Contracting and Referrals

What exactly is TPN.match? TPN.match is a direct contracting referral network. Our Care Navigation team matches providers to clients who are covered under TPN.health as their behavioral health benefit. Providers then invoice and receive payment directly from TPN.health.

​How is this different from traditional insurance panels? TPN.match is its own category of behavioral health benefits. We are a provider-centric platform and have designed the process to be simple from start to finish, including payments administered within 30 days.

We offer competitive reimbursement rates, we do not interfere with how you run your practice, and there are no fees, penalties, or quotas. As a provider, you’re the expert on making clinical decisions for your client. We won’t ask you to justify your clinical decision-making, such as the duration of the sessions needed to make progress with the client

Providers maintain access to all clinical information, and TPN will never request providers to share it. Most of our referrals have no session limits or copays, and TPN reimburses for all behavioral health CPT codes.

What is the fee to join? There is no fee to join.
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​Who is TPN.match for? TPN.match is for licensed and pre-licensed clinicians interested in growing their practice. We have many different types of providers including master’s and doctoral level therapists, psychiatric nurse practitioners, and psychiatrists. We welcome providers in all 50 states.

​What do I need to do to join? Simply sign our straightforward provider agreement. That's it! No credentialing packets, no lengthy applications.
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Is there a minimum time commitment? No. You can start with as few or as many referrals as you'd like with no minimum commitment or quotas.
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What if I'm already on insurance panels? We work alongside your existing practice. You can maintain your current insurance panel participation while also receiving TPN.match referrals.
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​Do my sessions need to occur on TPN.health? No, TPN.health is not a telehealth portal. See patients in-person or virtually, using your platform of choice.

Here's How It Works In 5 Easy Steps

How are referrals made? Members reach out to our Care Navigation team when they have a behavioral health need, then the members complete a brief screening. The Care Navigation team then identifies which provider in the network is the best match and facilitates the handoff between provider and member.

Will I only receive referrals for the state(s) I am licensed in? Yes. Please be sure to add all of your licenses to your profile. We rely on this to know which members we can match you with.

Is this just for telehealth? No. You can see clients in person or via telehealth – your choice.

Would the sessions be held on the TPN.health platform? No. TPN.health is not a telehealth service provider.

Can I choose which referrals to accept? Yes, you maintain full control over which clients you accept.

What happens after I accept a referral? Schedule according to your availability—no workflow changes required.

What about documentation? Document according to your standard practice – no workflow changes required.

Will this put me “in-network” with large national payers? No. This only puts you in-network with TPN.match.

How will the Care Navigators determine the best match? Care Navigators match based on the information in your profile along with the member’s proprietary care assessment. To increase your likelihood of being matched, make sure your profile is up to date - including service locations, specialties, ages served, credentials, all licenses, and whether you offer in-person or virtual sessions.

What rate will I be paid? Our pay rate starts at $120/session for a licensed therapist paid within 30 days. We reimburse for all CPT codes, including 90791 ($130), 90837 ($120), 90792 ($146), 99214 ($97), and 99215: ($136).

Will I be responsible for billing? Yes, you will still submit invoices directly to TPN.health through your TPN.match profile. All invoices will be paid within 30 days.

How will I get paid? Payment will arrive via ACH within 30 days of invoice submission.

How does TPN.health get paid? TPN.health takes a fee from the payer for connecting members to clinicians.

I don’t take insurance. Do I have to sign up through CAQH? No, you don’t have to register with CAQH. You can invoice us and we will reimburse you directly.