You help patients move forward. We help your practice keep up.
Sunshyn supports independent therapy practices with payer enrollment, claim submission, payment posting, and billing follow-up. Keep your own payer contracts and choose credentialing, billing support, or both.
Different disciplines. Support built around your practice.
Provider eligibility, enrollment, documentation, and billing requirements vary by discipline, state, payer, and service.
Build your practice’s payer relationships.
Payer planning
Review target payers and their participation requirements.
Individual and group enrollment
Identify applications needed for your clinicians and practice.
Application preparation
Organize credentials and practice information for submission.
Application follow-up
Track progress and outstanding payer requests.
Practice updates
Support enrollment changes involving clinicians, locations, and practice information.
Your payer contracts remain with your practice. Approval and effective dates depend on the payer.
Support for the work that follows each session.
Responsibilities are defined in the selected billing service agreement.
The details behind the session matter.
A covered therapy benefit does not establish coverage for every service. The patient’s benefits, provider eligibility, documentation, and payer requirements all matter.
Your practice stays yours.
Practical tools for your practice and team.
Ask about billing support with your current EHR or using Sunshyn’s practice software.
Start with your discipline and your practice’s needs.
Frequently Asked Questions
Mental Health Counseling
Support for independent counselors and behavioral health practices.
Marriage & Family Therapy
Support for practices providing individual, couples, and family therapy.
Occupational Therapy
Support for practices helping patients develop skills for daily activities.
Physical Therapy & Pelvic Health
Support for rehabilitation and pelvic health practices.
Speech-Language Pathology
Support for practices providing communication and swallowing services.
Claim preparation and submission
Insurance payment and adjustment posting
Rejected and denied claim review
Unpaid claim follow-up
Patient responsibility posting
Claim status and outstanding balance reporting
Mental health services
Review the service provided, session duration, documentation, and payer requirements.
Couples and family therapy
Identify the patient receiving covered treatment and review how the plan covers the service.
Occupational therapy
Document the skilled intervention and its connection to functional goals.
Physical therapy and pelvic health
Connect treatment to functional needs and review applicable referral, authorization, and plan-of-care requirements.
Speech-language pathology
Distinguish evaluations and treatment services and review applicable coverage and documentation requirements.
Timed services
Where codes are timed, review recorded treatment time and the payer’s unit calculation rules.
Telehealth
Review patient location, provider eligibility, coverage, and claim reporting requirements.
Visit limits and authorizations
Track approved services and dates separately from the patient’s 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 and billing support needs.
3. Complete your service agreement and onboarding.
Can you support a solo or group practice?
We can review the enrollment and billing needs of your practice structure.
Can I request credentialing without billing?
Credentialing and billing support can be selected separately.
Can I use my current EHR?
Compatibility depends on your system and workflow and is reviewed before onboarding.
Do all therapy disciplines follow the same billing rules?
No. Requirements vary by profession, service, payer, and plan.
Are couples or family sessions always covered?
Coverage depends on the benefit, the identified patient, and the service provided.
What does support cost?
Request current pricing for the services your practice needs.