Some insurance companies may require private pay therapists to be registered out of network. This article will clarify the reasons behind this requirement, how it differs from in-network paneling, what documents are needed, and the overall process involved.
Why are insurance companies asking for me to be registered out of network?
When insurance companies don’t recognize your name, NPI, or tax ID combination, they will need to add you to your database in order to process out-of-network claims and get your clients reimbursed.
How is this different than paneling in network?
Being registered out of network does not imply a contractual agreement with insurance companies. Therapists remain fully out of network and continue to charge their private pay rates. The registration process is essentially a verification step to confirm the provider's legitimacy.
What do I need to provide to insurance companies for OON registration?
The requirements for out-of-network registration vary by insurance company. They may include:
Date of Birth
SSN (even if you are using an EIN)
Copy of your licensure/certification document
A completed and signed W-9 form (just page 1 of https://www.irs.gov/pub/irs-pdf/fw9.pdf)
CP 575 letter or 147-C letter from the IRS (for proof of your EIN)
How long does this process take?
The duration of the registration process varies depending on the insurance company. It typically takes around 2 to 4 weeks. Patience is advised during this period, as processing times may differ.
How does Mentaya do out-of-network registrations?
At Mentaya, we prioritize making your administrative experience as seamless and stress-free as possible.
If you need to be registered as an out-of-network provider, we handle this process using our organizational NPI 2, unless you are being listed as out-of-network with Blue Shield of California. This expedites the out-of-network registration process, allowing our team to more quickly resolve your clients' claims processing issues.
Please note, you may see Zaya Health (Mentaya's legal business name) on the registration.
What do I need to do?
Simply provide Mentaya with the required information and our team will handle the registration process on your behalf.
This ensures a smoother experience, allowing therapists to focus on providing quality care without the administrative burden associated with insurance registration.
What if I decide to go in-network?
If you decide you would no longer like to be out-of-network with insurance, please email [email protected] and we can remove your OON listing in their registry.