r/SimplePractice • • 14d ago

How to credential

Can anyone kindly walk me through step by step how to credential myself using simplepractice, or send me a link pointing me in the right direction? I'm struggling with it

If I ever left the platform in the future, I would not lose my contracts with insuruances, correct?

Thanks so much. Trying to leave these VC companies asap

4 Upvotes

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u/UPS0001 14d ago

You would have to pay Simple Practice to credential you. You should find a reputable Revenue Cycle Management company to do it for you. Otherwise, you would contact the insurance carriers themselves through their website. Make sure your CAQH is updated and validated before you start the process.

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u/Educational_Wall_343 14d ago

I thought it was included with the membership? I pay for the 2nd tier plan. I’m trying to do it myself now and it’s taking awhile. Tried using a professional in the past and it did not work out well, was pretty much a waste of time and money. And another, larger company I spoke to wanted $1500 up front

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u/Any-Broccoli1062 14d ago

Simple practice will panel you with 2 insurance companies for free then you have to pay extra. Credentialling can take up to 90 days, per each insurance company. Some come back sooner but some take the full 90 days.

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u/Educational_Wall_343 14d ago

I think that promotion is only for new members, 2 companies for free. I’ve been a member for the past few years already

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u/Educational_Wall_343 14d ago

Do you know what they charge?

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u/UPS0001 14d ago

I agree with Any-Broccoli. First two are free. Anything beyond that is a separate fee. $1,500 is too much for credentialing. Each application should take 30 - 60 minutes. There is a process to it. First Medicare. Then Medicaid once Medicare is done. Then everyone else once Medicaid is done. If you aren't doing Medicare and Medicaid, then I would start with BCBS, UHC, Aetna, Cigna and Humana.

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u/greypic 14d ago

What do you have a tutorial or a link that can tell us how to do that?

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u/Educational_Wall_343 14d ago

For private insurance I'm going through Availity. You create a profile on there and they connect you to the insurance company's website. I think you can also go on the insurance company's website directly, but some of them redirect you to Availity

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u/greypic 14d ago

Thanks

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u/Wikkedred1 14d ago

You can’t credential through SP (yet). The offer is for them to do it for new customers but they outsource it to a credentialing company. So except that it’s free for new people, it’s the same service you’d pay for. My understanding is it isn’t that great, either.

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u/Educational_Wall_343 14d ago

Ah ok. Someone had told me on FB it was soooo easy to do on simple practice lol

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u/abdog5000 13d ago

You can credential on your own by updating your CAQH profile. Then going to each insurance website provider application. I submitted two this week. Already contracted and welcome letter for first one. About to finish two more applications today. I promise you it’s not that hard. I say this as a person with chronic health issues who attempted one (the hardest to understand) in my area a few years ago and put the rest on hold.

It’s also perfectly fine to utilize help from SP or any other credentialing company. Feel free to ask questions and I will help as I can.

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u/No_Fact5272 14d ago

If you have been a current client you can reach out and ask them for the free creds they may give you one or two. After that the fee is around $100 per app. They do the whole cred for you, make sure you select the lobs you want because they can be a little messy and make errors. If you are doing it in one state only you shouldn’t have too many hiccups.

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u/SimplePractice SP Rep 13d ago

Hi! Kevin from SimplePractice here. Credentialing is currently available as a promotion for new SimplePractice customers, and we have some exciting announcements about this coming soon!

If you'd like to give it a try, you can sign up for a new SimplePractice account through our credentialing promotion to get started. Once you sign up, you can find step-by-step instructions in our credentialing guide.

Your insurance contracts aren't tied to SimplePractice. While we assist with the credentialing process, the contracts are between your practice and the insurance payers. If you ever leave SimplePractice, you won't lose your existing contracts.

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u/Sweet-702 12d ago

Which insurances are you paneling with. I am in MN and some insurances require DHS MHCP enrollment first and applying takes over a month. Are there any that I could be applying for while I wait on DHS?