Credentialing Support Package in white letters over an open planner and phone
 

This package is for SLPs who want to get started accepting insurance or to become a provider with more insurance companies.

It works like this:

  • We start with a questionnaire to review your needs and requirements

  • Via 1:1 Zoom consulting sessions, I walk you through completing the provider enrollment process with your chosen number of insurance companies (these can include Medicare and/or Medicaid). Please note: you complete the process; I answer your questions about it. You are the point of contact for the insurance company. I do not complete any part of the process for you, only WITH you (2, 1-hour video consults)

  • After you are credentialed, I guide you on a walkthrough of the billing process and provider portal for each company after you are credentialed (2, 1 hour video consults)

You will need a Type 2 (group) NPI and a CAQH Proview account in order to go through the credentialing process. If you do not have a Type 2 NPI or CAQH account, or don’t know what they are, we can talk about it and I can walk you through the process of obtaining them, although this will take up additional time in your consultation package.

Please note the following, as of August 2024:

  • BCBS- Florida (Florida Blue): plans are closed to new SLP providers (no end date listed)

  • BCBS- Michigan: you must have a Medicare provider number (PTAN) to enroll

  • Cigna: currently closed to new California, Florida, Texas and Washington state SLP providers (no end date listed)

  • Tricare East/Humana Military: (NOT Humana commercial) limited provider enrollment

  • Tricare West and Tricare East/Humana Military: you must have a physical location in any state in which you would like to see Tricare members (e.g. you cannot provide teletherapy in a state in which you do not have a physical address)

I do not help with credentialing for:

  • United HealthCare (UHC) in any state or

  • Aetna in California. They do not pay therapists fairly, and use a third party that they require you as the provider to pay for in order to stay enrolled.

Questions? Check out the FAQ page

$450

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