Bomi Blog

Bomi Blog

Insurance billing, credentialing, and payer updates for therapy practices.

Practical articles for therapists and practice owners navigating insurance billing, credentialing, payer updates, reimbursement changes, and private-practice operations.

Payer Updates articles

Billing
New Mexico

BCBSNM and Lovelace Reached a Deal. Here's Why New Mexico Providers Should Still Pay Attention.

BCBSNM and Lovelace reached a new four-year agreement, avoiding a major New Mexico network disruption. Here's what therapists and outpatient providers should take from it.

Dax Earl - May 28, 2026

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Billing
Credentialing

Therapy Platforms, Insurance Contracts, and the New Reimbursement Squeeze

Recent Alma, Aetna, Optum, and Headway reimbursement changes show a bigger trend: therapy platforms are scaling fast, but payer contracts may be getting less favorable for clinicians.

Dax Earl - May 22, 2026

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Billing

What's Going On With Alma, Aetna, and 90837?

Alma providers are reacting to an Aetna-related reimbursement change for CPT codes 90837 and 90834. Here's what appears to be changing, what is not changing, and what therapists should document now.

Dax Earl - May 21, 2026

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Billing

BCBSIL Behavioral Health UM Changes (Effective Jan. 1, 2026): What Solo Therapists Should Know

BCBSIL posted an update tied to the Illinois Health Care Protection Act that changes how utilization management and notifications work for certain behavioral health levels of care. Here's what solo therapists and group practices need to know about the "no review" windows and the first-date-of-treatment requirement.

Dax Earl - February 23, 2026

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Billing

BCBS IL Providers: Use Medicaid ID When Submitting Claims for BCCHP Members

As of February 1, 2026, BCBSIL says providers should use the Medicaid Recipient Identification Number (RIN) instead of the subscriber ID when submitting claims for Blue Cross Community Health Plans members — as required by HFS.

Dax Earl - February 21, 2026

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Credentialing

The Step-by-Step Guide to Aetna Credentialing for Illinois LCPCs, LCSWs, and LMFTs

A comprehensive step-by-step guide for Illinois LCPCs, LCSWs, and LMFTs to navigate Aetna credentialing, including prerequisites, application process, and common pitfalls.

George Ruan - February 15, 2026

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Credentialing

How to Credential with Illinois Medicaid (IMPACT PE)

A step-by-step guide for mental health providers to navigate Illinois Medicaid credentialing through the IMPACT Provider Enrollment system, including prerequisites, timelines, and common pitfalls.

George Ruan - December 28, 2025

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Credentialing

How to Credential Medicare as a Therapist LLC

A comprehensive guide for Illinois therapists (LCPC, LCSW, LMFT) to navigate Medicare credentialing for their PLLC or group practice, including PECOS setup, application process, and common pitfalls.

George Ruan - December 21, 2025

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Credentialing

Authorizing Your Biller for Medicare Enrollment

Learn how to authorize your biller for Medicare enrollment and get started with your billing process.

George Ruan - December 14, 2025

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Credentialing

What Insurance Plan Will Carle Health Employees Have in 2026? A Guide for Mental Health Providers

Prepare for the upcoming insurance change from Health Alliance to Cigna for Carle Health employees in 2026.

George Ruan - November 23, 2025

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Credentialing

How to Credential with BCBS IL as a Mental Health Provider

A complete step-by-step guide for LCSWs, LCPCs, LMFTs, and therapists to get credentialed with Blue Cross Blue Shield of Illinois, including prerequisites, timelines, reimbursement rates, and common mistakes.

George Ruan - November 16, 2025

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