Working with Sidecar Health
There are two ways providers can work with Sidecar Health:
Direct bill agreements
Some providers prefer to submit claims and be paid directly by the health plan. To facilitate this, we recently launched a series of direct billing agreements which streamline paper and electronic claims submission to Sidecar Health while retaining the flexibility of the Sidecar Health model.
Non-contracted cash pay
With our cash pay model, Sidecar Health patients use their Sidecar Health VISA benefit card to pay their provider. You provide an itemized medical invoice to the patient and we take care of the rest. You can collect payment before, after or at the time of service.
Reimbursement method
Traditional revenue cycle billing
Reimbursement method
Get paid at time of service from patient
Reimbursement amount
Competitive negotiated commercial rate
Reimbursement amount
You pick your price
How to submit a claim or invoice
Send it electronically to Sidecar Health through your clearinghouse
How to submit a claim or invoice
Send it directly to the patient
Eligibility
Check eligibility electronically through your clearinghouse
Eligibility
Patient will confirm their own eligibility
Prior authorization
Not needed
Prior authorization
Not needed
Administrative denials
None
Administrative denials
None
Patient responsibility (e.g. deductibles/copays)
No bad debt from patient cost-sharing
(depending on the negotiated rate)
Patient responsibility (e.g. deductibles/copays)
No bad debt from patient cost-sharing
Signed contract required
Yes
Signed contract required
No
Direct bill agreements
Some providers prefer to submit claims and be paid directly by the health plan. To facilitate this, we recently launched a series of direct billing agreements which streamline paper and electronic claims submission to Sidecar Health while retaining the flexibility of the Sidecar Health model.
Reimbursement method
Traditional revenue cycle billing
Reimbursement amount
Competitive negotiated commercial rate
How to submit a claim or invoice
Send it electronically to Sidecar Health through your clearinghouse
Eligibility
Check eligibility electronically through your clearinghouse
Prior authorization
Not needed
Administrative denials
None
Patient responsibility (e.g. deductibles/copays)
No bad debt from patient cost-sharing
(depending on the negotiated rate)
Signed contract required
Yes
Non-contracted cash pay
With our cash pay model, Sidecar Health patients use their Sidecar Health VISA benefit card to pay their provider. You provide an itemized medical invoice to the patient and we take care of the rest. You can collect payment before, after or at the time of service.
Reimbursement method
Get paid at time of service from patient
Reimbursement amount
You pick your price
How to submit a claim or invoice
Send it directly to the patient
Eligibility
Patient will confirm their own eligibility
Prior authorization
Not needed
Administrative denials
None
Patient responsibility (e.g. deductibles/copays)
No bad debt from patient cost-sharing
Signed contract required
No
Any questions? We love to hear from healthcare professionals like you
Our dedicated Provider Engagement team is here to answer any questions. Need help setting your cash pay pricing? We can guide you through pricing benchmarks based on confirmed self-pay prices in your area.
