Acu-Care credentials California Acupuncturists and registers you in multiple insurance company provider directories.
You can select the desired contracts. You have the ability to add or remove any contracts throughout the year at no cost. Simply send an email to our office at acucare@acucare.com.
Cigna PPO Rates:
Cigna HMO Rates:
CorVel Rates: Provider agrees to accept as payment in full, reimbursement for covered health care services, the lesser of 90% of usual charges, 90% of usual and customary prevailing rates or 90% of amounts based on the current state applicable Workers’ Compensation Medical Fee Schedule as amended from time to time.
Coventry Healthcare Rates: Applicable for Group Health and other Payment Programs other than Workers’ Compensation: Services shall be reimbursed at 90% of Current Year CMS RBRVS, with GPCI gap filled, for all services, except for those services defined below.
HealthSmart Rates: Applicable for Group Health and other Payment Programs other than Workers’ Compensation: Services shall be reimbursed at 90% of Current Year CMS RBRVS, with GPCI gap filled, for all services, except for those services defined below.
Claritev Rates: Practitioner shall accept as payment in full the lesser of practitioner billed charge or the amount set forth as follows: % Medicare current year RBRVS: Evaluation and Management 110%. For non-medicare & non-listed codes: 50% off billed charges
The following CPT codes are reimbursed as follows:
Prime Health Services Rates: Provider agrees to accept reimbursement for Covered Services rendered to Covered Persons at the following tiered rates for each of the product lines described in 4.0 of the PHS Provider Terms and Conditions Booklet.
For all applicable Payor Programs Provider will be paid the lesser of the schedule below:
OR
Please watch video for instructions
We would like to clarify that Acu-Care is not a marketing or patient-referral service.
Acu-Care provides credentialing services for licensed acupuncturists to become recognized as in-network providers with insurance companies. Our role is to facilitate the credentialing process, verify provider information, and ensure accurate listings with the insurance companies selected during your application process.
Once credentialed, patients can locate providers directly through the insurance company’s provider directories, where your name and professional details are displayed. Being listed in these directories allows patients seeking acupuncture services through their health plans to find and contact you—helping to increase your patient flow.
Application Processing Fee: $175.00 *Non-refundable
Annual Fee: $400.00
Site Inspection: $100.00
*Non-refundable, once completed.
*Once a location has been inspected, there will not be a repeated charge.
Electronic Payment Processing Fee: $20.00
Annual fee: $400.00
*For reference, the annual renewal fee equates to approximately $33.33 per month.
Electronic Payment Processing fee: $15.00
Click on “join” and complete the steps of the application process. Please view the credentialing checklist video below:
Credentialing approvals are determined by committee meetings, which are held every other month. Once your application is reviewed and approved during a committee meeting, the approval date will serve as your official effective date.
Please note that timelines may vary depending on the completion of all required documentation and scheduling of committee meetings.
To request updates to your information on insurance directories, please email our office at acucare@acucare.com with the details of the changes you would like to make.
A member of our team will review your request and provide any necessary documentation. Once the updates have been completed on our end, we will submit the revised information to the applicable insurance companies. Please note that their processing and update timelines may vary depending on each insurance provider.
Providers submit claims directly to payors. They can utilize the services of a billing professional or company they hire to manage claim submissions on their behalf. Acu-Care does not deduct or retain any percentage of provider payments. 100% of all payments are issued directly to the provider or their company.
Acu-Care credentials providers on an individual basis only, and each provider must obtain their own Acu-Care membership.
The account holder is the individually credentialed provider. As a result, our members have the flexibility to practice at multiple locations or clinics under their membership.
For clinics:
Providers affiliated with your clinic must each submit an individual application for credentialing. However, providers may include Tax Identification Number (TIN) information related to the business or clinic as part of their application.
Didn’t Find The Answer? acucare@acucare.com
Our goal is to ensure that you get high reimbursement rates along with supplier and merchant discounts
