Some payers require providers to enroll with them before the provider can submit electronic claims and/or receive electronic payment reports (ERAs). Processing time for these enrollments varies by payer and can take anywhere from 2 weeks to over 2 months. The table below contains estimates (in weeks) for how long you can expect to wait for an enrollment to be accepted.
How long an enrollment takes to process is ultimately up to the payer. For insurance payers that require a claim filing enrollment in order to submit claims, we recommend preparing and downloading your claims so they can be submitted outside of SimplePractice while waiting for your enrollment to be approved. This will avoid any delays in reimbursement. See Creating and printing a CMS 1500 (HCFA) claim form for instructions on this.
Important: Some payers will reject claims submitted electronically if the date(s) of service on the claim took place prior to a claim filing enrollment being accepted. If you have a claim filing enrollment that’s in process or you plan on submitting one, we highly recommend submitting those claims outside of SimplePractice until the enrollment is accepted.
Tips to expedite the process
If you hear from the payer, let us know
Some payers will notify you, the provider, that an enrollment has been accepted, but they won't notify our clearinghouse. If you receive confirmation from a payer that your enrollment has been approved but your enrollment in SimplePractice still shows as submitted, please do the following:
- If you get an email, get a screenshot of the email and share it with our support team
- If you receive a letter, take a photo of the entire letter and share it with our support team
- Submit a help request with the proof of acceptance
We'll then reach out to our clearinghouse to quickly process your enrollment(s).
Call the payer
You can also call the payer to check on the status of your enrollment. If the payer confirms that your enrollment has been accepted, please do the following:
- Ask for the representative’s name and a call reference number
- Submit a help request with this information
We'll then reach out to our clearinghouse to quickly process your enrollment(s).
Additional resources:
Enrollment estimates table
The table below contains estimates (in weeks) for how long you can expect to wait for an enrollment to be approved. Please note that we can’t guarantee your enrollment will be approved in the same amount of time since it's up to the payers to approve enrollments. If an estimate isn't shown in a column, you'll see one of four possible statuses instead. Here's what each one indicates:
| Status | Meaning |
| Not needed | This indicates whether or not a Claim Filing Enrollment is needed to submit claims to a payer. If an enrollment is listed as not needed, you can begin submitting claims right away. |
| Not supported | This indicates whether or not our clearinghouse has a Payment Report Enrollment connection with a payer. If an enrollment is listed as not supported, you won't be able to receive electronic payment reports (ERAs), and we recommend manually adding any insurance payments from that payer. See Adding insurance payments for more information. |
| --- | This indicates that we don't have an exact estimate in terms of weeks, but that an enrollment available is for that payer. |
| * | An asterisk (*) indicates that the payer is known to take longer than average (nine weeks) to approve enrollments. |
To search the table below, press either Cmd or Ctrl + F and type your search parameters.
Additional resources:
