Complete the New Associate Form.
Associates who are Carelon credentialed will have the Simple Practice account with their NPI number. The associates NPI will be added to the Carelone claims.
Associates who are providing services to Anthem or Cigna members will have the supervisor NPI on all claim forms.
United Healthcare/Optum will need to authorize the associate prior to rendering services. The supervisors NPI will be added to the claims.
Important: For all associate claims, except Carelon, the supervisor must be credentialed through PBH and not PBH-Headway.
Create a ticket on-line to activate a simple practice account.
a. Let us know if you wish to create any specific consent forms linked to the associate.
b. Do want the associate to be added to the group email?
In addition to the Simple Practice activation, the following will also be completed:
Associate will be added to PBH clinician webpage.
Associate shared drive will be added to supervisor shared drive.
Associate will be added to the New Client Notification System.
Associate will be added to the PBH New Client Database.
Associated will be added to the PBH group email (unless supervisor declines).
Associate practice location will be added.
Associate Monthly Report will be created.
PBH will send the Associate Volunteer Form.
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