How are associate providers paid for asynchronous messaging?

Asynchronous messaging reimbursement varies based on the client’s plan type and client's state of residence. Below, we break down the Engagement-Based reimbursement model, along with key policies and guidelines to ensure appropriate usage. Base rates will vary state to state, meaning different rates will apply accordingly.

Engagement-Based Reimbursement Model

The Engagement-Based Payout Model is the current reimbursement model for Asynchronous Messaging Sessions for Self-Pay / Direct-to-Consumer (D2C) and Direct-to-Employer (DTE) plans.

  • Asynchronous Messaging Sessions are reimbursed at rates between $9.50-$11.50 per 1000 words (depending on client state of residence, see below) for text, audio, and video messages exchanged between provider and client.
    • Audio and video asynchronous messages are transcribed internally for word count calculation.
    • Provider-to-Client Word Count: To ensure balanced communication, a 3:1 provider-to-client word count ratio will be implemented. This means that for every word a client sends, only three of the provider's words will be counted.
      • This ratio also includes transcribed words from audio and video messages. 
      • For non-engaged clients, providers can send up to 750 words before the 3:1 word count cap is applied.
      • The maximum asynchronous messaging payout per room will be capped at $150 per payout period.

Base Rate Breakdown

Associate Providers with clients in California

This table below shows the base rates per session type for associate providers treating California-based clients. 

Session Type Base Rate

DTE/B2C Async

(per 1000 words)

$11.50
Associate Providers with clients in New York, Washington, Maryland, Massachusetts, Virginia, and Washington D.C.

This table below shows the base rates per session type for associate providers treating clients based in New York, Washington, Maryland, Massachusetts, Virginia, and Washington D.C. 

Session Type Base Rate

DTE/B2C Async

(per 1000 words)

$10.00
Associate Providers with clients in all other states

This table below shows the base rates per session type for associate providers treating clients in all other states. 

Session Type Base Rate

DTE/B2C Async

(per 1000 words)

$9.50
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