Insurance Billing for acupuncturists
INSURANCE BILLING FOR ACUPUNCTURISTS

Insurance billing built for acupuncture.

Real-time eligibility verification at booking, automated CPT codes (97810/97811/97813/97814), superbill generation for clients, and claim tracking when direct billing is supported.

How acupuncturists actually use this

Acupuncture insurance billing requires the right CPT codes (97810 for first 15 min, 97811 for each additional 15, 97813/97814 for e-stim). Stillpoint applies them automatically based on session length and modality. Major US payers like Aetna, BCBS, and UHC are supported with direct billing.

The typical workflow

  1. 1Client books with insurance — Stillpoint runs eligibility check
  2. 2Front desk confirms copay before visit
  3. 3Session occurs — CPT codes auto-apply based on time + e-stim notation
  4. 4Claim auto-generated, submits to clearinghouse
  5. 5Status tracked: submitted → received → paid / denied
  6. 6Denials surface with reason; resubmit or write-off in one click

Works with what you already use

Common tools acupuncturists pair with insurance billing.

Stedi (eligibility)Major clearinghouses for US payersSuperbill PDF for HSA/FSA

Concerns we hear most

Will my main acupuncture payer be supported?

Major US payers are supported. Ask us specifically about your top 3 — we'll confirm before you commit.

What if a payer isn't supported for direct billing?

Concierge Claim plan: we manually submit on your behalf. Plus the superbill flow for client self-submission.

Frequently asked questions

Does it auto-apply 97810 vs 97811?

Yes — based on session time and re-insertion logic. 97810 for first 15 min of personal contact, 97811 for each additional 15 min unit.

Are e-stim codes (97813/97814) handled?

Yes — when e-stim is documented on the session note, codes auto-apply.

Does the system handle Canadian extended health benefit billing?

TELUS eClaims direct submission requires API approval (in progress). Today, Stillpoint generates the proper PDF receipts clients submit to their plans.

Related pages

Ready when you are

Your practice,
at rest.