Update or request your provider NPI: https://nppes.cms.hhs.gov/#/
If you’re requesting a new NPI, here’s a quick 15 minute training video that will walk you through all the steps required: https://www.youtube.com/watch?v=wkekBJK_Fbo
* Please add Kyle as an authorized Access Manager in your profile. You’ll need to login to the Identity & Access Management System here… https://nppes.cms.hhs.gov/IAWeb/login.do …then click on the Staff tab, Add Staff, and then enter Kyle’s name and email address.
FormDr:
Link to our portal: https://app.formdr.com/log: in
Demo on how to send forms to new clients: https://www.youtube.com/watch?v=ACLVVTzaGFQ&t=31s
- Remember, the forms to check a client’s insurance plan and consent to exchange information can be accessed in the Forms section of the Medens website.
- Also, it’s a best practice to send the Insurance Verification Form and the appropriate intake packet at the same time. You should also schedule your first session with the client and not wait until insurance results are know.
TheraNest:
Link to our portal: https://medens.theranest.com/home/signin?ReturnUrl=%2f
Instructional videos…
- Getting started with Theranest: https://fast.wistia.net/embed/channel/o3xemnumaz?wchannelid=o3xemnumaz&wmediaid=2kbi2vu6ry
- How to create a SuperBill for your client: https://fast.wistia.net/embed/channel/o3xemnumaz?wchannelid=o3xemnumaz&wmediaid=vrw45m31y1
- Creating an invoice to process a client payment: https://fast.wistia.net/embed/channel/o3xemnumaz?wchannelid=o3xemnumaz&wmediaid=4zqsb0pqq0
- Processing credit card payments (jump to 4:00): https://fast.wistia.net/embed/channel/o3xemnumaz?wchannelid=o3xemnumaz&wmediaid=47hg4sxl0f
- Theranest’s video library: https://fast.wistia.net/embed/channel/o3xemnumaz
How to use Google Workspace (Gmail, Drive, etc.): https://support.google.com/a/users/answer/9296686?hl=en&ref_topic=9296556%22%20%5Ct%20%22_blank
CAQH for insurance credentialing (licensed providers only): https://proview.caqh.org/Login/Index?ReturnUrl=%2fPR
Client Onboarding Process
Our process for onboarding new clients is....
Step 1: Make contact with your new client. Send them the insurance request form (if insurance is the method of payment) along with the intake packet through FormDr.
Step 2: Schedule the first appointment tentatively (pending verification of insurance coverage and acceptance of any out of pocket - if applicable).
Step 3: Complete the Client Onboarding Notice form (link above).
Step 4: You'll receive an email with update on your client's insurance status and a status on when the file will be ready in Theranest.
Form links:
All clients forms are here
Client Onboarding Notice
You will complete this form to notify our billing team that you are starting with a new client.
Psychological Testing
Whether your the Psychologist who will be conducing the testing or you're referring your client, please complete the following form to initiate psychological testing. Psych Testing Referral Form
Assessment interview tools are in this directory (you'll need to login with your Google Workspace account):
https://drive.google.com/drive/folders/1MDzsD3zxnHZMkjASyUx0dBy214b0ETGz?usp=share_link
Insurance Contracts
We are “In Network” with these insurers. However, licensed providers need to be credentialed in order to be eligible for reimbursement for In Network services. Typically, once the client is seen it takes approximately 30 calendar days for claim adjudication.
- Aetna [CA and NV]
- Anthem BlueCross of Nevada [PPO and Medicare Advantage plans]
- Beacon Health Options [including AT&T Wireless, Screen Actors Guild, Kaiser Permanente Southern & Northern California PPO]
- BlueCross/BlueShield Federal Employee Program
- BlueShield of California [including the BlueCard program - out of state BlueCross/BlueShield plans]
- Cigna/Evernorth
- ComPsych
- Humana [Nevada only; Medicare Advantage and commercial PPO plans]
- Medicaid Nevada
Anthem BlueCross of Nevada [Medicaid and commercial PPO plans]
HealthPlan of Nevada [includes Sierra Health PPO - we are NOT contracted with their HMO plans]
Silver Summit Health Plan [includes AmBetter and AllWells plans]
Molina Healthcare of Nevada [Medicaid plans only]
- Medi-Cal California (reimbursement is only permitted from these health plans)
Aetna Better Health of California [Sacramento and San Diego counties]
Anthem BlueCross [does not include PPO commercial plans; Medi-Cal Behavioral Network only]
Inland Empire Health Plan
Gold Coast HealthPlan [Ventura county]
HealthNet / MHN
LA Care / Beacon
Molina Healthcare of California [includes Medi-Cal and PPO network; Counties: Imperial, LA, Riverside, Sacramento, San Bernadino, and San Diego]
San Francisco Health Plan [San Francisco county]
- Medicare [Arizona, California and Nevada]
- Magellan (BlueShield’s MHSA and Kaiser Northern California PPO plans)
- Optum [includes AARP Medicare Advantage plans, Motion Picture Industry plan, Oscar, Oxford, UMR, and UnitedHealthcare]
- TRICARE West
- TriWest/VA Community Care Network
Out of Network plans you may accept and Medens will submit a claim for reimbursement:
- CALPERS [California Public Employee Retirement System] (covered by Anthem BlueCross)
- Directors Guild (covered by Anthem BlueCross)
- LA Metro employees (covered by Anthem BlueCross)
For all other OON plans and insurers, the client must pay out of pocket and a SuperBill can be given which the client should submit to Reimbursify for reimbursement. See Theranest’s “How to create a SuperBill for your client”.
SOCIAL MEDIA
Instagram: www.instagram.com/medenshealth
Facebook: www.facebook.com/medenshealth
LinkedIn: https://www.linkedin.com/company/medenshealth
Twitter: www.twitter.com/medenshealth
EMPLOYEE DISCOUNTS
Verizon, HP, OfficeDepot, 1800 Flowers, etc.:
https://mynpp.com/registration?flow=employee&passcode=6C1D55C4
Company Name: Medens Health; Passcode: 6C1D55C4
Microsoft 365:
Microsoft 365 Apps for business includes:
To request a license send an email to Kyle.
FEDERAL STUDENT LOAN PROGRAM
The Public Service Loan Forgiveness (PSLF) Program allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full time at a qualified employer. Since Medens Health is a 501(c)(3), not-for-profit organization, you are eligible to participate in the program.
- About PSLF: https://myfedloan.org/borrowers/special-programs/pslf/pslf-employer-resource-center
- Application you’ll need to complete: https://myfedloan.org/documents/repayment/fd/pslf-app.pdf
PAY INFORMATION
Employees paid twice monthly:
Independent contractors, supervisors, students paid on a monthly stipend, and individuals performing ad hoc services:
2022 Monthly Reimbursement Schedule
Accessing your pay and tax statements
Expense reimbursement form:
Expense Reimbursement Form
