For virtual therapy and psychiatry practices
Telehealth billing that follows every virtual session to your bank.
A virtual session is billed almost like an office visit, except for a couple of codes that insurers are strict about. Get those wrong and the claim is denied, every week. Remitra puts the right place of service on every claim and follows each session to the deposit.
- Video sessionTue, 7:00 pm · client at home
- Bill sent90837 · POS 10 · modifier 95
- Insurance paid$109.50 · $20 client share
- In your bankmatched to this session
Illustrative example. The place-of-service code comes from your telehealth location automatically, so you don't have to remember it each time.
Does this sound familiar?
Same session. Different codes. Different answer from every insurer.
- “One insurer wants POS 10, another wants 02, and I can't keep track.”
- “A whole month of virtual sessions came back denied because of one code.”
- “I see clients in two states and I'm not sure the billing is right for either.”
Where the money goes
Where telehealth practices lose money.
Virtual sessions add a few billing details that in-person sessions don't have. When they're wrong, every session is wrong the same way.
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The wrong place of service.
Claims carry a place-of-service code: 10 when the client is at home, 02 when they're somewhere else. Bill a virtual session as in-office, or use the code a payer doesn't accept, and it's denied.
How Remitra shows it
Set up a telehealth location once, and its place-of-service code goes on every claim for sessions there. No remembering it each time.
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A missing modifier.
Some insurers also want a modifier like 95 for video or 93 for audio-only. Leave it off and the claim comes back.
How Remitra shows it
Modifiers can be added to each line of the claim, and denials come back with the reason in plain English, so a missing modifier gets fixed once.
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Coverage you can't see from a distance.
Virtual clients rarely come to a front desk, so a plan change goes unnoticed until the denials arrive.
How Remitra shows it
Insurance is checked before every session, not just the first one, so a change shows up before the appointment.
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Copays that never get collected.
There's no checkout counter after a video session, so client balances build up quietly.
How Remitra shows it
Statements and online payment links go out automatically, and clients can pay by card from anywhere.
Follow one session
A video session, from the screen to the deposit.
How a typical telehealth session moves through Remitra. The dollar amounts are illustrative.
- 1Before the sessionInsurance is checked automatically and the appointment is booked at your telehealth location.
- 2SessionA 53-minute video session with the client at home. The note is signed.
- 3BillThe claim goes out with 90837, place of service 10 from the location, and modifier 95 on the line.
- 4Insurance payment$109.50 paid. The $20 client share goes out on a statement with a payment link.
- 5Bank depositBoth payments are matched to this session.
How it fits your setup
How telehealth billing is set up.
A few things set up once, so every virtual session is billed the same way.
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Once
Add a telehealth location
Give it the place-of-service code your payers expect, such as 10 for clients at home.
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Each session
Book it at that location
The place-of-service code goes on the claim automatically.
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When a payer asks
Add a modifier
Add 95, 93, or whatever a payer requires to the line before the claim goes out.
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Every week
Check the denial list
If a payer changes its rules, the denial reason tells you what to fix.
Good to know: payers set their own telehealth rules, and they change. Remitra makes the codes easy to set and shows denial reasons clearly, but it doesn't decide each payer's rules for you, so check each payer's policy.
Questions
Telehealth billing questions.
Should I use place of service 10 or 02?
Generally, 10 means the client was at home and 02 means they were somewhere other than home. Insurers differ, and some want the office place of service with a modifier instead, so check each payer's policy. In Remitra you set it once on a telehealth location.
Does Remitra add the telehealth modifier for me?
You add modifiers like 95 or 93 to the claim line. Remitra doesn't apply payer rules automatically, but it shows denial reasons in plain English so a missing modifier is easy to spot and fix.
Is insurance checked for virtual clients?
Yes. Eligibility is checked before every appointment, in person or virtual.
How do virtual clients pay their share?
Remitra sends statements with online payment links automatically, and clients can pay by card from anywhere.
Can I sign up today?
Remitra is in private preview and working with a small group of mental health practices. Book a 30-minute demo call and we'll walk through how billing works at your practice today.
30 minutes · Free · No commitment
See how Remitra would work for your telehealth practice.
Book a short video call. We'll learn how billing works at your practice today, and show you a virtual session tracked all the way to the bank deposit.
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