ComPsych EAP for Behavioral Health Providers

ComPsych

ComPsych Corporation

ComPsych provider guide for behavioral health — EAP assessment, short-term counseling, authorization, care-navigation, and billing context.

Quick Reference

Payer Type

Employee Assistance

Parent Company

ComPsych Corporation (privately held)

Headquarters

Chicago, IL

Provider Portal

Open Portal

Portal Guide

View Guide →

Credentialing

Proprietary ComPsych credentialing application (not CAQH-driven)

Timeline

Timeline varies; contact ComPsych provider recruitment to confirm

Coverage

1 states

Last Verified

Apr 19, 2026

Published

Apr 19, 2026

Reading Time

6 min

Covered Levels of Care

• Assessment and Care Navigation
• Short-Term Outpatient Counseling (session-limited)
• Crisis Intervention

Medical Necessity Criteria

• Utilization-capped EAP model — benefits are gated by employer-purchased session limits rather than traditional medical-necessity review
• Higher levels of care (residential, PHP, IOP) route to the member's medical insurance benefit

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Overview

ComPsych Corporation, headquartered in Chicago, IL, is widely recognized as the largest Employee Assistance Program (EAP) provider in the United States and delivers behavioral health services to employer-sponsored populations across the US and internationally. Unlike a traditional health insurer, ComPsych does not underwrite medical insurance risk. Instead, it contracts directly with employers, unions, and benefits consultants to deliver a defined bundle of services — most commonly assessment, short-term counseling, work-life resources, legal and financial consultations, and critical-incident response — to the employer’s workforce. The employer pays ComPsych a per-employee-per-month fee, and eligible employees and their household members can access services with no cost-share at the point of care.

For treatment center operators, the most important distinction to internalize is that an EAP is an employer benefit, not an insurance product. A ComPsych session is funded by the employer, scoped to a short-term counseling model, and governed by an authorization number rather than an eligibility-and-cost-share lookup. Residential treatment, PHP, and IOP are typically handled through the member’s medical insurance plan once the EAP clinician determines that a higher level of care is needed.

Because ComPsych sits in front of a very large share of the US employer-sponsored workforce, it often functions as the first clinical touchpoint for employees experiencing a mental health or substance use issue. Even when a ComPsych-authorized counseling episode is not the appropriate clinical endpoint for a given member, the intake and assessment that ComPsych performs up front frequently determines whether that member ultimately gets connected to the right level of care. Treatment centers that understand how ComPsych’s intake and care-navigation workflow operates can keep the access-path context visible when a higher level of care becomes clinically indicated.

Behavioral Health Coverage

ComPsych’s core behavioral health benefit is typically structured around assessment and care navigation, short-term outpatient counseling, and crisis intervention. The exact number of sessions authorized per issue varies by the employer’s contracted plan — common packages range from 3 to 8 sessions, though some large employers purchase plans with 10 or more sessions. Sessions are generally free to the member, with no deductible, copay, or coinsurance at the EAP tier.

When an employee presents with acute needs beyond the scope of short-term counseling — persistent substance use disorder, severe mood or psychotic symptoms, or safety concerns requiring inpatient stabilization — the ComPsych clinician transitions the case to the member’s medical insurance plan. Residential, PHP, IOP, and medically managed detox are therefore generally billed to the underlying medical payer (for example, Aetna, Anthem, or a Blue plan) rather than to ComPsych itself.

Credentialing and Provider Enrollment

ComPsych generally operates a proprietary credentialing pathway rather than CAQH ProView. Prospective providers typically submit a Prospective Provider Interest Form through the ComPsych Provider ResourceCenter; ComPsych’s network development team then evaluates network capacity in the geography and specialty and reaches out if there is an opening. Because the ComPsych network is sized against its employer book of business, network openings can be unpredictable — providers in markets where ComPsych has many large employer clients are more likely to receive a timely response, while providers in markets with lower employer density may wait longer or be placed on a hold list. Commonly requested documentation generally includes state clinical licensure, malpractice insurance certificates, a CV or resume, and a W-9. Recredentialing and network participation reviews typically recur on a cycle defined by the ComPsych provider contract. Verify current requirements and timelines directly with ComPsych provider recruitment.

Verification of Benefits (VOB)

ComPsych eligibility is unlocked differently than commercial insurance. A prospective member typically calls an employer-specific ComPsych toll-free number, completes a brief intake with a ComPsych clinician, and is issued an authorization number tied to a specific presenting issue. The authorization number defines how many sessions are covered, with which provider, and by when. Before scheduling a first session, the treatment center should confirm the authorization number, session count, expiration date, and the employer-of-record. Document these details in the member record.

Prior Authorization Requirements

Traditional medical-necessity prior authorization does not apply to most ComPsych EAP services, because the benefit is capped at a session count rather than gated by clinical criteria. Instead, the authorization number issued at intake functions as the “PA.” Providers who exhaust the authorized sessions and believe ongoing care is clinically indicated should coordinate a warm handoff to the member’s medical insurance plan; ongoing outpatient therapy beyond the EAP cap is generally billed to medical. If an employer has purchased an enhanced ComPsych package with case-management support, the ComPsych case manager can help coordinate the transition.

Claims and Billing

Claims for ComPsych EAP sessions are generally submitted through the ComPsych Provider ResourceCenter rather than through a standard 837 clearinghouse workflow, though arrangements can vary by contract. ComPsych reimburses in-network providers at contracted rates that are often comparable to or higher than commercial outpatient fees — but the total revenue per case is constrained by the session cap. Because sessions are free to the member, there is no deductible accumulation, copay collection, or balance billing at the EAP tier. Confirm your contracted fee schedule, timely-filing window, and allowed CPT codes directly with ComPsych; these terms are not typically posted publicly.

Key Contact Information

• Provider Portal: https://providers.compsych.com ↗ (ComPsych Provider ResourceCenter)
• Provider Recruitment: providerrecruitment@compsych.com
• Member Access: Employer-specific toll-free number printed on the member’s EAP card or benefits portal
• Authorization Numbers: Issued by a ComPsych intake clinician at the start of each case
• Claims Submission: Typically through the ComPsych Provider ResourceCenter; confirm current workflow with your ComPsych provider agreement

Frequently Asked Questions

ComPsych's core EAP benefit is generally limited to assessment, short-term outpatient counseling (typically 3 to 8 sessions per issue, though session counts vary by the employer's contracted plan), and crisis intervention. Residential treatment, partial hospitalization, and intensive outpatient programs are typically handled through the member's medical insurance rather than the ComPsych EAP benefit itself. When a ComPsych counselor determines a member needs a higher level of care, the standard workflow is a clinical handoff to the member's medical insurance plan, which then becomes the responsible payer. Some employers purchase enhanced ComPsych programs that include behavioral health case management alongside the medical plan, but residential or IOP reimbursement usually depends on the medical payer. Confirm current benefit scope directly with [ComPsych](https://providers.compsych.com) for each member.

ComPsych generally uses a proprietary credentialing process rather than CAQH ProView. Interested providers typically complete a Prospective Provider Interest Form on the ComPsych Provider ResourceCenter and are contacted by ComPsych's provider recruitment team if the network has an opening in the relevant geography and specialty. Because ComPsych's network is built around its employer contracts, network openings can vary significantly by market. Commonly requested documentation generally includes state clinical licensure, professional liability insurance, a resume or CV, specialty information, and a completed tax form. Requirements may change, so verify current credentialing requirements directly with ComPsych provider recruitment.

ComPsych EAP benefits are generally unlocked through an employer-specific access code or authorization number rather than a traditional eligibility lookup. Members typically call a toll-free number printed on their EAP card or accessed through their employer intranet; a ComPsych intake clinician verifies employer eligibility and issues an authorization number tied to a specific case. Treatment centers should request the authorization number from the member before the first session and confirm the number of authorized sessions, the authorization effective and expiration dates, and whether the employer has purchased any expanded benefits. Always document the authorization number and the ComPsych representative's name in the client record. Verify current intake procedures with [ComPsych](https://providers.compsych.com).

ComPsych generally reimburses in-network providers on a contracted fee-for-service basis per authorized session, with fees set by contract and generally not disclosed publicly. Because EAP sessions are free to the employee, there is typically no member cost-share; the employer (or ComPsych's self-insured arrangement with the employer) is the payer of record. Claims are generally submitted through the ComPsych Provider ResourceCenter rather than through traditional clearinghouse 837 workflows, though this can vary by contract. Timely filing windows, allowed CPT codes, and documentation requirements are all dictated by the ComPsych provider contract. Centers that primarily operate at residential or IOP levels of care should treat ComPsych as an upstream access path while confirming the medical payer for facility billing.

ComPsych generally routes members to its credentialed network providers for EAP-funded sessions. When a ComPsych assessment identifies the need for a higher level of care that is outside the EAP scope — such as residential treatment or IOP — the ComPsych clinician may coordinate a warm handoff to a treatment center while the downstream admission is handled through the member's medical insurance. Treatment centers should keep the ComPsych case context attached to the admission, confirm the downstream payer route, and verify medical benefits before facility billing begins. Confirm current handoff procedures with ComPsych directly.

Key Billing Concepts

Revenue Cycle Resources

This guide is provided for informational purposes only and does not constitute legal, regulatory, or professional advice. Payer requirements, phone numbers, and portal URLs are subject to change. Always verify current information directly with the payer. is not affiliated with the insurance companies described on this page.

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