Are you independently credentialed with insurance companies? Are you credentialed via another company/group (headway, grow, alma)? Are you looking to transition out of these insurance panels into a fully private pay practice? Then this article is for you!
Transitioning from Insurance to Mentaya:
If you are currently paneled with an insurance company, you must ensure that your contract with them is terminated before submitting claims with Mentaya.
Why? Failure to terminate the contract may result in those claims being processed in-network with your existing insurance company.
How long does this take? De-paneling with insurance typically take approximately 3 months to process.
What can you do in the meantime? During this period, you have the option to submit out-of-network claims for insurance companies that you are not currently paneled with.
Pro-tip: Our benefits checker is a great resource to start having these conversations with your clients and letting them know that just because you no longer take their insurance it doesn't mean that they can't use it to get reimbursed for therapy.
Transitioning from Headway/Grow/Alma to Mentaya:
If you are paneled via Headway/Grow/Alma, the same principles apply: if you submit claims for insurance companies that you are paneled with they will most likely get processed in-network.
Why? Even though they bill under their group NPI, they still list your individual NPI (and so do we) when we submit claims.
If you are ready to transition out of insurance: We recommend requesting to be removed from their roster before submitting claims to insurance companies that you are paneled with through them.
During the transition period, you can continue to submit out-of-network claims for insurance companies that you are not paneled with.
At Mentaya we don't submit for any in-network insurance or handle in-network billing. However, if you're looking to increase your private pay client base then we're here to help streamline everything related to out of network billing. We help clients understand that just because you don't take their insurance it doesn't mean they can't use it to get reimbursed.
Related questions: What if I'm in-network? Does Mentaya submit for in-network?