Payer detail
Every plan we bill, by state
Sample Medicaid Plan A · Delaware
Recredentialing · 90-day reminder sent- Effective
- Jan 15, 2024
- Renews
- Auto-renews yearly
- Recredentialing
- Jan 9, 2027
- Timely filing
- 180 days
- Clinicians enrolled
- 8 of 8
Rates by service
| Code | Service | Rate | Last term | Change |
|---|---|---|---|---|
| 90791 | Intake assessmentLast term $118 | $122 | $118 | Up +3% |
| 90832 | 30-minute therapyLast term $59 | $61 | $59 | Up +3% |
| 90834 | 45-minute therapyLast term $87 | $90 | $87 | Up +3% |
| 90837 | 60-minute therapyLast term $118 | $122 | $118 | Up +3% |
| 99204 | New patient medication visitLast term $148 | $152 | $148 | Up +3% |
| 99214 | Medication follow-upLast term $98 | $101 | $98 | Up +3% |
| 90833 | Therapy add-on with medication visitLast term $54 | $56 | $54 | Up +3% |
Authorization rules
Checked at every bookingDone automatically. Each booking is checked against these rules. When one applies, a prior-authorization request is drafted for you.Auth after 30 therapy visits in a plan year
Detected automatically at booking. A request is drafted from the intake and notes.
No auth for intake or medication visits
Claims go straight out after the note is signed.
Telehealth paid the same as in-person
Place of service 10 and modifier 95 are added automatically.
Renewal activity
Done for you- Reminder
90-day reminder sent to Dana
Recredentialing is due Jan 9, 2027.
Done automatically. Ran automatically — no one had to do this by hand. - Check
Roster and documents gathered
Licenses and malpractice certificates attached.
Done automatically. Ran automatically — no one had to do this by hand. - Reminder
Recredentialing flagged 120 days out
Owner and billing lead notified.
Done automatically. Ran automatically — no one had to do this by hand.
Needs a person
From this contract
0 of 2 done
- Check the provider rosterDue Nov 13 · Dana Ruiz
- Sign the recredentialing form
Unlocks after the roster is checked
Documents
Participation agreement (signed)
PDF · 18 pages · 2024
Fee schedule
PDF · 3 pages · 2024
Provider roster
PDF · 2 pages · updated Oct 2026
Demo only: documents are samples and nothing is downloaded.
Contacts
Dana Ruiz
WellKeel owner of this contract · Operations lead
Renata Ellis · Provider relations
provider-relations-a@example.com(555) 010-0217
Theo Barnes · Contracting manager
contracting-a@example.com(555) 010-0317