In this edition of The Billing Brief, SimplePractice insurance and product management team busts four common myths surrounding insurance eligibility, verification of benefits (VOB), coverage checks, and claim denials.
Navigating health insurance requirements can be one of the most time-consuming and confusing parts of running a mental health private practice. SimplePractice experts Shehzad Moiz, Athena Jiang, Dylan O'Hare, and Tim Wood walk through strategies to avoid unexpected client balances, manage claim deductions correctly, and protect your therapeutic relationships from financial surprises.
Key topics covered
Myth 1: Automated benefits checks: Why automated verification of benefits (VOB) is essential for reducing practice risk, even when payer estimates vary.
Myth 2: Active plan status: Why an active insurance policy does not guarantee claim approval and what to do about plan carve-outs or restrictions.
Myth 3: Annual intake checks: The importance of running routine, automated coverage checks throughout the year to catch policy changes early.
Myth 4: Deductibles vs. denials: How to handle claims assigned to a deductible, manage client financial policies, and navigate in-network payer contracts.
Feature updates & Q&A: Live audience Q&A covering secondary claim improvements, Optum ERA troubleshooting, deleted/archived claims, and insurance reporting.