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I took insurance and became in network with multiple companies. I track and compare rates by looking at the Medicare reimbursement for each code. Don't forget we only get paid 85% of the published Medicare rate so subtract 15% from that rate. The Medicare reimbursement is in the public domain on the MAC website (for my region, it is Novitas). Congress has cut the reimbursement 3 years in a row. So - if the insurance company if offering less than Medicare, walk away and go out of network!. I signed contracts and only 2 companies have offered rate increases unless I ask for it every year or so. I am resigning from panels that don't play ball. We are under behavioral health carve-outs instead of the master insurance company. We sometimes get paid less than PCPs, so I learned to watch it like a hawk.  When you read a contract, be sure to look at all of the rates for all of the various plans. I took Medicare Advantage in good faith, only to find out that some of the biggest companies have plans that reimburse less than half of Medicare rates (I do the work, insurance erects barriers, and then they walk away with half my paycheck! Read all of the fine print!) With billing, some EHRs embed it in the EHR. You can pay for a billing service which might make sense for a bigger practice than mine. You can also go directly to the insurance company and bill through their website. Some companies use Availity which I have found to be very challenging and unwieldy. I feel like I could write a book about the myriad ways that insurance companies have erected barriers to treatment and have brought "stigma" against  psychiatric patients and providers to a whole new level. Hope that helps!