ClearingHouse
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Hello,

What Clearinghouse does Simple Practice Use?

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    Gillian

    Hi Jessica! SimplePractice uses Eligible as our clearinghouse. Because we're tightly integrated with Eligible, if you have a question about an enrollment or claim, you can reach out to the SimplePractice directly for assistance. Let me know if this helps with your question and if we can assist with anything else!

    Hi Jessica! SimplePractice uses Eligible as our clearinghouse. Because we're tightly integrated with Eligible, if you have a question about an enrollment or claim, you can reach out to the SimplePractice directly for assistance. Let me know if this helps with your question and if we can assist with anything else!

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    Deborah Gonzales

    Gillian, 

    I need the Address, phone number, fax number, a contact:  name, phone and Email for Eligible for my ALASKA Medicaid application. 

    I applying to be a provider not an enrollment through SP and this information is required. 

    It just occurred to me, many  the SP info in the situation is what is needed? 

    " Complete this item, ONLY, if you will be billing indirectly through a billing agent, clearinghouse, contractor or other entity" 

     

    Please advise., Thank you 

    Gillian, 

    I need the Address, phone number, fax number, a contact:  name, phone and Email for Eligible for my ALASKA Medicaid application. 

    I applying to be a provider not an enrollment through SP and this information is required. 

    It just occurred to me, many  the SP info in the situation is what is needed? 

    " Complete this item, ONLY, if you will be billing indirectly through a billing agent, clearinghouse, contractor or other entity" 

     

    Please advise., Thank you 

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    Alex P.

    Hi Deborah,

    I'd be happy to clarify this for you.

    It sounds like you're looking to enroll with the payer Medicaid of Alaska (AKMCD) in order to file claims electronically or receive payment reports - is that correct?

    If so, then you can submit an enrollment to file claims or receive payment reports directly through SimplePractice rather than needing to send that information to the payer outside of SimplePractice. To do this, navigate to My Account > Settings > Insurance Payers and search for the payer in question by name or by payer ID.

    From there, you can click the + Enroll button under the Claim Filing Enrollment column to enroll to submit claims to this payer electronically through SimplePractice. If you'd like to receive payment reports (ERAs) from the payer, then click the + Enroll button under the Payment Report Enrollment column.

    After you've submitted your enrollment, you will receive a notification once your enrollment has been processed and your enrollment status has been updated by the payer. You can review our list of average payer enrollment approval times here.

    For more information about the enrollment process, visit our Enrollment FAQs here. To learn more about our clearinghouse, you can view our Help Center guide on what clearinghouse SimplePractice uses here.

    If you are instead looking to become credentialed/paneled with that payer, that is a process that occurs entirely outside of SimplePractice. You can learn more about the Credentialing / Paneling process and SimplePractice here. You can also find our Getting Started Guide to Insurance here.

    Please let me know if you have any additional questions and I’d be glad to assist.

    Hi Deborah,

    I'd be happy to clarify this for you.

    It sounds like you're looking to enroll with the payer Medicaid of Alaska (AKMCD) in order to file claims electronically or receive payment reports - is that correct?

    If so, then you can submit an enrollment to file claims or receive payment reports directly through SimplePractice rather than needing to send that information to the payer outside of SimplePractice. To do this, navigate to My Account > Settings > Insurance Payers and search for the payer in question by name or by payer ID.

    From there, you can click the + Enroll button under the Claim Filing Enrollment column to enroll to submit claims to this payer electronically through SimplePractice. If you'd like to receive payment reports (ERAs) from the payer, then click the + Enroll button under the Payment Report Enrollment column.

    After you've submitted your enrollment, you will receive a notification once your enrollment has been processed and your enrollment status has been updated by the payer. You can review our list of average payer enrollment approval times here.

    For more information about the enrollment process, visit our Enrollment FAQs here. To learn more about our clearinghouse, you can view our Help Center guide on what clearinghouse SimplePractice uses here.

    If you are instead looking to become credentialed/paneled with that payer, that is a process that occurs entirely outside of SimplePractice. You can learn more about the Credentialing / Paneling process and SimplePractice here. You can also find our Getting Started Guide to Insurance here.

    Please let me know if you have any additional questions and I’d be glad to assist.