Issues with Headway and Carefirst BCBS?

For those that don't know, Headway is a 3rd party billing provider/credentialing service for therapy.

If I had my way, I wouldn't use them but unfortunately I have a handful of very specific therapists I want to work with and they all go through Headway to credential them with Carefirst.

My Carefirst plan covers 100% of mental health office visits for in-network providers even before meeting the deductible. I have verified this both in my policy paperwork and with a CF representative.

Headway is insisting that I have to pay the full session fee before I meet my deductible. I called CF, they said that wasn't true. Then Headway said Carefirst only covers telehealth if it's through their Closeknit platform. I know that's not true. I've had tons of telehealth visits and never used Closeknit. But just for fun I called CF and they were just as confused as I was and again confirmed I should have no co-pay for a routine therapy session whether it's in-person or telehealth no matter which platform I use.

I tried asking Headway if we could have a conference call with CF and was met with crickets.

Is there a way to circumvent this? Supposedly if Headway bills you wrong they'll refund you, but I've heard from others that they never got their refund and just ate the session fee.

submitted by /u/Penniesand
[comments]