For practices on SimplePractice
Insurance verification for SimplePractice practices
Veriframe verifies every upcoming session for group practices that run on SimplePractice, including the behavioral health carve-out, and writes the result into the client's chart before the visit.
What SimplePractice's eligibility check tells you, and what it leaves out
SimplePractice is one of the most widely used EHRs among therapy practices, and it can run electronic insurance eligibility checks for clients with insurance on file.
An electronic eligibility check is a good first pass. It usually confirms the plan is active and returns some cost-share detail. For therapy, though, the answers that decide whether a claim gets paid often are not in that response.
| Question for a therapy visit | Electronic eligibility check | Veriframe verification |
|---|---|---|
| Is the plan active on the date of service? | Usually | Yes, for the date of service |
| Which company administers the mental health benefit? | Often not shown | Yes, including Optum, Evernorth, Carelon, Lucet and Magellan |
| Is the rendering clinician in network for behavioral health? | Rarely | Yes, per clinician |
| Copay or coinsurance for the CPT code being billed | Sometimes, often the medical figure | Yes, the behavioral health figure |
| Deductible met and remaining | Sometimes | Yes |
| Prior authorization requirements | No | Yes, with expiry dates tracked |
| Annual visit limits and visits used | Rarely | Yes |
| Telehealth coverage and place of service | Rarely | Yes |
How Veriframe works inside SimplePractice
- Your practice adds a Veriframe user. Access is set up under a signed Business Associate Agreement and limited to what verification needs. You control the account and can remove it at any time.
- We work from your SimplePractice schedule. Every upcoming appointment is verified ahead of the visit, not the morning of.
- Results go into the client's chart. Each verification is written in one standard format, with where it was confirmed and a reference number.
- Urgent issues reach your front desk first. An inactive policy, a required authorization or an out-of-network result is flagged before the session. Routine items, like an unmet deductible, are noted for check-in.
Your team keeps using SimplePractice exactly as it does today. There is no new software to learn and no separate portal to check.
Why behavioral health needs more than a standard check
Many commercial plans hand mental health benefits to a separate administrator. A patient can carry a UnitedHealthcare card while Optum sets the copay, the network and the authorization rules. Checking the company on the card returns the medical benefit, which is how a claim that looked verified still gets denied. Our carve-out guide and payer routing library explain where each major payer's behavioral benefit actually lives.
Last reviewed October 2026. Payer arrangements change and vary by employer group, especially for self-funded plans. Treat this as a starting point and confirm against the member's card and the payer on the date of service. Product and company names belong to their owners and are used for identification only, with no affiliation or endorsement implied.
Common questions
Does Veriframe integrate with SimplePractice?
Veriframe works directly in your SimplePractice account through a user your practice creates, under a signed Business Associate Agreement. Verifications are written into the client's chart in a standard format, so your team sees them where it already works.
Do we have to change how we use SimplePractice?
No. Scheduling, intake and billing stay the same. The difference is that every upcoming appointment already has a full benefit verification attached when your team opens it.
Which payers do you verify?
Commercial plans and the behavioral health carve-outs where benefits really sit, including Aetna, Cigna and Evernorth, UnitedHealthcare and Optum, Blue Cross Blue Shield plans, Carelon, Lucet and Magellan. We also help practices set up Medicare eligibility access.
Is Veriframe a SimplePractice add-on?
No. Veriframe is an independent verification partner that works inside the SimplePractice accounts of the practices it serves.
See it on your own schedule
Thirty minutes over video. Bring a rough clinician count and payer mix.
Book a call