Payer detail
Every plan we bill, by state
Sample Medicaid Plan A · Pennsylvania
Active- Effective
- Jan 1, 2026
- Renews
- Auto-renews yearly
- Recredentialing
- Jan 1, 2029
- Timely filing
- 180 days
- Clinicians enrolled
- 16 of 16
Rates by service
| Code | Service | Rate | Last term | Change |
|---|---|---|---|---|
| 90791 | Intake assessmentLast term $120 | $124 | $120 | Up +3% |
| 90832 | 30-minute therapyLast term $61 | $63 | $61 | Up +3% |
| 90834 | 45-minute therapyLast term $89 | $92 | $89 | Up +3% |
| 90837 | 60-minute therapyLast term $121 | $125 | $121 | Up +3% |
| 99204 | New patient medication visitLast term $151 | $156 | $151 | Up +3% |
| 99214 | Medication follow-upLast term $101 | $104 | $101 | Up +3% |
| 90833 | Therapy add-on with medication visitLast term $56 | $58 | $56 | 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 24 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
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. - 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
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) 010-0210
Theo Barnes · Contracting manager
contracting-a@example.com(555) 010-0310