Set up payers and staff
TheraNest needs the organization's Type 2 NPI, payer EDI settings, and each clinician's Type 1 NPI before claims go out. Review these settings before any handoff.
Keep TheraNest and choose who runs billing
Ensora Health makes TheraNest for mental health practices and Fusion for rehab therapy, plus add-ons such as Ensora Clearinghouse and its own Ensora RCM service. TheraNest can automate claim creation and submission, but rejections, denials, and balances still need an owner. Here is how a handoff to Taiga could look.
Book a demoThe key question is which Ensora products you run and whether you already use Ensora RCM or Ensora Clearinghouse. Exact access for Taiga is confirmed on a call.
Kept appointment
Invoice created from the kept appointment
Awaiting Submission
Claim scrubbed, then sent to clearinghouse
ERA and ledger
Payments processed and ledger reconciled
How billing moves through TheraNest
TheraNest billing runs from payer and staff settings to clearinghouse enrollment and optional automation.
Enroll with the clearinghouse
Electronic claims run through a partnered clearinghouse after an enrollment survey, and ERA enrollment is required even when claim enrollment is not. Confirm who owns those enrollments.
Automate or review
TheraNest can create invoices from kept appointments and submit Awaiting Submission claims daily to a claim scrubber, then the clearinghouse. Decide whether automation stays on and where clinician approval of Taiga's drafted codes happens.
Rejections and reconciliation
Rejected claims are corrected and resubmitted, and ERA payments reconcile the client ledger. Taiga would own denials, appeals, and statements in the agreed scope.
What changes for a TheraNest practice
Therapists keep TheraNest. Billing follow-through moves to a dedicated team.
Codes approved by clinicians
Taiga drafts codes from session documentation and the therapist approves them first.
Rejections closed out
Corrections, resubmissions, and appeals have one owner from start to finish.
Ledger and statements together
Payment posting and patient statements are handled by the same team.
Confirm these Ensora details first
Ensora sells several products and add-ons, so start with an inventory.
Which products?
List TheraNest, Fusion, Ensora ABA Therapy (formerly WebABA), or another Ensora product, plus the add-ons in use.
Do you use Ensora RCM?
Ensora sells its own revenue cycle service covering benefit verification, claims, denials, and posting. If you use it, decide what would move and when.
Which clearinghouse?
Note whether claims go through Ensora Clearinghouse, formerly Apex, or another clearinghouse, and who holds enrollments.
What is open?
Pull open claims and client balances so Taiga can take over open A/R or run in parallel.
For mental health practices on TheraNest
Mental health is one of Taiga's named specialties, so a TheraNest therapy or counseling practice is the most direct fit for this guide.
Where this page stops
Taiga does not claim an Ensora integration, partnership, or automatic sync. For Fusion rehab therapy or Ensora ABA Therapy, bring your service mix and Taiga will tell you straight whether it fits.
Questions from TheraNest and Ensora practices
Do we have to leave TheraNest?
No. Taiga works alongside your existing EHR, and therapists keep documenting in TheraNest.
Should we turn off TheraNest billing automation?
Not necessarily. TheraNest can submit Awaiting Submission claims daily once automation is on, so agree with Taiga where code review and approval happen before release.
We use Ensora RCM. Can Taiga take over?
Your practice can compare the two. Separate claims in flight with Ensora RCM from new dates of service so each claim has one owner.
Is WebABA part of Ensora?
Ensora lists Ensora ABA Therapy, formerly WebABA, among its products. ABA is not one of Taiga's named specialties, so a fit call comes first.
Bring your TheraNest billing setup
Show Taiga your products, clearinghouse, and open claims. A good fit means about two weeks of onboarding before the first claim.