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Get enrolled with insurance

  • Updated

What insurance networks can I enroll with?

We are continuously working to expand our insurance partnerships. Currently, we work with these insurance networks. 

We do not currently accept Medicaid (including Managed Medicaid plans), Medicare (including Medicare Advantage plans), or TriCare.  

How do I start the process?

Please email credentialing@tavahealth.com if you are interested in enrolling with insurance. 

What information will you need? 

  • CAQH login information 
  • CAQH disclosure questions
  • Citizenship and place of birth
  • Practice address (if applicable) 
  • 2 professional references, with at least one from your same specialty 
  • Complete educational history including undergraduate, graduate, internship, residency, and fellowship information
  • A minimum of 5 year work history, including any gaps in employment that are greater than 6 months 
  • Complete military history, if applicable 
  • Board certifications, if applicable 
  • Documents including your resume/curriculum vitae (CV), certificate of insurance (COI), DEA certificate (if applicable), and copy of your primary state licensure

How long until I can see clients through insurance?

Usually you'll be able to start seeing insurance clients after 2-4 months, depending on the payers and plans. *Payer = The Insurance Company (ie Cigna, Atena, BCBS)

What are the stages to getting enrolled?

  • Credentialing: The first step in the process, where we verify your credentials (education, background, licensure, etc) through Tava.  

  • Pending: Our Insurance Team is preparing your application for submission to the payer. In some cases, your signature may be required. If so, you will receive an email request from us—please review and complete it promptly to avoid delays.

  • Submitted: Your application has been submitted to the payer network through Tava. Please allow up to 90 days for processing, though timelines may vary depending on the payer.

  • Enrolled: You are now officially in-network with this insurance plan and may begin seeing eligible clients covered under it through the Tava platform.

Visit your insurance page to see the status of your insurance enrollments. You can also see the approval status of any in-person locations you have added by clicking on the arrow to expand the row.

 

 

If you would like to depanel or update your credentialing status, email credentialing@tavahealth.com.

Medicare Opt-Out List

Many of our insurance carriers preclude us from credentialing providers who have voluntarily or involuntarily been excluded from either state or federal governmental programs, which include Medicaid or Medicare.  If you're interested in terminating your Medicare Opt-Out, you can go to this website. You can contact your state MAC or Medicare-Fee-for-Service Provider Enrollment Contact listed under the FAQ section at the bottom of the page. The time it takes to be removed from the list is unknown.