or Interns Bill UHC and Optum?

Hiring an associate or intern for UHC/Optum clients? Compare five-state exceptions, prior approvals, minimum degree and commercial product limits.

Can Associates or Interns Bill Aetna Insurance?

Aetna’s in-network supervisory billing pathway: completed education, supervised hours, same-group supervisor, rendering identity, and product limits.

Can Associates or Interns Bill Cigna Insurance?

Hiring an associate or intern for Cigna/Evernorth clients? Check its supervisee pathway, state-law eligibility, credentialed supervisor and product scope.

Good Faith Estimates & the No Surprises Act

What the No Surprises Act requires of therapists: who needs a Good Faith Estimate, what it must include, and why it clears you to bill self-pay.

Add Bomi as Your Biller in SimplePractice

A step-by-step guide to giving Bomi billing access to your SimplePractice account by adding us as a Practice Biller team member.

Can Associates or Interns Bill BCBS Illinois?

BCBSIL says licensed behavioral health providers should bill under their own rendering NPI, while qualifying trainee services may use a supervisor's NPI.

Counseling Compact in Indiana: Can You Bill?

The Counseling Compact is live in Indiana and Georgia. What Indiana LMHCs and group practices need to know about privileges, credentialing, and billing.

Add an Unregistered Biller to Virginia PRSS

How a Virginia Medicaid provider adds a first-time biller as an Unregistered Delegate in MES/PRSS.

Add a Registered Biller to Virginia PRSS

How a Virginia Medicaid provider adds an existing PRSS biller as a Registered Delegate using a last name and Relationship Code.

Mental Health CPT Codes: A Therapist's Guide

A plain-English lookup guide to common mental health CPT and HCPCS codes for therapists, including psychotherapy, testing, and telehealth.

Minnesota Medicaid Revalidation & Cash Flow

Minnesota's Medicaid revalidation shows how credentialing, enrollment, and documentation gaps become a cash-flow crisis for behavioral health providers.

Medicare Teletherapy Billing Rules in 2026

Medicare behavioral telehealth is more stable in 2026, but therapy practices still need clean POS codes, modifiers, and documentation for claims.

Illinois 90837 Rates Could Jump in 2027

Illinois HB1085 (Public Act 104-0446) sets a 2027 reimbursement floor for in-network mental health services. What therapists billing 90837 should know.

Illinois HB1806: AI for Notes & Billing

Illinois HB1806 does not ban every AI tool in therapy practices. It separates administrative AI, documentation support, and AI that acts like the therapist.

BCBSNM and Lovelace Reach a New Deal

BCBSNM and Lovelace reached a new four-year agreement, avoiding a major New Mexico network disruption. What therapists and providers should note.

What's Going On With Alma, Aetna, and 90837?

Alma providers face an Aetna-related reimbursement change for CPT codes 90837 and 90834. Here's what is changing, what isn't, and what to document.

Best Medical Billing for Illinois Therapists

The best billing service for Illinois therapists owns the whole pipeline—credentialing, eligibility, claims, denials, and patient balances.

BCBSIL Behavioral Health UM Changes for 2026

BCBSIL's 2026 behavioral health update, tied to the Illinois Health Care Protection Act, changes utilization management rules for solo and group therapists.

BCBS IL: Use Medicaid ID for BCCHP Claims

As of February 1, 2026, BCBSIL says providers must use the Medicaid RIN instead of the subscriber ID on claims for BCCHP members, as required by HFS.

CMS I&A Login: PECOS Staff and Biller Surrogate Access

CMS I&A provider login: create your own account, assign Staff End User or Access Manager access, and approve billing-company surrogate connections.