Redefine the Provider Experience
Therapy benefit management shouldn't be complex or frustrating. At Holista, we simplify and elevate the way providers engage with healthcare administration. As a trusted third-party administrator serving Colorado, Texas, and Oklahoma through the CVS/Aetna program, we deliver streamlined systems, responsive support, and technology-driven solutions that improve payment accuracy and reduce administrative burden - so providers can stay focused on what matters most: delivering quality care.
Before submitting claims, providers must first obtain an authorization from Holista. This serves as a 60-day internal tracking ID that links your claims and payments within our system—helping us ensure proper routing, review, and timely reimbursement.
To avoid delays and ensure in-network treatment, all claims must be submitted directly to Holista (not Aetna). We accept claims through multiple convenient submission channels, making it easy to integrate with your existing billing systems.
Our dedicated AR team carefully reviews submitted claims to verify accuracy and support timely payment. We work closely with providers to resolve issues quickly and ensure every claim is handled with precision and care.
If a claim is placed on hold or "pended," our Medical Records team may reach out for additional information—such as Coordination of Benefits (COB) updates, supporting documentation, or primary Explanation of Benefits (EOBs) when other insurance coverage is involved. This ensures claims are fully documented and compliant for processing.
Once your claims are approved, Holista processes payment efficiently. Through our Provider Web Portal, you can view any applicable case fee payments and patient liability amounts. Our goal is to make it easy to track and reconcile payments without administrative hassle.
Our current portal allows you to easily submit and manage claims and authorizations. And coming in late 2025 or early 2026, we’re launching an enhanced Provider Web Portal with new features—including patient eligibility verification and expanded self-service tools. It’s all part of our commitment to delivering a streamlined, provider-friendly experience.
Ready to join our network?
Fill out a network application.
Network Application Form