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EAP paper billing

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11 comments

  • Official comment
    Gillian

    Hi Sharon, we recommend adding EAPs as insurance providers so you can accomplish all of the above! Here's how:

    To add an EAP to your list of insurance providers, go to MY ACCOUNT > SETTINGS > INSURANCE PROVIDERS > ADD INSURANCE PROVIDER.

    Then enter the Name, address, and coverage type for the EAP.

    For EAP plans, leave the coverage type set to OTHER.

    Remember to click SAVE.

    Once you've entered this information, the EAP will show up in the insurance provider and payer lists throughout your account. 

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  • Elizabeth Hocker

    Related Question:

    I just signed on to an EAP. At this time, I am all private pay and do not accept insurance. Will I still be able to log this the same way as above but not necessarily run the claim through SP Insurance processing service? I assume I can still create the report the EAP would want and send that to them myself, correct? 

    Thanks! 

    Elizabeth 

    P.S. I love when someone answers a question before I thought to ask it! I literally just sent in the EAP Contract tonight and stumbled onto this question! That's another great thing about forums like these! 

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  • Gillian

    Hi Elizabeth, sure thing! What you'd want to do is add the EAP as an insurance provider as above, but instead of creating and submitting the claim, you'd just download the claim and then send it to them in whatever way they accept claims (depends on the EAP!). Let me know if that works for you and congrats on getting signed on to the EAP :) 

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  • Elizabeth Hocker

    Thank you. ;-)

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  • Rae Steele

    What do we do when we have to submit the EAP manually but we want to track it?  I have set up the EAP as an insurance provider but it shows a scrub each time because we don't have a payer ID attached.  

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  • Gillian

    Hi, Rae! I'd recommend downloading the EAP claim form, instead of submitting it to the EAP payer. Because the EAP isn't a normal insurance payer, and isn't connected to SimplePractice and our clearinghouse, it's not possible to track it through the adjudication process in SimplePractice. Instead of submitting these claims through SimplePractice (they'll come back with a scrub error, as you've seen!) you can simply download them. When you receive your payment from the EAP, you can add the payment, and the claim's status will update to Paid! :) 

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  • Rick Morris

    I have approximately 35 EAP claims that are billed at the end of unit exhaustion on paper and my claims page under billing looks like a mess and I cannot find a report that generates anything that would summarize by insurance company (EAP) client and dates of the services which would trigger my manual process of getting the claims submitted manually. I must be missing something with the reporting option.  Anyone have any insight - sometimes I'd just like to sit down and talk to someone about the many questions i have the steps which at times seem redundant and not needed...here goes a tangent.

     

    If i am in my billing section and have 10 claims to edit (need to add the HCPC modifier) and the Telehealth Modifier - once i click save and submit - it takes me back to the client page and i have to click billing-> Claims-> and start the procedure all over again - i wait patiently when we can click the submit the batch and the problem may go away.

     

    Thoughts??

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  • Susan Valentine

    I also use a lot of EAP's that eventually transition to insurance.  These EAP's also require paper submissions for payment. Except for UBH.  I have already submitted the paper to the EAPs and billed UBH at their site. I am just getting started using your billing system - I was using a biller for more than 12 years.   It's very confusing because up until this month all of my insurance billing was submitted by the biller.  I so wish I could talk to someone.  I am just lost....  too much to read and process.  Billing through UBH is so simple.  I wish other insurance companies would do the same thing.  This is just painful.  I would do better in a class - zoom class now would be fabulous.  I am lost ...

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  • Susan Valentine

    Huh?   What is an EAP?  is that your question?  Employee Assistance Program.  They are not insurance.  I bill them direct, but still list them in my calendar.  They typically pay for 3-8 sessions.  Afterward, the client typically transitions to their insurance.  Then I would bill through SP.  

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  • Leeana Griffee

    EAP statnds for Employee Assistance Program. This company still requires a 1500 CMS Form sent to them with billing code 99404. Thankfully we just called them and they prefer the Authorization number in the member ID area and not the members actual Member ID. 

     

    The question was actually suppose to be. What "GOES" in the Member id for an EAP Payer. . 

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  • Rebeca Baculpo

    How do i reflect hat the EAP has paid me? I've gone tp billing, edit and there's no where to change that.

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