Overview

Claireena™ is designed to support patients between sessions, extending care while aligning with existing reimbursement pathways. When implemented effectively, clinicians can incorporate Claireena™ into their care model as a billable, supportive service layer—enhancing continuity of care without replacing clinical treatment.

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How Clinicians Get Reimbursed

Claireena™ is designed to support billable, between-session care models.. Reimbursement is typically achieved by incorporating Claireena™ into services that support:

• Ongoing patient monitoring

• Care coordination

• Behavioral health support between visits

• Digital or remote patient engagement

 

In many cases, providers are able to bill approximately $50–$60 per patient per month, depending on payer and documentation. Claireena™ is structured to fit within this model, allowing for sustainable implementation when reimbursement is achieved.

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Common Billing Pathways

Clinicians may incorporate Claireena™ into existing billing structures such as:

• Behavioral health integration services

• Care management or coordination services

• Remote or digital patient support programs

• Monthly patient engagement models

Final code selection and reimbursement eligibility depend on payer guidelines and clinician discretion.

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Suggested CPT Pathways (Use with Clinical Judgment)

Claireena™ may support documentation aligned with services commonly billed under:

• Behavioral Health Integration (BHI)

  • e.g., 99484

• General Care Management / Care Coordination

  • e.g., 99490, 99439

• Remote Patient Monitoring (RPM) / Engagement Models (in certain use cases)

  • e.g., 99457, 99458

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Important: Code selection, documentation requirements, and reimbursement eligibility vary by payer and clinical setting. Clinicians are responsible for selecting appropriate billing codes and ensuring compliance with all applicable guidelines.

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Implementation in Practice

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Step 1: Identify Appropriate Patients

• Patients who would benefit from between-session support

• Individuals in step-down care, recovery, or ongoing therapy

• Patients needing additional engagement outside scheduled visits

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Step 2: Introduce Claireena™ During Session

• Have the patient complete a live call (10–30 minutes)

• Observe interaction and assess comfort and engagement

• Position Claireena™ as a support tool between visits

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Step 3: Document Usage

Document that the patient has:

• Access to ongoing, structured support between sessions

 

Document how this supports:

• Treatment adherence

• Emotional regulation

• Continuity of care

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Step 4: Bill as Part of Ongoing Care

• Include Claireena™ as part of your monthly patient support structure

• Ensure documentation reflects:

  • Continued engagement

  • Clinical relevance

  • Ongoing need

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Who It Works Best For

• Step-down / discharge patients

• Mild to moderate anxiety, stress, or depression

• Patients needing additional support between visits

• Not appropriate for crisis or active suicidality

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Key Considerations

• Claireena™ is not a replacement for therapy

• Designed for non-crisis, between-session support

• Use clinical judgment when determining patient fit

• Follow all payer-specific billing and documentation requirements

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Getting Started

• Submit patient information for activation

• Patient creates a secure 4-digit PIN

• Access is available immediately

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Compliance Note

Thrive Mental, LLC does not provide billing or coding services. Providers should consult their billing specialist or payer for specific guidance.