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 bill 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. TPN does not reimburse for services outside of behavioral health.

What is the fee to join? There is no fee to join.

​Who is TPN.match for? TPN.match is for licensed and pre-licensed clinicians, groups, and facilities 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 behavioral health providers in all 50 states.

Are student interns, Dietitians, Registered Nurses, or Peer Support Specialists eligible? No, not at this time.

Does TPN.match include IOP, PHP, or residential facilities? Yes, we reimburse for all behavioral health CPT codes and all levels of care.

​What do I need to do to join? Create a TPN.match profile here and follow the simple steps. That's it! No credentialing packets, no lengthy applications.

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.

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.

​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.

How can I get more referrals? Be sure to update your TPN.match profile often, including adding all recommended practice information and all state licenses to maximize your visibility. Ensure that you have gone through the credentialing process by logging into your TPN.match account. Please note that TPN does not guarantee any referral volume since referrals ebb and flow based on client needs and preferences. We will always match based on the best clinical fit.

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.

What if I have a telehealth only license? A telehealth-only license is perfectly acceptable for virtual referrals in your licensed state(s). Please be sure to add the telehealth-only license to your profile.

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 are the documentation requirements? Document according to your standard practice in accordance with HIPAA and licensing board regulations – 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.

Can a prospective client request me specifically as their clinician through the Care Navigators? Yes, we are happy to match clients to specific providers in our network that they request.

Can I bill TPN for all of my clients? No, you can only bill TPN for clients that have access to TPN as a benefit. In most cases, those referrals will come to providers directly from TPN.

What rate will I be paid? Our minimum rates start at $120/session for a licensed therapist paid within 30 days. We reimburse for all behavioral health 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 claims through your EHR or directly to TPN.health through your TPN.match profile. All invoices will be paid within 30 days.

What if my EHR operates with a group TIN? You may have the option to enter the client as a $0 cash pay client and submit invoicing through your TPN.match profile. Check the terms of your EHR agreement.

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.

Are clients able to utilize their insurance with TPN.match? No, TPN.match takes the place of insurance for members to qualify. Providers will only bill TPN.match.