Insurance Enrollments
Introduction
Enrollments are required by insurance payers if you wish to receive ERAs (electronic remittance advice) in your Sessions Health account. Many government funded insurance payers and many BCBS payers also require enrollments before claims can be submitted.
Once your Payer IDs have been added, you may begin the enrollment process.
Begin enrollments
To initiate the process, go to Billing Settings > Insurance > Payers. You will see your existing payers and the status of the transaction types supported. You will have the ability to add new enrollments for any payers where you have added a Payer ID.
First, click Enroll.
After clicking Enroll, you will see a popup. Select Go to Paperwork.
Note: If the page isn't loading, you can reset the link by clicking reset the link from the enrollment in Sessions Health.
Follow the instructions to complete your enrollment.
Below are two examples of enrollment instructions. Each payer is different so you might have different instructions to follow for each enrollment.
Please email support@sessionshealth.com if you have any questions about the enrollment process.
Self-serve enrollment approvals
If you receive a notification from a payer that an enrollment has been approved, you can mark this enrollment as approved in Sessions Health by going to your Payers list.
If the enrollment is in a pending state, clicking the arrow will bring up a button to mark the enrollment as approved.
Note: Only mark an enrollment as approved if you have received confirmation from the payer that your enrollment has been approved. If you mark an enrollment as approved without having received communication from the payer, any claims submitted may be rejected and ERAs may not come through.
The instruction popup will also have a button to mark the enrollment as approved.
Once any enrollments for electronic claims have been processed, you can take the next step, submitting electronic claims.
What about EFTs?
In general, since transactions are an arrangement between the payer and the provider, Sessions Health does not provide enrollment forms for EFT*. To arrange or change EFT, please visit the provider portals for your payers (or call the payers) and fill out any EFT forms provided by them. Setting up or changing EFT should have no impact on existing remittance or claims enrollments as long as no changes to claims or remittance enrollments are made on the EFT forms.
*On rare occasions, some payers provide an optional EFT form on remittance enrollments forms provided by the clearinghouse via Sessions Health.
FAQs
My enrollment was denied or I messed up on it and I need to redo it. How do I access it again?
If you need to redo an enrollment that you already submitted, please reach out to us at support@sessionshealth.com. We can then re-open the enrollment for you. Once we re-open it for you, go to your Payers List in your account and click the gray Instructions box next to Remittance (or Claims if it is for claims submissions). Select Go to Paperwork. When you are taken to the Claim.MD page, click the green Re-Enroll button in the bottom corner to re-do your enrollment.
