Demo
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Payer detail

Every plan we bill, by state

Sample Medicaid Plan A · New Jersey

Active
Effective
Feb 1, 2026
Renews
Auto-renews yearly
Recredentialing
Feb 1, 2029
Timely filing
180 days
Clinicians enrolled
13 of 16

Rates by service

Allowed amount per visit by CPT code
CodeServiceRateChange
90791Intake assessmentLast term $116$119Up +3%
9083230-minute therapyLast term $58$60Up +3%
9083445-minute therapyLast term $85$88Up +3%
9083760-minute therapyLast term $117$120Up +3%
99204New patient medication visitLast term $145$149Up +3%
99214Medication follow-upLast term $96$99Up +3%
90833Therapy add-on with medication visitLast term $53$55Up +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 for psychological testing

    Detected automatically at booking. A request is drafted from the intake and notes.

  • No auth for therapy 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

    Renewal reminders scheduled

    Dana gets a reminder 120, 90, 60 and 30 days out.

    ScheduledDone automatically. Ran automatically — no one had to do this by hand.
  2. WellKeel

    Rates loaded from the signed agreement

    Every code checked against the fee schedule.

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

Needs a person

From this contract

Nothing needs a person on this contract right now.

Documents

  • Participation agreement (signed)

    PDF · 18 pages · 2026

  • Fee schedule

    PDF · 3 pages · 2026

  • 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) 010-0214

  • Theo Barnes · Contracting manager

    contracting-a@example.com(555) 010-0314