Hi, I’m Tina.

And yes, I know healthcare is unnecessarily complicated.

Technically, I’m Christina. Tina is what happens when you spend enough years working in behavioral healthcare that things like CAQH profiles, credentialing applications, payer portals, billing workflows, and insurance enrollment start feeling weirdly normal.

Tina Out of Network exists because they shouldn't.

I help therapists, clinicians, and private practices figure out the business side of healthcare — particularly the parts nobody bothered to teach you while you were learning how to actually take care of people.

Need to get credentialed with insurance? I can help.

Starting or growing a private practice and have absolutely no idea what comes next? Also my kind of problem.

Trying to figure out CAQH, payer enrollment, workflows, billing infrastructure, or why something that sounds incredibly simple somehow requires six forms and a 90-day waiting period? Welcome. You’ve found your people.

But Tina actually started as a blog.

Before Tina Out of Network became a place where I could actually help people navigate healthcare, it started as somewhere I could talk about it.

Because after spending years inside behavioral healthcare, I have thoughts.

A lot of them.

Some are about the frustrating parts — broken systems, questionable decisions, unnecessary bureaucracy, burned-out employees, and the uncomfortable gap that can exist between what healthcare says it values and what actually happens behind the scenes.

But I don't want this to become another corner of the internet dedicated exclusively to talking about everything healthcare gets wrong.

Because sometimes?

We get it really, really right.

There are incredible clinicians doing work that changes lives. There are programs genuinely putting people before profit. There are leaders trying to build healthier organizations, employees who care far beyond what's written in their job descriptions, and moments that remind me exactly why I've stayed in this industry for as long as I have.

So the blog is both.

It's my perspective on the bad, the ridiculous, the complicated, and occasionally the “how the hell is this still a thing?”

But it's also a place to recognize the good — the people and programs proving that healthcare can still be thoughtful, ethical, effective, and deeply human.

Basically, I'm trying to acknowledge the wins while occasionally feeling like I'm drowning in everything we still need to fix.

Both things can be true.

And that's kind of the point.