Processing times for claim filing and Payment Report enrollments vary by payer and can take anywhere from 2 weeks to over 2 months.
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.
We'll email you once your enrollment is accepted or if it requires additional steps in order to process. Below are some tips that can help expedite the time needed for your enrollment to 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).