How do I bill for sessions covered by an Employee Assistance Program (EAP)
May 1, 2025 · EAP's may recognize and accept the patient's 'regular' insurance ID number for EAP claims, but it's possible they'll require you to use another ID number (such as the …
HJ Modifier for EAP Billing and Coding [2025 Guide]
The HJ Modifier is used in billing to signify an EAP claim. It is the standard way of billing Employee Assistance Program claims to most insurance.
All billed services require an authorization from eviCore EAP. To obtain an authorization, providers may call the EAP department at (716)712-2777 or 1-888-276-6632.
Do I need to include any special modifiers on the CPT code for EAP? - Yes, all EAP Claims must include an HJ modifier following the CPT code to be processed and paid correctly.
CPT Codes for EAP Clients | Provider Help Center | Grow Therapy
An Employee Assistance Program (EAP) is a health and wellness service paid for by an employer. It is designed to provide assessment, referral, and limited counseling sessions for …
Resources - Employee assistance program (EAP) - Evernorth
All EAP services must be billed using Current Procedural Terminology (CPT ®) code 99404 to ensure appropriate payment. While not required for claim payment, it is recommended to list …
How Do I Bill for a Client Using an EAP Benefit?
Solves the challenge of billing for clients using an EAP benefit by outlining the steps to verify authorization codes and submit claims effectively.
What You Need for Your First EAP Visit – Alma
If you have traditional Optum EAP benefits through the Live & Work Well Employee Assistance Program, you can request an EAP authorization code, eligible sessions, and benefit effective …
CPT Code 99404: The Definitive Guide [+2026 Reimbursement Rates]
Employee Assistance Program (EAP) visits are typically billed with the HJ modifier with a routine procedure code, i.e. 90837 or 90834. This is how companies like Anthem, Aetna, and United …
What is the Optum Employee Assistance program? EAP is a health and wellness benefit paid for by a member’s employer. The EAP benefit is designed to provide assessment and referral, as …