Payer detail
Every plan we bill, by state
Sample Medicare Plan D · Pennsylvania
Active- Effective
- Apr 1, 2026
- Renews
- Auto-renews yearly
- Recredentialing
- Apr 1, 2029
- Timely filing
- 365 days
- Clinicians enrolled
- 12 of 16
Rates by service
| Code | Service | Rate | Last term | Change |
|---|---|---|---|---|
| 90791 | Intake assessmentLast term $132 | $136 | $132 | Up +3% |
| 90832 | 30-minute therapyLast term $67 | $69 | $67 | Up +3% |
| 90834 | 45-minute therapyLast term $98 | $101 | $98 | Up +3% |
| 90837 | 60-minute therapyLast term $133 | $137 | $133 | Up +3% |
| 99204 | New patient medication visitLast term $171 | $176 | $171 | Up +3% |
| 99214 | Medication follow-upLast term $114 | $117 | $114 | Up +3% |
| 90833 | Therapy add-on with medication visitLast term $63 | $65 | $63 | 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 for 60-min therapy after 12 visits
Detected automatically at booking. A request is drafted from the intake and notes.
No auth for intake, 30- and 45-minute 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- 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-d@example.com(555) 010-0213
Theo Barnes · Contracting manager
contracting-d@example.com(555) 010-0313