Nurse practitioner billing support
Sunshyn supports independent nurse practitioner practices with enrollment support, claim submission, payment posting, and billing follow-up where applicable. Keep your own payer contracts and choose credentialing, billing support, or both.
Nurse practitioner support built around your practice.
Eligibility, enrollment, documentation, referral requirements, and billing rules vary by provider, state, payer, program, and service.
Build your practice’s payer relationships.
Payer planning
Review target payers, participation requirements, and service rules for your practice.
Individual and group enrollment
Identify applications and enrollment records needed for your nurse practitioner practice.
Application preparation
Organize credentials, licenses, practice information, and supporting records for submission.
Application follow-up
Track progress and outstanding payer requests.
Practice updates
Support enrollment changes involving providers, locations, tax information, and practice details.
Your payer contracts remain with your practice. Participation and effective dates depend on the payer.
Support for the work that follows each nurse practitioner service.
Responsibilities are defined in the selected billing service agreement.
The details behind each nurse practitioner service matter.
Coverage is service, benefit, provider, state, and payer dependent. No coverage, payment, or participation is guaranteed.
Your practice stays yours.
Practical tools for your nurse practitioner practice and team.
Ask about billing support with your current EHR. Compatibility is reviewed before onboarding.
Start with your nurse practitioner specialty and your practice’s needs.
Frequently Asked Questions
primary care
Support for independent nurse practitioner practices providing primary care.
preventive care
Support for practices delivering preventive care services.
chronic care support
Support for practices documenting services, goals, interventions, and follow-up plans.
behavioral health services
Support for nurse practitioner practices serving clients with documented care plans and ongoing support.
telehealth practice
Support for practices providing nurse practitioner services to their client populations.
Claim submission
Insurance payment and adjustment posting
Rejected and denied claim follow-up
Unpaid claim follow-up
Patient responsibility posting
Claim status and outstanding balance reporting
Service documentation
Organize service records, goals, follow-up, and payer documentation requirements.
Referrals and orders where applicable
Review whether a referral, order, or other payer requirement applies to the service.
Follow-up visits
Organize progress records, follow-up, and continued-service documentation requirements.
Medical necessity
Review payer requirements related to documented needs and medical necessity.
Preventive services
Review applicable coverage and documentation requirements for preventive services.
Timed or unit-based services
Where services are time-based, review recorded time and applicable payer requirements.
Telehealth eligibility
Review client location, provider eligibility, coverage, telehealth requirements, and claim reporting rules.
Visit limits and authorizations
Track approved services and dates separately from overall benefit limits.
Your practice maintains its own payer contracts.
Claims use your practice’s enrolled billing information.
You choose the services and support you need.
1
Tell us about your clinicians, specialties, locations, and current payer participation.
2
Review your credentialing, nurse practitioner billing, and payer-support needs.
3
Complete your service agreement and onboarding.
Can you support a solo or group nurse practitioner practice?
We can review the enrollment and billing needs of your solo or group nurse practitioner practice.
Can I request credentialing without billing?
Credentialing and billing support can be selected separately.
Can I use my current EHR?
Compatibility with your current EHR is reviewed before onboarding. No compatibility or payment outcome is guaranteed.
Do nurse practitioner practices follow the same billing rules?
No. Requirements vary by provider, service, payer, benefit, referral, documentation, and authorization.
Are nurse practitioner services always covered?
Coverage depends on the benefit, provider eligibility, service, state, payer, and applicable program. No guarantee is made.
What does nurse practitioner billing support cost?
Request current pricing for the credentialing and billing services your nurse practitioner practice needs.