Frequently Asked Questions

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Acu-Care credentials 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:

  • 97810 Acupuncture, first 15 minutes $57.00
  • 97811 Acupuncture, Reinsertion $38.00
  • 97813 Acupuncture with electrical stimulation, first 15 min. $66.00
  • 97814 Acupuncture with electrical stimulation, reinsertion $44.00

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Cigna HMO Rates:

  • 97810 Acupuncture, first 15 minutes $57.00
  • 97811 Acupuncture, Reinsertion $38.00
  • 97813 Acupuncture with electrical stimulation, first 15 min. $66.00
  • 97814 Acupuncture with electrical stimulation, reinsertion $44.00

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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.

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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.

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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.

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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:

  • 97810 Acupuncture, first 15 min. $50.57
  • 97811 Acupuncture, reinsertion $38.86
  • 97813 Acupuncture, Electro Stim $54.08
  • 97814 Acupuncture, Electro Stim reinsertion $43.93

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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:

  • 90% of the Submitted Billed Charge

OR

  • 90% of any maximum allowable rate specified by federal or state schedule or law.

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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 (Non-Refundable): $175.00

Annual Fee: $400.00

Site Inspection Per Clinic (Once completed Non-Refundable): $100.00

Click on “join” and complete the steps of the application process. Please view the credentialing checklist video below:

We schedule a Committee Meeting once a month to approve your complete credentialing submission.

Didn’t Find The Answer? acucare@acucare.com

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 Our goal is to ensure that you get high reimbursement rates along with supplier and merchant discounts