About TPN.health Referral Network
What exactly is this network?
This is a direct-pay referral network where you receive clients from employees of companies we've partnered with. You’ll submit your invoices directly to TPN.health and be paid directly by TPN.health.
How is this different than traditional insurance panels?
Unlike traditional insurance panels, there are no claim denials and no lengthy reimbursement processes.
What is the fee to join?
There is no fee to join.
Getting Started
Getting Started
Who is this network for?
This network is for licensed clinicians interested in growing their practice.
What do I need to do to join?
Your existing TPN.health profile and payment details are all we need. 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 hours as you'd like with no minimum commitment required.
I work for a non-profit and therefore do not have a tax ID other than my SSN. To be a provider do we need to have our own EIN?
In order to receive referrals you’ll need to register with either your Tax ID (SSN) or your EIN.
In order to join, will I need an ACTIVE CAQH? I deactivated mine because I don't take insurance.
No. You don’t need an active CAQH to participate, since we are not an insurance-based model.
What if I'm already on insurance panels?
This partnership works alongside your existing practice. You can maintain your current insurance panel participation while also receiving these direct-pay referrals.
What’s a care navigator?
Our care navigators are licensed clinicians, just like you. They’ll reach out when a patient is a good match for you. If you aren’t able to take that referral, no problem - you won’t be penalized. In a small number of cases, patients may reach out directly to you.
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).
Can I provide services from outside the United States?
You’ll need to follow the requirements of your state licensure board.
Rates & Payments
Rates & Payments
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 ($150), 90792 ($185), and 90837 ($120).
Where can we find the Medicare rates?
You can find medicare rates on the CMS website.
Will I be responsible for billing?
Yes, you will submit invoices directly to TPN.health. All invoices will be paid within 30 days.
Can I use my current billing process?
Yes, nothing about your billing process needs to change. Instead of submitting a claim you will simply download your invoice from your current system through your EHR or as a paper copy, as you would with a traditional insurance company, and upload it to TPN.health.
How do I upload an invoice?
To upload an invoice:
Click on your photo on the right hand side.
Navigate to Account Settings.
Under the Provider Network Contract section select Invoices and Reimbursements
Verify your phone number. Note: The code resets after 3 minutes.
Enter your address information (you’ll only have to do this once).
Enter your Payment Details. (you’ll only have to do this once).
Enter your Tax Forms
Confirm and submit your information.
You’ll now be able to upload invoices via the Invoices tab and view payment history via the Payment History tab.
How will I get paid?
Payment will arrive via ACH within 30 days.
How does TPN.health get paid?
TPN.health takes a platform fee from the payor for connecting patients to clinicians. For example, if a clinician makes $120, we get $20.
What is the the policy for cancellations/no-shows
Your standard cancellation policy and procedures should be upheld as they are today. When contracting with your client, please require a credit card on file and disclose your policy with the client. If they are a no-show or late cancel, you would charge their card the appropriate rate.
Client Referrals
Client Referrals
How are referrals made?
Referrals are made through TPN.health via care navigators, connecting you directly with qualified clients.
What will the care navigators use from our profiles to determine the best match?
Care navigators search based on criteria and use the information in your profile along with the patient’s completed proprietary care assessment to make matches. To increase your likelihood of being matched, make sure your profile is up to date, including service locations, specialties, ages served, credentials, and whether you offer in-person or virtual sessions.
Will I only receive referrals for the state(s) I am licensed in?
Yes. Keep your location and licensures up-to-date in your TPN.health 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 about documentation?
Standard clinical documentation applies. TPN.health does not impose specific documentation requirements such as special insurance forms or prior auths. You have the flexibility to document in a way that aligns with your clinical judgment, state laws, professional ethics, and comfort.
Can anyone (ie. TPN.health or payors) audit my clinical notes or documentation at any point?
No. TPN.health does not audit your client notes. We simply ask that you maintain documentation in a way that is legally and ethically compliant with your state and licensing requirements.
Will this put me “in network” with large national payers?
No. This only adds you to the TPN.health directory; it does not place you in-network.
Do clients need to have a diagnosis to receive services paid through their employer?
Yes. You will need to list a diagnosis code for billing purposes. This information is confidential and will not be visible to the employer.
Will clients have diagnoses or personality scores? Who provides the diagnosis?
Clients will not have a formal diagnosis. They will share basic contextual information about their presenting issues and will have completed our proprietary care assessment. Personality score refers to optional contextual information collected in the assessment and is not a clinical diagnosis. Care navigators do not provide diagnoses; their role is to match clients to providers based on your profile and the client’s needs.
Will clients come from a pool with Medicaid or Medicare benefits?
There will be a mix of clients, including those with Medicaid, Medicare, commercial (traditional) insurance, and some who are uninsured.
Who do I contact with questions?
You'll receive the same support you've always received from TPN.health. Didn't see your question answered here? [email protected].
Groups
Groups
I work in a group practice, where can I find more information about this to give to the person in charge for them to look through?
Please visit our Referral Page for more information.
How do I register my group?
Click Group Practice at the bottom.
Enter your organization’s information.
Review the Network Agreement and accept the terms.
Click Submit.
When prompted, enter your Tax ID / EIN (required to receive referrals).
I completed the group setup. How do I onboard my clinicians?
To invite clinicians to your group practice:
Go to Account Settings.
In the left-hand menu, scroll down and select Members.
Click Invitations.
Choose how you’d like to invite clinicians:
Individually: Send an invite via email or share an invite link.
Bulk: Upload a file with multiple clinicians. (We’ve provided an example file in the platform that you can download, complete, and upload.)
How will we be contacted for referrals?
You'll also want to update your referral settings and list the best email address for reaching your admin as this is what our Care Navigators will see when sending referrals to your organization.
To update your Referral Settings:
Click on your photo on the right hand side.
Navigate to Organizations.
Click Edit Public Profile.
Fill out the Referral Settings section.