Claim submission to insurance

As a Billing company service, It’s important for us to submitting claims to insurance regularly during the week.  This allows for you, the provider, to receive regular reimbursement payments from governmental (Medicaid, Medicare, Tricare) or private insurance companies (Aetna, Beacon Health Strategies, Blue Cross, Evernorth, Humana, and United/ Optum.  As well as, allowing us to communicate often regarding your patient’s insurance.  In the case, there is a change in your patient’s or their spouse’s employment status, the claim processing will allow for notification before sessions accrue.  In this case, you will inform the patient of the insurance change, allowing them to update the new insurance or change them to a self-pay client.

When the provider is using an EHR like SimplePractice or TherapyNotes, we can log in to the software and submit claims regularly during the week electronically.  In the case, that the provider is using an Activity Log, we will submit claims to insurance when it is received.

Claims are submitted electronically (EDI) in ANSI format to a clearinghouse, who in turn, disperses the claims to the proper insurance company by the PAYER ID on each claim form or CMS-1500 claim form.

Non-E / M Mental Health Service or CPT codes

90791- Psychiatric diagnostic evaluation without medical services

90832- Psychotherapy,30 minutes

90834- Psychotherapy, 45 minutes

90837- Psychotherapy, 60 minutes 

90846- Family psychotherapy (without client present), 50 minutes

90847- Family psychotherapy (with client present), 50 minutes

90853- Group psychotherapy