Group Practice Billing & Credentialing Guides

Supervisee Just Got Licensed? What to Update With Payers

Don’t switch claims to the new clinician until each payer confirms an effective date. Update NPPES and CAQH, credential, roster, then change the EHR.

Solo to Group Practice: The Insurance Checklist

Solo to group means a new billing identity: entity, EIN, Type 2 NPI and CAQH, then each payer, Medicare, ERA/EFT and your EHR, in that order.

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.

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.

Group Liability Certificate: Does It Name the Clinician?

A group malpractice certificate that names only the practice is often rejected for clinician credentialing. Learn what the certificate must show and what to ask.

Can a Pre-Licensed Associate Get Insurance Contracts?

Usually not. Most commercial payers credential only independently licensed clinicians. Associates bill through a credentialed supervisor or group.

Already Enrolled in Medicare? Reassign to a New Group

Already enrolled in Medicare and joining a group? File a reassignment, not a new individual enrollment, and get both dated signatures right the first time.

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.

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.

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.

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.

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.

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 Registered Interns Bill Florida Blue?

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

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 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.

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.

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.

Why Bomi Reverifies TIN and NPI Records

Why Bomi reverifies payer participation when a therapist’s individual NPI is missing from—or linked to the wrong—group NPI and billing TIN.

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.

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.

Already With Evernorth? Link Your New Group Tax ID

An Evernorth clinician joining a new practice doesn’t reapply. Call Provider Services to link the new TIN, and confirm the billing address and effective date.

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.

Leaving a Group Practice? How to Update Your CAQH Profile

Left a practice? Archive the old location in CAQH, close out the job in your work history, swap in your new practice and malpractice policy, then re-attest.

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.

How to Update Your Taxonomy or Add a License in NPPES

Change a taxonomy code or add a new state license on your existing NPI in NPPES, which code a therapy group NPI needs, and why payers send applications back.

Opted Out of Medicare? What It Takes to Enroll

An active Medicare opt-out blocks payment to you and any group you join. End it through your MAC’s early-termination or cancellation window, then enroll.

How to Remove an Old Group TIN From Optum

A step-by-step guide for clinicians who need to end an old group TIN affiliation in Provider Express before adding a new practice.

How to Join the Health Advocate EAP Provider Network

Join Health Advocate’s EAP network through Care Connect: register the group, invite each clinician, and meet the rules for supervised associates.

Highmark PA Credentialing: CertifyOS, CAQH, and Contracts

How Highmark Pennsylvania credentialing works through CAQH and CertifyOS, how a clinician joins your group, and why approval is not your effective date.

PROMISe Fee Assignment: Check a Clinician’s Group Link

Confirm a clinician is fee-assigned to your Pennsylvania Medicaid group: read the PROMISe Fee Assignments extract, and fix a missing group or location.

Idaho Medicaid Enrollment Types

How Idaho therapists should think about individual, group, FAO, and ORP Medicaid enrollment before submitting the wrong application.

Idaho Medicaid Group Enrollment

How Idaho Medicaid group practices align billing NPI, rendering clinicians, locations, affiliations, and Magellan records.

Apple Health Provider Types

Washington Apple Health provider enrollment categories explained for solo therapists, groups, rendering clinicians, and managed-care-only records.

Montana Medicaid Enrollment Types

Compare Montana Medicaid sole proprietor, rendering, ORP, group, and facility enrollment paths for therapy practices.

Montana Group Practice Enrollment

How Montana therapy groups should think about tax IDs, rendering clinicians, locations, subparts, and provider records.

Provider Linking vs Affiliations

Understand current Montana provider linking and future MTHCS affiliations so group claims do not break during modernization.

Coordinated Care Credentialing for Therapists

Coordinated Care Apple Health credentialing guide for Washington therapists, groups, behavioral-health providers, and Apple Health Core Connections.

Wellpoint Washington Credentialing

Wellpoint Washington Apple Health credentialing guide for therapists, including Amerigroup naming and Availity enrollment.

Enroll in Virginia Medicaid as a Therapist

A plain-English PRSS enrollment checklist for Virginia therapists and behavioral health groups.

TennCare Group Practice Registration

What Tennessee therapy groups should understand about TennCare Medicaid IDs, ownership, rosters, locations, and individual clinician links.

Remove a Clinician or Terminate the Payer Contract?

Payer “termination” forms usually remove one clinician or location. Ending the group contract takes written notice under the agreement, often 90–180 days.

Medi-Cal Group vs. Individual NPI-2 Rules

Your PC's NPI-2 doesn't automatically make it a Medi-Cal group. Learn when a California professional corporation enrolls as individual vs. group.

How to Enroll in Ohio Medicaid as a Therapist

Step-by-step guide to enrolling as an Ohio Medicaid provider through the PNM module: OH|ID setup, individual vs group enrollment, and what happens next.

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.

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.

CAQH Is Becoming DataSpring: Therapist Guide

CAQH has rebranded as DataSpring. What therapists and group practices need to know about profiles, attestations, and credentialing data.

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.

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.

Illinois Medicaid IMPACT PE: Individual vs Group

Enroll a therapy practice in Illinois IMPACT PE: individual vs group applications, rendering-provider affiliations, W-9 prerequisites and MCO contracts.

How to Credential Medicare as a Therapist LLC

A guide for Illinois therapists (LCPC, LCSW, LMFT) to navigate Medicare credentialing for a PLLC or group practice—PECOS setup and common pitfalls.