Credentialing and payer enrollment FAQs

CAQH access

  • How do I know if I have a CAQH profile already?
  • How do I regain access to a CAQH profile that I had at my last job?
    • Call CAQH customer service at 888-599-1771 to ask for assistance.
  • How can I review the information in my CAQH profile to ensure it is correct?
    • Log in to your CAQH profile at proview.caqh.org to view your profile and ensure the information is correct. Visit the CAQH Guides page to verify Rula information like practice location name and address, tax ID, or our Organization NPI.
  • How do I update my CAQH profile at Rula?
    • Log in to your CAQH profile at proview.caqh.org to view your profile and update the information. Visit the CAQH Guides page and reference the state-specific guides if you’re updating Rula information like practice location name and address, tax ID, and Organization NPI.
  • How can I update my NPI number?
  • If my group practice handles my CAQH, do I need a separate individual CAQH profile?
    • A provider can only have one CAQH profile, which can be expanded to include several group practices. To access your profile, you can request your login information from whoever maintains it at your group practice.
  • Is CAQH mobile-friendly? 
    • No, CAQH is not mobile-friendly at this time.

CAQH general

  • What materials do I need to have to complete my CAQH profile?
    • Have the following materials ready to complete your CAQH profile: 
      • Resume
      • Certificate of malpractice and/or liability insurance 
    • Visit the CAQH Guides page and reference the state-specific guides for any additional materials.
  • What practice address do I use in my CAQH profile?
    • Visit the CAQH Guides page and reference the state-specific guides. Select the guide for your state and go to the "Practice Locations" section of the document for the practice address.
  • What do I need to do if I have a CAQH profile in another state?
    • You only need to create one CAQH profile, which can be expanded to include multiple states. If you are licensed in additional states, please add them to your CAQH profile in the “Personal Information” section under “Additional Practice State(s).” 
  • What do I need to do so that my CAQH profile will not expire?
    • Your CAQH profile must be current and re-attested every 120 days to verify your information and data are still accurate. CAQH will email you reminders! Visit the CAQH Guides page and reference the state-specific guides for additional information.
  • What do I need to do to re-attest my CAQH profile?
    • Log in to your CAQH profile at proview.caqh.org and click "Review and Attest." Then verify or make corrections to your profile data before attesting, which certifies that you have carefully reviewed all information contained within your profile and that all information is true, correct, and complete to the best of your knowledge. Visit the CAQH Guides page and reference the state-specific guides for more information.
  • Where can I send CAQH attestation updates?
    • You are free to re-attest your CAQH profile and don’t need to notify Rula of your attestations. If you need help with attestation, please contact the Rula Credentialing Team at credentialingteam@rula.com.
  • Will my employer see that Rula is added to my CAQH profile?
    • Yes, your employer can see that Rula has been added to your CAQH; however, they don’t typically view your profile regularly. 
  • If I have a non-compete with my current employer, should I wait to join Rula until the non-compete is ended or move forward by completing my CAQH profile for Rula?
    • Please wait until you notify your employer that you are leaving. Once notified, you can add Rula's information to your profile to begin the process.

Credentialing

  • How can I update my malpractice and/or liability insurance at Rula?
    • You can update your malpractice and/or liability insurance in your CAQH profile. Log in to your CAQH profile at proview.caqh.org to update this information. Be sure to have your certificate of insurance, as you'll need to upload it to the documents section of your profile each time you renew your insurance. 
      • Visit the CAQH Guides page and reference the state-specific CAQH requirements guides for more information. 
      • Visit this help center article for more information regarding professional liability insurance. 
  • Where can I buy malpractice and/or liability insurance?
    • While Rula cannot recommend a liability carrier, we do see several used by our contracted therapists. Such as the following listed: 
      • CPH and Associates 
      • HPSO 
      • Liberty Mutual 
      • Nexus Insurance Services 
    • Please research each one and select what fits your needs! Visit this help center article for more information.
  • What professional liability Insurance companies does Rula prefer?
    • While Rula cannot recommend a liability carrier, we see several used by our contracted therapists. Such as the following listed: 
      • CPH and Associates 
      • HPSO 
      • Liberty Mutual 
      • Nexus Insurance Services 
    • Please research each one and select what fits your needs! Visit this help center article for more information.
  • How can I connect with my Fountain Application?
    • If you need assistance connecting to your Fountain Application, please contact Rula Onboarding at onboarding@rula.com.

Payer enrollment process

  • Who should I contact if I have a question about one of the payers I'm credentialed with at Rula?
  • How can I see what payers I'm credentialed with at Rula?
    • The payers you’re credentialed with are listed in the Rula Provider Portal. Navigate to the Provider Portal, sign in, and click on the "Profile" tab on the left-hand side of the screen, which will route you to your Public Provider Profile page. Scroll down to the "Practice details" section to see which insurances you’re credentialed with. Contact support at support@rula.com if you need any assistance.
  • Where can I see my credentialing status with each payer?
    • The payers you’re credentialed with are listed in the Rula Provider Portal. Navigate to the Provider Portal, sign in, and click on the "Profile" tab on the left-hand side of the screen, which will route you to your Public Provider Profile page. Scroll down to the "Practice details" section to see which insurances you’re credentialed with. Please contact support at support@rula.com if you need any assistance.
  • How will I be notified once I am credentialed with each payer?
    • The payers you’re credentialed with are listed in the Rula Provider Portal. Navigate to the Provider Portal, sign in, and click on the "Profile" tab on the left-hand side of the screen, which will route you to your Public Provider Profile page. Scroll down to the "Practice details" section to see which insurances you’re credentialed with. Please contact support at support@rula.com if you need any assistance.
  • I am already credentialed with certain payers; how will the process work at Rula?
    • Rula must credential you under our group contracts, even if you’re already credentialed with a payer as an individual or through another group.
  • If I am credentialed with additional insurance carriers outside of the payers I am credentialed with at Rula, are clients able to book sessions with me at Rula?
    • No, Rula cannot bill payers we are not contracted with at this time. However, you can see these clients through your own private practice.
  • Is it possible to only be credentialed with certain payers at Rula?
    • Rula does not allow providers to pick and choose clients based on their insurance unless there is a conflict of interest. However, if you have a non-compete clause (i.e., you’re employed by Kaiser Permanente of Southern CA), we can exclude you from seeing those clients. Please notify the Rula Credentialing Team at credentialingteam@rula.com with this request. 
  • In the future, will Rula credential me with additional payers?
    • Yes, we're always looking to expand access to care via insurance coverage.

Payer enrollment timeline

  • How long does it take to be credentialed with each payer?
    • Timelines vary by state and payer; please contact the Rula Credentialing Team at credentialingteam@rula.com for more information. 
  • If I've been with Rula before, is the credentialing time shorter?
    • No, both new and returning providers have to go through the entire credentialing process.
  • When can I start seeing clients?
    • You can treat clients once you’re approved to participate in the Rula network and have completed onboarding. Timelines vary regarding which clients you can see as you are being linked to our various contracted health plans. Please contact the Rula Credentialing Team at credentialingteam@rula.com for more information. 

Rula support

  • Who can I contact to complete the Medicare documentation needed to satisfy the requirements to see this population?
    • Visit this help center article for information on Medicare documentation needed to satisfy the requirements to see this population. Please use this link to log in or activate your account to complete the Medicare Fraud, Waste, and Abuse training. If you need further assistance, please email privacy@rula.com.
  • Who can I contact for employment verification requests?
    • Contact support at support@rula.com for assistance with employment verification requests.
  • How can I update my Bio?
  • How can I update my profile?

Payers

  • Why can I no longer see my existing clients with a certain insurance (i.e., why is my existing client out of network)?
    • If your existing client's insurance has changed, they may go out of network. However, if your existing client’s insurance has not changed, this may be due to an error during the verification of benefits process. We make every attempt to verify a client's insurance benefits accurately, but if an error occurs, Rula will reach out to inform both you and the client. Rula then honors the previous billing terms for two bridge sessions to ensure client abandonment doesn't occur and to allow you and the client to wrap up any existing care. All clients are also offered our self-pay rate and can continue care at that rate.
  • Why do I no longer receive clients with a certain insurance?
    • At this time, you can treat any existing clients, including those referred to you from Rula and anyone you referred to Rula unless our billing team contacts you about an issue (e.g., outstanding client balance). Our payer team is working diligently with our payer partners to add more in network plans and expand access to clients in need.
  • Where can I see all insurances Rula works with by state?
    • Rula works with national and state-specific payers. As some vary state-by-state, Rula will conduct a verification of benefits process for each client before their first session to confirm eligibility. If you're interested in seeing a general list of payers you may do so here. You may also check within the provider portal to see which insurance’s you are credentialed and enrolled to accept.
  • How can I see which plans are accepted by each payer?
    • Rula accepts most major commercial insurance plans and continues to add new contracts. Please have the client contact support@rula.com for verification of benefits. Visit this help center article for additional information.
  • Can I still see existing private pay clients outside of Rula if they have insurance that Rula accepts?
    • Yes, you can still see self-pay clients using your own tax ID even after credentialing with Rula.
  • Would a superbill my client submits to their insurance company get denied because I am credentialed with Rula?
    • If you are billing under your Taxpayer Identification Number (TIN) there should not be a denial.

Verification of benefits

  • How can clients see if Rula accepts their insurance?
    • Rula verifies all client benefits before scheduling a client with you. All patients receive an email providing an estimate of costs prior to their first session.  For additional assistance, please have the client contact support@rula.com for verification of benefits. 
  • Who can I contact at Rula to see if my client's insurance is accepted and if I am "in-network" with their insurance?

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