What exactly is TPN.match? TPN.match is a direct contracting referral network. Providers are matched 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? Unlike traditional insurance panels, opting in is free, easy, and fast. We are a provider-centric platform and have designed the process to be simple from start to finish, including payments administered within 30 days.
What is the fee to join? There is no fee to join.
Getting Started
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.
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.
What’s a Care Navigator? Our Care Navigators are licensed clinicians, just like you. They’ll reach out when a member 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, members may reach out to you directly.
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
Opt In
Join the network in as little as 5 minutes.
Receive Referrals
Our care navigators (all licensed clinicians) will reach out when a referral is a good match.
Provide Therapy
Your rate will be confirmed before you accept. Meet in-person or virtually (your platform of choice).
Bill TPN.health
Submit your invoice directly to TPN.health through your account portal.
Receive Payment
You'll receive Payment within 30 days of invoice submission.
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 ($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.
How to Submit Contractor Payment Details
Log into you TPN.health account.
Click My TPN.match on the top of the page
3. Enter NPI and TIN in the Overview tab.
4. Click on the Payment Details tab to enter your information.
6. Click Save
How to Submit a TPN.health Invoice
How to Submit a TPN.health Invoice
Login to your TPN.health account
Click My TPN.match on the top of the page
3. Select My Invoices
4. Click Create Invoice
5. Enter the required fields, leaving the “Description” information high-level. This is not a clinical note. Example: Met for individual therapy on Tuesday.”
6. Attach an invoice, if available. This may expedite any problem-solving if it arises, but is not required.
7. Click Submit
You will receive payment within 30 days.
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 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.
How are referrals made? Referrals are made through TPN.health via care navigators, connecting you directly with qualified clients. When a match is identified, TPN.health’s licensed Care Navigator reviews the relevant profiles to determine the best fit for the member. This decision is based on the details in both the group and individual provider profiles. If you are selected as a match, the Care Navigator will contact you with relevant context about the client via email.
What will the care navigators use from my profile 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. Providers are encouraged to respond promptly to referral notifications, ideally within 24 hours. This ensures better client care coordination and timely scheduling, aiming to accommodate the client within the week.
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].
How to Maximize Referral Visibility
For Individual Providers
Log in
Click My TPN.match on the top of the page
Complete every field in the Overview tab
The more information you enter, the better. If a member has a specific request, this is where we go to see if a provider is a match.
If you have more than one license, select License Information
We rely on accurate licensure information to show us where you provide services and to meet member needs. If you are licensed in multiple states, but only have one license on your profile, our Care Navigation team wouldn’t be able to match you with members in the other states.
Add Credential
Complete the form
Save
Repeat until all licenses have been added
Connect with your colleagues by going to Search
Type their name in the search bar
Connect
How to Onboard as an Individual Provider
Click here to make an account
Individual Provider
3. Create an Account
4. Enter your information, then click Register
5. Enter your Profession
6. Continue
7. Enter your Credentials
8. Select the appropriate boxes in order to receive referrals (the first box will not impact the volume of referrals you receive from TPN.health)
9. Complete
10. If you navigate away from the screen, you can get back to the agreement by clicking here and choosing Individual Provider
11. Sign the TPN.match agreement by checking the boxes and clicking Submit
12. Enter your NPI and Tax ID
14. If you have multiple licenses, select License Information
15. Add Credential
16. Select the My TPN.match tab
17. Enter all information in the Recommended Info sections.
18. In the Information tab:
Be sure to enter a Referral Contact Email Address, so we know who to reach out to when there is a match
Enter your organization size so we can better understand your capacity for referrals
Click the slider to show that you are currently accepting referrals. We will not send referrals if this is not marked.
17 .Complete Insurances, Licensures/Accreditation, Modalities, and Facility Details tabs.
18. Go to the Payment Details tab and complete the Payout Information section. This is required in order for us to reimburse you.
Pro Tip: The My TPN.match tab at the top of the screen will bring you back to your contracted provider profile at any time
How to Onboard as a Group
Click here to make an account
Group Practice
4. Enter your information as the admin of the account
5. Register
6. Enter your Profession
7. If you have a group or organization NPI, enter it here
8. Enter the Facility Type you are enrolling and the location of the facility
9. Continue
10. If you have a license, you may enter it here. If you do not, you can Skip.
11. Select the appropriate boxes in order to receive referrals (the first box will not impact the volume of referrals you receive from TPN.health)
12. Complete
13. Enter the organization information
14 .Next
15. Sign the TPN.match agreement by checking the boxes and clicking Submit
16. Invite your providers to join your group - this step is critical in ensuring that your group is visible to our Care Navigation team. When they sign up, they will also be able to access our high quality CEUs and our community of providers.
17. All payments will go to the group and not the individual providers.
18. Enter all information in the Recommended Info sections.
19. In the Information tab:
Be sure to enter a Referral Contact Email Address, so we know who to reach out to when there is a match
Enter your organization size so we can better understand your capacity for referrals
Click the slider to show that you are currently accepting referrals. We will not send referrals if this is not marked.
Complete Insurances, Licensures/Accreditation, Modalities, and Facility Details tabs.
Go to the Payment Details tab and complete the Payout Information section. This is required in order for us to reimburse you.
Pro Tip: The My TPN.match tab at the top of the screen will bring you back to your contracted provider profile at any time
Client Referrals
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.