Insurance Billing & 837P Claims for SLPs

Setup Once

One billing profile. Validated before submission.

Your NPI, taxonomy code, tax ID (EIN or SSN), and billing address live on one screen instead of being scattered across settings.

TheraJunction supports both solo practices (Type 1 individual NPI) and incorporated clinics (Type 2 organization NPI with rendering clinician hierarchy). Entering your 10-digit NPI queries the federal NPPES registry in real time to prevent transcription errors.

Pre-submission validation: Checks taxonomy, NPI hierarchy, and active payer rules before a claim leaves your queue.
Multi-location support: Primary clinic, satellite branches, and home visits cleanly differentiated on claims.

Pre-Submission Claim Guard

Rejections happen when billing details don't match payer records. TheraJunction catches issues before clearinghouse transmission:

NPI & Taxonomy: Verified against NPPES registry.

Place of Service (POS): Matched to in-person (11) or teletherapy (02/10).

Diagnosis Pointers: Speech CPT codes paired with primary ICD-10 etiology.

Eligibility Inquiries

Real-time 270/271 eligibility before the first session

Nobody should discover coverage issues at the first invoice. Check benefits before committing clinical hours.

When you accept a new patient or update their policy, TheraJunction triggers an automated 270 electronic inquiry to the payer. The 271 response parses copay, coinsurance, remaining deductible, and active policy dates directly into the patient chart.

If coverage is inactive or speech benefits require prior authorization, both clinician and family receive immediate alerts with options to switch to self-pay private fees.

Instant 271 Benefits Breakdown

Coverage Status: Active (In-Network)

Primary Copay: $25.00 / visit

Individual Deductible: $500.00 ($120.00 remaining)

Speech Therapy Benefit: Covered (No Referral Required)

Clearinghouse & Claims

Claims Built From the Sessions You Documented

Review rather than retype. Fast clearinghouse submission with Stedi.

Prior-Claim Prefill

Claims pull patient diagnostics, rendering NPI, taxonomy codes, and previous payer settings automatically. You confirm the units and click submit.

Electronic 837P Filing

Direct EDI connection via the Stedi clearinghouse. Real-time transmission status tracking from 999 acknowledgments to 277 claim status responses.

835 ERA Auto-Posting

Incoming Electronic Remittance Advice (ERA) files match against open claims automatically, posting payments and updating patient balances without manual math.

Durable Billing Tasks Queue

A failed claim or rejected clearinghouse submission creates a persistent task in your Billing Hub. Unbilled sessions never quietly fall through the cracks.

Superbills & Private Pay

Generate compliant, itemized out-of-network superbills with diagnostic coding in one click for patients seeking direct insurance reimbursement.

Card-on-File Autopay

Patients manage payment cards securely in their portal. Stripe Connect automatically charges copays and coinsurance balances directly into your bank account.

Wondering what billing costs?

Clearinghouse filing, eligibility checks, and ERA auto-posting are fully included with zero monthly software rent.

See transparent pricing

Insurance & claims,
without the software rent.