Demo
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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

Allowed amount per visit by CPT code
CodeServiceRateChange
90791Intake assessmentLast term $118$122Up +3%
9083230-minute therapyLast term $59$61Up +3%
9083445-minute therapyLast term $87$90Up +3%
9083760-minute therapyLast term $118$122Up +3%
99204New patient medication visitLast term $148$152Up +3%
99214Medication follow-upLast term $98$101Up +3%
90833Therapy add-on with medication visitLast term $54$56Up +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
  1. 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.
  2. Check

    Roster and documents gathered

    Licenses and malpractice certificates attached.

    Done automatically. Ran automatically — no one had to do this by hand.
  3. 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