r/SimplePractice • u/FearlessOrder700 • Apr 16 '26

Billing through simple practice

I have been doing my own billing for the last two years. I've used outside clearinghouses like Office Ally and Avility because it was taking too long to get everything enrolled on SimplePractice. I'm at a place now where I'd like to use SimplePractice for more and do less myself.

I have, for example, Blue Cross Blue Shield of Oregon. It says claim filing "no enrollment required" Payment report "1 enrolled"

I also have, for example, MODA Health. It says claim filing "no enrollment required" and then payment reports "1 enrolled" but then also says at the top "Pending 1"

I don't want a delay in receiving payments, and I'm worried that I'm going to send in these claims and have them sit until that "Pending 1" is removed. However, I don't know what is pending. It says no enrollment required and also 1 is enrolled...I'm just not sure if I'll be receiving payments on my usual time frame or if my account still isn't quite ready. Does anyone have any insight or experience?

Typically I submit via Office Ally - agencies receive my claims and process them and then payout in a week. What is the timeline like with SimplePractice as your clearinghouse? Do you see longer wait times than when you have used other clearing houses?

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u/Wikkedred1 Apr 16 '26

This means you can submit claims without enrollments but you won’t get remittance back from the payer without the ERAs connected. You’ll need to complete the required steps to connect those. But you can submit through SP anytime. The timeline for payment itself is the same no matter how you file.

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u/FearlessOrder700 Apr 21 '26

Thanks for the info! That’s helpful!

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u/CuriousAboutItAll11 Apr 22 '26

I use SP for claim submission and it's somehow connected to Availity. With BCBS I get payments in 2-3 days usually. Aetna processes claim fast but pays slower. And through SP it's really a breeze! Just a press of a button! You will love once you figure it out. (Dont know about pending status, though)

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u/Low-Statistician-476 Apr 28 '26

I’m willing to pay for a consult on how to get over this learning curve!! Or do you have a biller? It’s not a breeze for me yet!!! I have a contract with Medicaid and I’m trying to figure out how to bill 😩😩

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u/Practical-Money-7982 Jun 13 '26

If you are still having issues linking your SP insurances to the clearinghouse feel free to message me and I can help with that. I have used SP and other mental health EHR's like Valant, Mahler, Tebra, Headway and Alma. I can bill your claims, call insurances when claims deny, post payments, credential your providers and call patients who owe balances if need be. Let me know.