Getting credentialed

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This article contains information that is helpful for Headway providers. If you are a client and have questions, check out our support articles for clients!

 

 

How do I get on insurance panels through Headway?

Once you've completed our intake form, we'll start getting you credentialed with all of our insurance partners in your region. This can take anywhere from 3 weeks to 4 months, depending on the insurance company.

For your intake, we'll need your professional and educational background, experience, and other details to submit to the panels. The requirements can differ based on state and carrier, and we'll always make sure to collect whatever they need. Our form takes around 20 minutes to complete, and you'll only need to do it one time.

We'll keep you posted on the progress of your applications and let you know we need anything else. You'll always be notified by email, and can also check your status anytime on your Insurance Status page

 

Important

Anthem/ BCBS requires providers to live in the same state they are seeking credentialing in. A provider must live in their state of residence for a minimum of 183 days in order to be considered a resident. Holding an office in the state does not qualify providers for credentialing.

 

What information does Headway need for my insurance applications?

Headway will handle all of the insurance applications for any insurance panels we work with or will work with in the future — you only need to fill out our intake form once.

Our intake form collects all of the information the insurance panels need, including:

  • SSN, DOB, and mailing address
  • License type, state, number, expiration
  • Board certification information, if applicable
  • DEA information, if applicable
  • NPI
  • Education history
  • Specialties
  • Practice location
  • Hospital affiliations, if applicable
  • Employment history (past 5 years including any work gaps)
  • Disclosures
  • Professional liability insurance
  • CAQH login (if you have an existing account)

On average, it takes around 20 minutes to complete the form, but contact us if you run into any issues.

 

How long does the insurance credentialing process take?

Seeing clients on Headway requires that you are credentialed with our insurance carriers, and our goal is to get you credentialed as quickly as possible while maintaining the highest quality standards. Regulatory guidelines vary by state and carrier, which causes timelines to vary—it can take anywhere from 3 weeks to 4 months to be approved.

You can keep track of your expected timeline on your Insurance Status page at any time, and we'll also keep you in the loop via email.

 

Can I hide that I’m accepting a specific insurance on my profile?

From our standpoint, it’s important to us that providers on Headway accept all qualified clients with any insurance they’re paneled with — this serves our goal to make it easy to move from looking for to receiving care for clients, and roadblocks like this can discourage clients. 

If you are not open to accepting clients with a particular insurance, and would like to remove this from your list of accepted insurances, kindly reach out to us so that we can assist in decredentialing you with the carrier. 

Important

This will prevent you from seeing any clients on your caseload with said insurance.

 

Can I continue to see my private clients privately once I’m credentialed?

You will be able to continue seeing clients privately once you’re credentialed with Headway. Any invoices that you provide to your clients will have your NPI and tax ID number, which allows providers to maintain their out-of-network status. Any claims submitted on Headway are submitted using your NPI number as the rendering provider, and Headway’s tax ID number.

If you are seeing a client via private/self-pay and they hold an insurance that you accept via Headway, their insurance may inform them that you are currently in-network on Headway.

 

I’m credentialed with insurance—now what?

First—congrats! Now that you're credentialed, you can officially start billing for clients through Headway. This means you can confirm any sessions you hold, and we'll take care of the rest.

Confirming session details gives us the info needed to submit the insurance claim, bill your client, and process your payment.

We guarantee payment for your sessions on the 15th and last days of every month, no matter what may happen with the insurance claim and billing process. Payment for sessions occurs anywhere between 14 and 30 days after you confirm the details of the appointment, and you can monitor that information on your Payments page.

To get started seeing clients, add any of your existing clients on your Clients page and/or set up your profile and calendar openings so clients can book with you.

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