Can I bill all my insurance clients through Tava, even the plans you don’t have and aren’t credentialing me with?
If your client is covered by a carrier we are not in network with, you can still see them on Tava and document your sessions, but Bill on Tava will be disabled. You can use Flexible Billing to document their sessions on Tava, then choose Bill Elsewhere to handle claims or payment separately. You can also choose to see these clients as cash-pay clients on Tava.
Can I see Medicare, Medicaid or TriCare clients on Tava?
If your client uses Medicare, Medicaid or TriCare for their sessions, you can see these clients and document sessions on Tava using Flexible Billing to handle claims independently. Tava cannot bill Medicare, Medicaid or TriCare directly, and you will not be paid by Tava for these sessions.
Do you bill insurance for couples or family therapy?
Please reach out to therapist-support@tavahealth.com for more information. Couples therapy is an option for all EAP and cash-pay clients.
How do co-pays work on Tava? Is it possible to bill my rate alongside insurance?
No, you cannot balance bill. Tava handles collecting the co-pays from clients and co-payments are built into insurance pay-out rates.
If I am licensed in multiple states can you credential me with insurance carriers in those states?
Yes! We can enroll you in any states you're licensed in with Aetna, Cigna, Carelon, Centivo, United, Sana Benefits, BlueCard and their affiliated TPAs (for the complete list, see here). For regional plans, we can only enroll you in the state where you reside and are licensed.
I am approved to bill specialty codes. Can you bill these codes on the platform?
No, we cannot bill specialty codes at the moment. The only codes we currently bill for are 90791, 90832, 90834, 90837 and 90847.
What does the Super Bill process look like?
Super Bill requests are submitted by clients, and they are completed by our Support team once a quarter for the client. You can review this article for more detail.
Can I bill insurance for a past session?
Many insurance plans have a timely filing limit, which is a time window during which claims must be submitted to the insurer. For example, claims might need to be submitted within 90 days from the date of service. If the claim is not submitted within this period, it becomes ineligible for processing through insurance, regardless of coverage. Once a session exceeds this deadline:
- The session cannot be billed to insurance.
- Any payments made for the session cannot be retroactively reversed through insurance.
Any claims successfully submitted to insurance for past cash-pay sessions will be refunded.
Would credentialing with Tava interfere with my other credentials through my private practice / other platforms?
No. It’s incredibly common for providers to already be credentialed through other platforms and carriers. Credentialing with Tava would not interfere with that.*
*Does credentialing through Tava for Horizons BCBS of NJ interfere with my private practice?
If a provider becomes in network with Horizons BCBS in NJ on the Tava Platform, your private practice would also be considered in-network. This means that if you are seeing any clients with Horizons BCBS in NJ in your private practice, those clients would not be able to submit a Superbill for reimbursement. If you have additional questions about Horizons BCBS of NJ, don't hesitate to reach out to credentialing@tavahealth.com.