Insurance Billing for mental health therapists
INSURANCE BILLING FOR MENTAL HEALTH THERAPISTS

Insurance billing for therapy practice.

A CPT code on each service, ICD-10 on the claim, eligibility checks and electronic submission through Stedi, and superbills for out-of-network clients.

How mental health therapists actually use this

Therapy billing is time-based: 90832 for 30 minutes, 90834 for 45, 90837 for 60, 90847 for couples or family. In Stillpoint each is a service with its duration and its code, so the code follows the service the client booked. The diagnosis is picked on the claim and the claim goes out through Stedi.

The typical workflow

  1. 1Insurance captured at intake, eligibility checked through Stedi
  2. 2Session is completed and the invoice is created for the service delivered
  3. 3Pick the ICD-10 diagnosis on the claim and submit
  4. 4Track status through payment or denial
  5. 5Out-of-network clients download a superbill from their invoice

Works with what you already use

Common tools mental health therapists pair with insurance billing.

Stedi (eligibility, claims, remittances)Superbill PDFClient portal billing

Concerns we hear most

Does it handle Medicaid?

It depends on the payer. Search your state's Medicaid plan in the insurance hub to see whether Stedi supports claims and eligibility for it.

What about EAP programs?

EAP processors are payers like any other. If Stedi supports the processor you can submit electronically; otherwise use the concierge submission or a superbill.

Frequently asked questions

Does the system pick 90832 vs 90834 vs 90837 for me?

The code follows the service. Set up a 30, 45, and 60-minute session as separate services with their codes and the right one lands on the claim.

Can I bill 90847 for couples?

Yes. Create the couples service with 90847, book it for the client you bill, and the claim carries that client's diagnosis.

How do superbills work for out-of-network clients?

A superbill PDF with CPT codes, your NPI, tax ID, and license is generated from the invoice. Clients submit it to their insurer.

Related pages

Ready when you are

Your practice,
at rest.