Behavioral Health Payer Infrastructure Audit

Comprehensive payer and enrollment infrastructure review designed specifically for behavioral health practices experiencing provider linkage issues, payer-loading inconsistencies, directory visibility problems, EFT/ERA setup failures, credentialing discrepancies, or operational billing workflow disruptions.

This service includes a detailed review of:
• Type 1 & Type 2 NPI linkage
• Group vs. individual provider configuration
• Payer enrollment structure and participation status
• Availity, CAQH, and payer record consistency
• TherapyNotes/EHR workflow alignment
• EFT/ERA enrollment setup and payer connectivity
• Backend payer operational setup and workflow issues
• Provider directory visibility and participation discrepancies

Ideal for practices experiencing ongoing enrollment, billing, operational, or payer configuration issues despite existing approvals.

Please Note:
This service is designed as an initial payer and operational infrastructure audit to help identify root-cause issues impacting enrollment, billing workflows, provider linkage, and payer configuration.

Complex payer infrastructure correction projects can be time-intensive depending on the number of providers, payers, and systems involved. Additional correction, escalation, or cleanup services may require a separate project quote based on the scope and complexity of the issues identified.