Insurance Navigator is an optional insurance billing upgrade that includes all of the insurance features you use today, plus new tools and personalized guidance to help you manage more complex insurance workflows, including:
- Claim Assistant: Get AI-powered suggestions to help you resolve common claim errors.
- Autofill payments with EOB uploads: Upload EOBs to autofill insurance payment information instead of entering it manually.
- Verification of benefits: Automatically verify a client's mental health coverage and estimate their responsibility before an appointment.
- Direct access to our team of Insurance Specialists: Call our Insurance Specialists by phone for personalized guidance and complex billing questions.
In this guide, we’ll also cover:
- Comparing Insurance Essentials and Insurance Navigator
- Determining which option is best for your practice
- Upgrading to Insurance Navigator
Claim Assistant
Handling claim rejections and denials can be a time-consuming process that may require reaching out to payers or our team for guidance. With Claim Assistant, you’ll receive AI-powered recommendations that identify issues, explain what happened, and guide you through next steps.
When reviewing a rejected or denied claim, click Claim assistant to see more information about what caused the issue.
A panel will open explaining the issue and how to resolve it.
Follow the recommended steps to resolve the issue, and use our corrected claim workflow to resubmit the claim.
For information about Claim Assistant and answers to frequently asked questions, see Claim Assistant FAQs.
Autofill payments with EOB uploads
Manually adding insurance payments can require reviewing several pages of an Explanation of Benefits (EOB) and adding payment information one appointment at a time. Insurance Navigator automates this process by reviewing an uploaded EOB and posting the information for you to review.
When adding an insurance payment, choose the payer and upload the EOB.
Click Autofill payment and Insurance Navigator will fill in the payment details for you to review.
Verification of benefits
Not knowing a client’s coverage before an appointment can lead to claim denials and unexpected bills.
Insurance Navigator automatically verifies clients' insurance benefits, helping you identify coverage issues before appointments and better understand what clients may owe.
When a client has insurance information on file, our clearinghouse will retrieve coverage details prior to their next appointment, including estimated client responsibility, benefit information, and coverage status.
Depending on the verification result, you’ll see one of the following coverage statuses:
- Active
- We’re able to verify the client’s insurance is active and provide an estimated client responsibility based on information returned by the payer.
- Inactive
- We’re unable to verify active coverage using the client’s insurance information on file, which may mean their coverage is expired or the insurance information on file is incorrect.
- Unknown
- We’re unable to verify the client’s benefits. This doesn’t necessarily mean their insurance information is incorrect or their coverage is inactive.
If a client’s plan has an Active status, expand their benefit details to see available information, such as their estimated client responsibility, deductible, or out-of-pocket maximum.
For more information about this feature and answers to commonly asked questions, see Verification of benefits FAQs.
Direct access to our team of Insurance Specialists
With Insurance Navigator, you’ll have direct access to our team of Insurance Specialists, who’ll work with you via phone to resolve your insurance questions, including:
- Insurance onboarding
- Resolving claim issues
- Submitting enrollments
- Navigating payer requirements
- Reconciling payments
To connect with an Insurance Specialist, click the ? icon in the lower left corner of your account.
Click Ask questions to open the chatbot, and follow the prompts to connect directly with an Insurance Specialist.
Comparing Insurance Essentials and Insurance Navigator
Insurance Essentials includes the core insurance features you use today. Insurance Navigator includes everything in Insurance Essentials, plus our new smart billing tools and personalized guidance.
See the comparison below for a list of insurance features available with each offering.
Feature |
Insurance Essentials |
Insurance Navigator |
| Electronic claim submission and reporting | Yes | Yes |
| Simple Invoicing | Yes | Yes |
| Payment Reports (ERAs) | Yes | Yes |
| Claim rule automations | Yes | Yes |
| Centralized Billing hub | Yes | Yes |
| Corrected claim workflow | Yes | Yes |
| Manual insurance status checks | Yes | No |
| Automated verification of benefits | No | Yes |
| Claim Assistant | No | Yes |
| Payment autofill from EOB uploads | No | Yes |
| Personalized insurance onboarding | No | Yes |
| Direct phone access to Insurance Specialists | No | Yes |
Note: If you upgrade to Insurance Navigator, automated verification of benefits replaces manual insurance status checks.
Determining which option is best for your practice
When choosing between Insurance Essentials and Insurance Navigator, consider your practice’s specific needs.
Insurance Essentials may be a good fit if you:
- Prefer to manage insurance billing with self-serve tools
- Occasionally rely on email support for insurance questions
- Want to keep your per-claim costs as low as possible
Insurance Navigator may be a good fit if you:
- Want benefit verifications automatically included in appointment details before seeing clients
- Frequently need help resolving claim errors or payment issues
- Prefer direct guidance by phone
- Have complex insurance billing needs
- Want personalized onboarding and setup guidance
Upgrading to Insurance Navigator won’t increase your monthly subscription price. Instead, the Insurance Navigator claim fee starts at $1.79 per submitted claim, compared to $0.39 per submitted claim with Insurance Essentials. As your monthly claim volume increases, claims submitted after your first 250 are billed at the following rates:
| Claims submitted each month | Insurance Navigator per-claim rate |
| First 250 claims | $1.79 |
| Claims 251-600 | $1.69 |
| Claims 601-1,000 | $1.59 |
| Each claim after 1,000 | $1.49 |
Upgrading to Insurance Navigator
To upgrade to Insurance Navigator:
- Navigate to Settings > Practice > Plan info
- Under Add-ons, click Upgrade next to Insurance Navigator
- Review the billing summary and click Upgrade to confirm
If Insurance Navigator isn’t the right fit, you can downgrade to Insurance Essentials at any time by returning to the Plan info page and clicking Downgrade.
Note: The change will take effect at the start of your next billing cycle.
Beginning November 2026, you'll be able to trial Insurance Navigator for 30 days at no additional per-claim cost before deciding whether to continue. In the meantime, you can join the waitlist for a 30-day trial.